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Fatal Recurrence of Neuroleptic Malignant Syndrome

Published online by Cambridge University Press:  02 January 2018

Anthony McCarthy*
Affiliation:
Formerly at Cluain Mhuire Family Centre, Blackrock, Co. Dublin, currently at St Vincent's Hospital
Stephen Bourke
Affiliation:
St Vincent's Hospital
J. Fahy
Affiliation:
Medical SHO, St Vincent's Hospital
Irene Binchy
Affiliation:
Cluain Mhuire Family Centre
M. X. Fitzgerald
Affiliation:
St Vincent's Hospital
*
St Vincent's Hospital, Elm Park, Dublin 4

Abstract

The clinical features of a fatal case of the neuroleptic malignant syndrome are presented. The fatal episode was a recurrence of the syndrome after a milder episode 3 months earlier. Prescription of neuroleptics was continued unchanged following the latter, as a correct diagnosis was not made at the time. The case emphasises the importance of early recognition of the syndrome and the possibility of spontaneous remission of symptoms despite continued neuroleptic treatment.

Type
Brief Reports
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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References

Abbot, R. J. & Loizou, L. A. (1986) Neuroleptic malignant syndrome. British Journal of Psychiatry, 148, 4751.CrossRefGoogle Scholar
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Mueller, P. S., Vester, J. W. & Fermaglich, J. (1983) Neuroleptic malignant syndrome; successful treatment with bromocryptine. Journal of the American Medical Association, 249, 396–388.Google Scholar
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