Síndrome maligno dos neurolépticos: um caso raro de evolução prolongada.
Neuroleptic malignant syndrome (NMS) is a neurological emergency related to neuroleptics medication. Diagnosis is clinical. Authors present the case of a 32-year-old Caucasian man with a history of moderated oligophreny treated with stable doses of psychotropic and neuroleptic drugs. Because of aggr...
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Format: | Article |
Language: | English |
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Ordem dos Médicos
2010-12-01
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Series: | Acta Médica Portuguesa |
Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/732 |
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author | Joana Lemos Marta Mós António Monteiro Pedro Henriques |
author_facet | Joana Lemos Marta Mós António Monteiro Pedro Henriques |
author_sort | Joana Lemos |
collection | DOAJ |
description | Neuroleptic malignant syndrome (NMS) is a neurological emergency related to neuroleptics medication. Diagnosis is clinical. Authors present the case of a 32-year-old Caucasian man with a history of moderated oligophreny treated with stable doses of psychotropic and neuroleptic drugs. Because of aggressivity outbreaks, he was administered high doses of intramuscular haloperidol decanoate for a period of ten days. One month later he had evolved with mental deterioration, mutism, generalized rigidity, fever, tachycardia, hypotension and diaphoresis. Neuroleptic malignant syndrome was diagnosed. Supporting treatment was provided and intercurrences treated. Neuroleptic malignant syndrome is a fatal disease in 10 to 20% of patients; otherwise it resolves in about two weeks. In rare cases, like this one the authors report, it has a prolonged evolution of months. |
first_indexed | 2024-04-12T09:22:03Z |
format | Article |
id | doaj.art-ec99d58fddc44b8e83db34099c712529 |
institution | Directory Open Access Journal |
issn | 0870-399X 1646-0758 |
language | English |
last_indexed | 2024-04-12T09:22:03Z |
publishDate | 2010-12-01 |
publisher | Ordem dos Médicos |
record_format | Article |
series | Acta Médica Portuguesa |
spelling | doaj.art-ec99d58fddc44b8e83db34099c7125292022-12-22T03:38:35ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582010-12-0123610.20344/amp.732Síndrome maligno dos neurolépticos: um caso raro de evolução prolongada.Joana Lemos0Marta MósAntónio MonteiroPedro HenriquesServiço de Medicina Interna 1, Hospital de São Teotónio, Viseu.Neuroleptic malignant syndrome (NMS) is a neurological emergency related to neuroleptics medication. Diagnosis is clinical. Authors present the case of a 32-year-old Caucasian man with a history of moderated oligophreny treated with stable doses of psychotropic and neuroleptic drugs. Because of aggressivity outbreaks, he was administered high doses of intramuscular haloperidol decanoate for a period of ten days. One month later he had evolved with mental deterioration, mutism, generalized rigidity, fever, tachycardia, hypotension and diaphoresis. Neuroleptic malignant syndrome was diagnosed. Supporting treatment was provided and intercurrences treated. Neuroleptic malignant syndrome is a fatal disease in 10 to 20% of patients; otherwise it resolves in about two weeks. In rare cases, like this one the authors report, it has a prolonged evolution of months.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/732 |
spellingShingle | Joana Lemos Marta Mós António Monteiro Pedro Henriques Síndrome maligno dos neurolépticos: um caso raro de evolução prolongada. Acta Médica Portuguesa |
title | Síndrome maligno dos neurolépticos: um caso raro de evolução prolongada. |
title_full | Síndrome maligno dos neurolépticos: um caso raro de evolução prolongada. |
title_fullStr | Síndrome maligno dos neurolépticos: um caso raro de evolução prolongada. |
title_full_unstemmed | Síndrome maligno dos neurolépticos: um caso raro de evolução prolongada. |
title_short | Síndrome maligno dos neurolépticos: um caso raro de evolução prolongada. |
title_sort | sindrome maligno dos neurolepticos um caso raro de evolucao prolongada |
url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/732 |
work_keys_str_mv | AT joanalemos sindromemalignodosneurolepticosumcasorarodeevolucaoprolongada AT martamos sindromemalignodosneurolepticosumcasorarodeevolucaoprolongada AT antoniomonteiro sindromemalignodosneurolepticosumcasorarodeevolucaoprolongada AT pedrohenriques sindromemalignodosneurolepticosumcasorarodeevolucaoprolongada |