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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Main Authors: Joana Lemos, Marta Mós, António Monteiro, Pedro Henriques
Format: Article
Language:English
Published: Ordem dos Médicos 2010-12-01
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.
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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
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AT antoniomonteiro sindromemalignodosneurolepticosumcasorarodeevolucaoprolongada
AT pedrohenriques sindromemalignodosneurolepticosumcasorarodeevolucaoprolongada