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Neuroleptic malignant syndrome: A pathogenetic role for dopamine receptor blockade?
Abstract
The neuroleptic malignant syndrome (NMS) of extrapyramidal signs and hyperthermia is an uncommon complication of therapy with the major tranquilizers. Other manifestations are pallor, diaphoresis, blood pressure fluctuation, tachycardia, and tachypneic hypoventilation, which may necessitate respirator support. Death often occurs, but full recovery can result with prompt recognition and proper management. In a patient with Parkinson disease and a chronic psychiatric disorder treated with haloperidol, typical features of NMS appeared upon cessation of dopaminergic antiparkinsonian drugs. Manifestations of NMS are attributed to dopamine receptor blockade in the striatum, increasing thermogenesis, and in the hypothalamus, impairing heat dissipation.
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Citations
Cited by
Neuroleptic Malignant Syndrome
Guzé, B. H., & Baxter, L. R. (1985) · New England Journal of Medicine · doi:10.1056/nejm198507183130306 · Cited by 312
Neuroleptic Malignant Syndrome: A Review from a Clinically Oriented Perspective
Tse, L., Barr, A., Scarapicchia, V., & Vila-Rodriguez, F. (2015) · Current Neuropharmacology · doi:10.2174/1570159x13999150424113345 · Cited by 179
Neuroleptic malignant syndrome after neuroleptic discontinuation
Amore, M., & Zazzeri, N. (1995) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/0278-5846(95)00269-3 · Cited by 42
A Hyperthermic Syndrome in Two Subjects With Acute Hydrocephalus
Talman, W. T., Florek, G., & Bullard, D. E. (1988) · Archives of Neurology · doi:10.1001/archneur.1988.00520330129022 · Cited by 38
Metadata
- Authors
- Henderson, V. W., & Wooten, G. F.
- Venue
- Neurology
- Published
- 1981-02
- Volume
- 31
- Issue
- 2
- Pages
- 132-132
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2055071717
- Cited by
- 339
- References
- 0
- FWCI
- 15.44
- Type
- journal article
- Language
- en
- Open access
- closed
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