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Cited by 339

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Neuroleptic malignant syndrome: A pathogenetic role for dopamine receptor blockade?

Henderson, Victor W., Wooten, G. Frederick·1981·Neurology

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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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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CoChat. (2026). Citation check: Neuroleptic malignant syndrome: A pathogenetic role for dopamine receptor blockade? https://app.cochat.ai/papers/10.1212/wnl.31.2.132
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Henderson, V. W., & Wooten, G. F. (1981). Neuroleptic malignant syndrome: A pathogenetic role for dopamine receptor blockade? Neurology. https://doi.org/10.1212/wnl.31.2.132

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