• Pak J Med Sci · Sep 2020

    Case Reports

    A 'benign' extrapyramidal side effect masking a life-threatening neuroleptic malignant syndrome.

    • Reinhard Dolp, Moin Ahmed Ansari, Michael Chan, and Tariq Hassan.
    • Dr. Reinhard Dolp, Resident Physician, Postgraduate year 3, Department of Psychiatry, Queen's University, Kingston, Ontario, Canada.
    • Pak J Med Sci. 2020 Sep 1; 36 (6): 1429-1432.

    AbstractThe neuroleptic malignant syndrome is a rare, life-threatening idiosyncratic reaction to neuroleptic medication. The use of newer antipsychotics combined with its rare incidence has made NMS seem as a complication of the past. Here we report a patient in his early 20s suffering from a psychotic disorder developing a life-threatening neuroleptic malignant syndrome on an inpatient psychiatric ward in Canada without the characteristic overt change in autonomic stability. We review the clinical characteristics to facilitate the early recognition of neuroleptic malignant syndromes and discuss why this condition still is highly relevant for practising physicians.Copyright: © Pakistan Journal of Medical Sciences.

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