• Handb Clin Neurol · Jan 2018

    Review

    Neuroleptic malignant syndrome and serotonin syndrome.

    • Laura M Tormoehlen and Daniel E Rusyniak.
    • Department of Neurology, Indiana University School of Medicine, Indianapolis, IN, United States; Department of Emergency Medicine, Division of Medical Toxicology, Indiana University School of Medicine, Indianapolis, IN, United States.
    • Handb Clin Neurol. 2018 Jan 1; 157: 663-675.

    AbstractThe clinical manifestation of drug-induced abnormalities in thermoregulation occurs across a variety of drug mechanisms. The aim of this chapter is to review two of the most common drug-induced hyperthermic states, serotonin syndrome and neuroleptic malignant syndrome. Clinical features, pathophysiology, and treatment strategies will be discussed, in addition to differentiating between these two syndromes and differentiating them from other hyperthermic or febrile syndromes. Our goal is to both review the current literature and to provide a practical guide to identification and treatment of these potentially life-threatening illnesses. The diagnostic and treatment recommendations made by us, and by other authors, are likely to change with a better understanding of the pathophysiology of these syndromes.Copyright © 2018 Elsevier B.V. All rights reserved.

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