FULMINANT METOCLOPRAMIDE INDUCED NEUROLEPTIC MALIGNANT SYNDROME RAPIDLY RESPONSIVE TO INTRAVENOUS DANTROLENE

被引:14
作者
HENDERSON, A
LONGDON, P
机构
[1] Intensive Care Unit, Princess Alexandra Hospital, Brisbane, Queensland
[2] Intensive Care Unit, Princess Alexandra Hospital, Brisbane, Queensland
来源
AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE | 1991年 / 21卷 / 05期
关键词
METOCLOPRAMIDE; NEUROLEPTIC MALIGNANT SYNDROME; DANTROLENE;
D O I
10.1111/j.1445-5994.1991.tb01381.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a case of fulminant neuroleptic malignant syndrome in a man aged 70 developing within 12 hours of starting six-hourly intravenous metoclopramide. The muscle rigidity and hyperpyrexia were unresponsive to intravenous benztropine but resolved within one hour of intravenous dantrolene 2 mg/kg. Within six hours the patient had a partial relapse which resolved completely following further intravenous dantrolene 2 mg/kg. This case demonstrates that the rapid effect of intravenous dantrolene can be life saving in fulminant neuroleptic malignant syndrome.
引用
收藏
页码:742 / 743
页数:2
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