The British Journal of Psychiatry 146: 317-318 (1985)
© 1985 The Royal College of Psychiatrists
The aftercare of the patient with the neuroleptic malignant syndrome
D Aizenberg, A Shalev and H Munitz
The neuroleptic malignant syndrome (NMS) is an idiosyncratic reaction to
neuroleptic drugs, made up of hyperthermia, muscular rigidity, disturbance
of level of consciousness and autonomic dysfunction. It is potentially
lethal and should be kept in mind whilst using anti- psychotic drugs; as
most patients treated by them require further anti- psychotic treatment,
the clinician faces the problem of treating those patients after a NMS
episode, yet reports in the literature have generally neglected the problem
of late management. A patient suffering from a psychosis and NMS is
presented, and a rationale for management offered.