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Neuroleptic malignant syndrome (Clinical presentation (Autonomic…
Neuroleptic
malignant syndrome
Definition
Lift threatening disorder caused
by neuroleptics/antipsycotics
Epidemiology
RARE
Clinical
presentation
Muscle rigidity
Confusion
Fever
Autonomic instability
Palpitations
Urinary retention/incontinence
Syncope
Erectile dysfunction
Blurred vision
Dizziness/vertigo
Sweating/anhydrosis
Diagnosis
Examination
MSE: may have signs of psychosis
Neuro: reduced GCS, muscle rigidity, abnormal pupils
Investigations
Obs: orthostatic hypotension, hypotension, tachycardia
Bloods: FBC, U+E, LFTs,
CK
(high)
History
PC/HPC: fever, confusion, rigidity
PMH: psychosis etc.
DH: neuroleptic/antipsychotics
SH: alcohol, drugs
Management
Initial ABCDE
Definitive
Conservative
Stop causative drug
Treat rhabdomyolosis