A 67-year-old schizophrenic woman developed neuroleptic malignant syndrome (NMS). She had mild diabetes mellitus, which had been controlled with diet therapy only. Upon the onset of NMS, hyperglycemia of up to 490 mg/dl developed. The hyperglycemia persisted during the NMS episode despite insulin tr
Paralytic ileus as a prodromal symptom of the neuroleptic malignant syndrome
โ Scribed by Osamu Tanaka; Koichi Otani; Tsuyoshi Kondo; Sunao Kaneko; Yutaka Fukushima
- Publisher
- John Wiley and Sons
- Year
- 1993
- Tongue
- English
- Weight
- 229 KB
- Volume
- 8
- Category
- Article
- ISSN
- 0885-6222
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โฆ Synopsis
Abstract
A schizophrenic patient receiving neuroleptic treatment developed paralytic ileus followed by the neuroleptic malignant syndrome (NMS). The patient had previously experienced two NMS episodes, one of which was also accompanied by paralytic ileus. It is suggested that paralytic ileus can occur as a prodromal symptom of NMS. Therefore, if this symptom is observed in patients receiving neuroleptic treament, especially those with a past history of NMS, careful attention should be paid to the possible development of NMS.
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