Confusion, Agitation and Rigidity: Early Signs of Nms?

Relief by Electroconvulsive Therapy for Postsurgical Delirium in Malignant Catatonia

“…It has been shown that delirium is not well recognized by medical personnel working in the ICUs. 4,13 On the other hand, because fever, rigidity, or tachycardia may sometimes not be overt, agitation may be the early/only finding of NMS. However, it should also be kept in mind that, although rare, late-onset delirium cases may be seen on the first week after surgery.…”

“…10,11 Likewise, our patient was diagnosed to have delirium on the 10th day of cardiac surgery after his discharge from the ICU. 13 Last but not least, relief of NMS due to antipsychotic treatment of postsurgical delirium can be provided with ECT. 12 Second, we caution physicians against the risk of NMS related with antipsychotic drug use (high dose or intravenous/ i.m.)…”