2007
DOI: 10.1176/ajp.2007.164.6.870
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Neuroleptic Malignant Syndrome

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Cited by 401 publications
(292 citation statements)
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“…Another important finding was the associated progressive and sustained reduction in creatine kinase levels and a statistically significant reduction in the degree of muscle rigidity within 24 hours of its administration in NMS. The study group comprised of severely sick (high APACHE score) patients with multiple comorbidities, which might explain the high mortality in this series compared to patients in other reports [12] [20] [21] [26].…”
Section: Discussionmentioning
confidence: 99%
“…Another important finding was the associated progressive and sustained reduction in creatine kinase levels and a statistically significant reduction in the degree of muscle rigidity within 24 hours of its administration in NMS. The study group comprised of severely sick (high APACHE score) patients with multiple comorbidities, which might explain the high mortality in this series compared to patients in other reports [12] [20] [21] [26].…”
Section: Discussionmentioning
confidence: 99%
“…Diagnosis of NMS is largely based on clinical history and the presence of specific clinical symptoms (14). Unlike the patient introduced here, NMS occurs less in patients on stable dose of antipsychotic drugs for long periods of time or those with appropriate long-term compliance (20,21).…”
Section: Discussionmentioning
confidence: 99%
“…In a systematic report of NMS induced by SGAs, little significant risk factors were identified, such as male gender, confusion, dehydration, delirium, and extra pyramidal symptoms in a study (12) while in another study, factors such as non-white race, the number of anti-psychotic drugs, consumption of aripiprazole and increasing/fluctuant dosing patterns have been mentioned in this regard (13). Furthermore, NMS can be described as a complex dysregulation cascade in multiple neurochemical and neuroendocrine systems that can be potentially placed in the end stage of a hyper-metabolic syndrome (14). The exact pathogenic mechanism underlying NMS is still relatively unknown.…”
Section: Introductionmentioning
confidence: 96%
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“…Klozapin hem tipik, hem de atipik antipsikotiklerden daha zayıf D2 reseptör tutulumuna sahip olmasına rağmen, ender olarak NMS'ye yol açabilir. Bu da NMS patofizyolojisinin çoklu nörokimyasal ve nöroendokrin sistem bozulmasını içeren bir durum olduğunu dü-şündürmektedir (6) .…”
Section: Discussionunclassified