Neuroleptic Malignant Syndrome with Hypotonia: A Diagnostic Challenge

Fulminant neuroleptic malignant syndrome after perioperative withdrawal of antiParkinsonian medication

“…The diagnosis of NMS can be difficult, as these symptoms may be missing. [10][11][12][13] In our patient, the absence of fever was misleading at the beginning of the clinical course when hypotension, increasing muscular rigidity and abdominal pain were the predominant symptoms. The clinical findings of increasing pain and acidosis, together with subdiaphragmatic air collection, led us to suspect a ruptured viscus.…”