An afebrile neuroleptic malignant syndrome with hyponatremia: A case report.
Abstract
Neuroleptic malignant syndrome (NMS) is a rare, life-threatening situation in response to the adverse reaction of antipsychotic medications characterized by high-grade fever, altered Glasgow coma scale, autonomic dysfunction, and stiffness. We herein present a case with a typical presentation of stiffness and autonomic dysregulations along with the atypical symptoms of urinary incontinence and a history of falls. The patient was afebrile with hyponatremia, showing a similar presentation diagnosed as NMS and treated successfully according to the hospital protocol.
Downloads
References
Paul T, Karam A, Paul T, Loh H, Ferrer GF. A case report on neuroleptic malignant syndrome (NMS): how to approach an early diagnosis. Cureus. 2022; 14(3).
DOI: https://doi.org/10.7759/cureus.23695
Simon LV, Hashmi MF, Callahan AL. Neuroleptic malignant syndrome. 2018. PMID: 29489248.
Zaidi S, Irfan N, Khalid Z. Neuroleptic Malignant Syndrome with Normal Creatine Phosphokinase Levels: An Atypical Presentation. J Coll Physicians Surg Pak. 2022; 32(4):S47-8.
DOI: https://doi.org/10.29271/jcpsp.2022.supp1.s47
Berman BD. Neuroleptic malignant syndrome: a review for neurohospitalists. Neurohospitalist. 2011; 1(1):41-7.
DOI: https://doi.org/10.1177/1941875210386491
Wijdicks EF. Neuroleptic malignant syndrome. UpToDate. (cited 01.01. 2017) Available from: https://www.uptodate.com/contents/neuroleptic-malignant-syndrome
Özdemir İ, Kuru E, Safak Y, Tulacı RG. A neuroleptic malignant syndrome without rigidity. Psychiat Investig. 2018; 15(2):226.
Copyright (c) 2023 Journal of Shifa Tameer-e-Millat University
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Journal of Shifa Tameer-e-Millat University (JSTMU) is the owner of all copyright to any work published in the journal. Any material printed in JSTMU may not be reproduced without the permission of the editors or publisher. The Journal accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing and/or decision in this journal. The Editorial Board makes every effort to ensure the accuracy and authenticity of material printed in the journal. However, conclusions and statements expressed are views of the authors and do not necessarily reflect the opinions of the Editorial Board or JSTMU.
Content of this journal is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.