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The authors argue that cases of catatonic excitement progressing to fever and rigidity after neuroleptic administration may represent lethal catatonia rather than neuroleptic malignant syndrome.
This letter argues that cases of catatonic excitement progressing to stupor and fever after neuroleptic use may represent lethal catatonia rather than neuroleptic malignant syndrome.
Contents: Catatonia and NMS/Dementia with parietal signs/Eating disorders in Asians/Selection of controls/Computerised tomography in schizo phrenia/Tardive dyskinesia and HLA/Menopausal depression/EPDS by post/Educational status and neurological abnormalities in schizophrenia/Brain lesions and cognitive function in late-life psychosis.Catatonia and NMS SIR: In their paper “¿ Catatonia: harbinger of the neuroleptic malignant syndrome―(Journal, March 1991, 158, 419-421), White & Robins described five consecutive cases in which there was a prodromal period of withdrawal, followed by psychomotor agitation and excitement alternating with mutism.This was followed by stupor, fluctuating temperature, rigidity, autonomic instability, increased creatine phosphokinase (CPK) and white blood count (WBC), after administration of one to three doses of neuroleptics.The authors concluded that patients with catatonic excitement would be at risk for NMS.
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Tan et al. (1991) conducted a letter in Catatonia and Neuroleptic Malignant Syndrome. Neuroleptics was evaluated. The authors argue that cases of catatonic excitement progressing to fever and rigidity after neuroleptic administration may represent lethal catatonia rather than neuroleptic malignant syndrome.
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