Lambreva E, Vecellio M, Wieser H G, Buddeberg C
Abteilung Psychosoziale Medizin, Universitätsspital Zürich, Schweiz.
Nervenarzt. 2005 Jun;76(6):756-9. doi: 10.1007/s00115-004-1831-3.
Treatment of psychiatric patients often necessitates overlapping neuroleptic medication. We report a 60-year-old woman suffering from a schizoaffective disorder who received temporarily three neuroleptics, together with lithium. She developed neurotoxic encephalopathy with symptoms of a malignant neuroleptic syndrome. It is unclear if irreversible brain damage will remain. We recommend frequent electroencephalographic controls for early detection of neurotoxicity.
精神科患者的治疗常常需要联合使用抗精神病药物。我们报告了一名60岁患有分裂情感性障碍的女性患者,她曾短期同时服用三种抗精神病药物及锂盐。她出现了神经毒性脑病,伴有恶性抗精神病综合征的症状。目前尚不清楚是否会遗留不可逆的脑损伤。我们建议频繁进行脑电图检查以早期发现神经毒性。