Kucia Krzysztof, Warchala Anna
Z Katedry i Kliniki Psychiatrii i Psychoterapii Slaskiej Akademii Medycznej w Katowicach.
Wiad Lek. 2005;58(9-10):572-4.
The above article presents a case report of a 28-year-old patient, primarily treated with a diagnosis of catatonic schizophrenia, in who in the course of hospitalization developed neuroleptic malignant syndrome (NMS). The patient presented unawareness, hyperthermia, respiratory insufficiency, muscle rigidity, CK increased activity. The patient required tracheotomy and oxygen therapy and then was subjected to a series of electroconvulsive therapy (ECT). Since the fifth ECT treatment we noted a gradual recovery to a completely normal mental status. We did not make an attempt to introduce neuroleptic maintenance treatment.
上述文章介绍了一例28岁患者的病例报告，该患者最初被诊断为紧张型精神分裂症并接受治疗，在住院期间出现了抗精神病药物恶性综合征（NMS）。患者表现为意识不清、高热、呼吸功能不全、肌肉强直、肌酸激酶活性升高。患者需要气管切开和氧疗，随后接受了一系列电休克治疗（ECT）。从第五次ECT治疗开始，我们注意到患者逐渐恢复到完全正常的精神状态。我们没有尝试进行抗精神病药物维持治疗。
