Sczesni B, Schröder J, Becker H, Przuntek H
Neurologische Klinik, Ruhr-Universität, Bochum, Bundesrepublik Deutschland.
Wien Klin Wochenschr. 1991;103(1):1-7.
The neuroleptic malignant syndrome (NMS) is presumably caused by neuroleptic blockade of dopamine receptors, mainly in the basal ganglia and hypothalamus. Symptoms include hyperthermia, muscular rigidity, and elevated serum creatine phosphokinase level, also autonomic dysfunction and, facultatively, impairment of consciousness. Clinical features, differential diagnosis and pathogenesis are discussed, as well as therapy with standard drugs as well as intravenous lisuride.
神经阻滞剂恶性综合征(NMS)可能是由神经阻滞剂对多巴胺受体的阻滞作用引起的,主要发生在基底神经节和下丘脑。症状包括高热、肌肉强直、血清肌酸磷酸激酶水平升高,还包括自主神经功能障碍,以及意识障碍(视情况而定)。文中讨论了其临床特征、鉴别诊断和发病机制,以及使用标准药物和静脉注射利苏立得进行治疗的情况。