Addonizio G, Susman V L
J Clin Psychiatry. 1987 Mar;48(3):102-5.
The use of ECT as a treatment alternative in a clinical situation in which it is difficult to determine whether the patient is suffering from neuroleptic malignant syndrome (NMS) or an evolving catatonic state is investigated. Fourteen cases from the literature are reviewed and 3 new cases are presented. In 6 cases, ECT was rapidly effective in treating symptoms of NMS, but cardiac arrhythmias were reported in 4 cases. There was no evidence of malignant hyperthermia (MH) in patients receiving succinylcholine, suggesting that an association between NMS and MH may not be clinically relevant in patients being treated with ECT.
研究了在难以确定患者是患有抗精神病药恶性综合征（NMS）还是处于进展性紧张症状态的临床情况下，使用电休克疗法（ECT）作为一种治疗选择的情况。回顾了文献中的14例病例，并介绍了3例新病例。在6例病例中，ECT对治疗NMS症状迅速有效，但有4例报告出现心律失常。接受琥珀酰胆碱治疗的患者未出现恶性高热（MH）的证据，这表明在接受ECT治疗的患者中，NMS与MH之间的关联在临床上可能不相关。
