Plasmapheresis in neuroleptic malignant syndrome

被引:4
作者
Gaitini, L
Fradis, M
Vaida, S
Krimerman, S
Beny, A
机构
[1] BNAI ZION MED CTR,DEPT OTOLARYNGOL HEAD & NECK SURG,IL-31048 HAIFA,ISRAEL
[2] BNAI ZION MED CTR,INTENS CARE UNIT,IL-31048 HAIFA,ISRAEL
[3] BNAI ZION MED CTR,REG PSYCHIAT SERV,IL-31048 HAIFA,ISRAEL
关键词
anaesthetics; intravenous; neuroleptics; complications; neuroleptic malignant syndrome;
D O I
10.1111/j.1365-2044.1997.11-az011.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Neuroleptic malignant syndrome is a severe and potentially fatal reaction to neuroleptic drugs. Treatment requires withdrawal of the neuroleptic agent, metabolic and cardiovascular support, physical cooling and treatment with dantrolene sodium and bromcriptine mesylate. We report a therapeutic success of plasmapheresis in a case of neuroleptic malignant syndrome in which conventional therapy had failed. We postulate that plasmapheresis may prove to be a useful tool in treating this frequently fatal disease.
引用
收藏
页码:165 / 168
页数:4
相关论文
共 16 条
[1]   NEUROLEPTIC MALIGNANT SYNDROME - OCCURRENCE IN A CHILD AFTER RECONSTRUCTIVE SURGERY [J].
BROWN, FE ;
NIERENBERG, DW ;
NORDGREN, RE ;
TAYLOR, RM ;
ROZYCKI, AA .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1991, 87 (05) :961-964
[2]  
CAROFF SN, 1980, J CLIN PSYCHIAT, V41, P79
[3]  
Delay J., 1968, HDB CLINICAL NEUROLO, P248
[4]  
GIBB WRG, 1985, Q J MED, V56, P421
[5]   NEUROLEPTIC MALIGNANT SYNDROME - A PATHOGENETIC ROLE FOR DOPAMINE RECEPTOR BLOCKADE [J].
HENDERSON, VW ;
WOOTEN, GF .
NEUROLOGY, 1981, 31 (02) :132-137
[6]  
ITOH H, 1977, FOLIA PSYCHIAT NEU J, V31, P565
[7]  
Kaplan H., 1994, Synopsis of psychiatry, V7th
[8]  
LEVENSON JL, 1985, AM J PSYCHIAT, V142, P1137
[9]   THERAPEUTIC PLASMA-EXCHANGE - COMPLICATIONS AND MANAGEMENT [J].
MOKRZYCKI, MH ;
KAPLAN, AA .
AMERICAN JOURNAL OF KIDNEY DISEASES, 1994, 23 (06) :817-827
[10]   NEUROLEPTIC MALIGNANT SYNDROME IN THE INTENSIVE THERAPY UNIT [J].
MONTGOMERY, JN ;
IRONSIDE, JW .
ANAESTHESIA, 1990, 45 (04) :311-313