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Case Report

Neuroleptic Malignant Syndrome Due to Risperidone Misdiagnosed as Status Epilepticus

1
Mersin University Faculty of MedicineDepartment of Pediatric Intensive Care
2
Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry.
3
Mersin University Faculty of Medicine, Department of Pediatric Neurology
4
Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2011, 3(3), e19; https://doi.org/10.4081/pr.2011.e19
Submission received: 27 May 2011 / Revised: 27 May 2011 / Accepted: 21 June 2011 / Published: 24 June 2011

Abstract

Neuroleptic malignant syndrome (NMS) is a rare but potentially fatal disease characterized by fever, muscle rigidity, delirium and autonomic instability. Here we report a child, with NMS due to the risperidone misdiagnosed as status epilepticus. Nine year old boy, who had been under high dose risperidone treatment for 8 weeks, admitted to the emergency room because of the contractions (evaluated as status epilepticus) persisting for 7 hours. Since there was neuroleptic treatment in the past medical history and, unconsciousness, muscular rigidity, diaphoresis, hypertermi and, hypotension in physical examination, leucocytosis and elevated creatininphosphokinase levels in laboratory tests, the patient was evaluated as NMS and discharged without any complications. We reported this case to point out that; NMS may be misdiagnosed as status epilepticus in children when EEG monitoring is unavailable. When a child admitted to the emergency room because of suspicious convulsion neuroleptic drug use must surely be asked.
Keywords: neuroleptic malignant syndrome; risperidone; status epilepticus neuroleptic malignant syndrome; risperidone; status epilepticus

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MDPI and ACS Style

Arslankoylu, A.E.; Kutuk, M.O.; Okuyaz, C.; Toros, F. Neuroleptic Malignant Syndrome Due to Risperidone Misdiagnosed as Status Epilepticus. Pediatr. Rep. 2011, 3, e19. https://doi.org/10.4081/pr.2011.e19

AMA Style

Arslankoylu AE, Kutuk MO, Okuyaz C, Toros F. Neuroleptic Malignant Syndrome Due to Risperidone Misdiagnosed as Status Epilepticus. Pediatric Reports. 2011; 3(3):e19. https://doi.org/10.4081/pr.2011.e19

Chicago/Turabian Style

Arslankoylu, Ali Ertug, Meryem Ozlem Kutuk, Cetin Okuyaz, and Fevziye Toros. 2011. "Neuroleptic Malignant Syndrome Due to Risperidone Misdiagnosed as Status Epilepticus" Pediatric Reports 3, no. 3: e19. https://doi.org/10.4081/pr.2011.e19

APA Style

Arslankoylu, A. E., Kutuk, M. O., Okuyaz, C., & Toros, F. (2011). Neuroleptic Malignant Syndrome Due to Risperidone Misdiagnosed as Status Epilepticus. Pediatric Reports, 3(3), e19. https://doi.org/10.4081/pr.2011.e19

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