+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Use of Expert Consultation in a Complex Case of Neuroleptic Malignant Syndrome Requiring Electroconvulsive Therapy



Use of Expert Consultation in a Complex Case of Neuroleptic Malignant Syndrome Requiring Electroconvulsive Therapy



Journal of Psychiatric Practice 22(6): 484-489



Our team at Emory University Hospital contacted experts at the National Network of Depression Centers (NNDC) for clinical guidance concerning a patient with schizophrenia hospitalized in the intensive care unit with a complex case of prolonged delirium secondary to neuroleptic malignant syndrome (NMS). Through the NNDC, leading psychiatrists across the United States with expertise in electroconvulsive therapy (ECT) provided us with treatment strategies based on experience in our area of concern. This report describes our use of ECT to treat severe NMS in this patient with schizophrenia, utilizing the recommendations made by the NNDC's ECT experts concerning electrode position, number and frequency of treatments, and selection of anesthetic induction agents. This case report highlights the utility of expert consultation in the treatment of rare diseases and provides guidance on how to treat NMS in the intensive care unit setting.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 059212119

Download citation: RISBibTeXText

PMID: 27824784

DOI: 10.1097/pra.0000000000000193


Related references

Neuroleptic malignant syndrome: a case for electroconvulsive therapy. Postgraduate Medical Journal 66(771): 49-51, 1990

Electroconvulsive Therapy for Neuroleptic Malignant Syndrome: A Case Series. Journal of Ect 2019:, 2019

Neuroleptic malignant syndrome: a case responding to electroconvulsive therapy plus bupropion. Clinics and Practice 8(1): 1044, 2018

Olanzapine induced neuroleptic malignant syndrome, treated with electroconvulsive therapy (ECT)-A case report. Asian Journal of Psychiatry 30: 230-231, 2017

Rocuronium-sugammadex for electroconvulsive therapy management in neuroleptic malignant syndrome: A case report. Revista Espanola de Anestesiologia Y Reanimacion 64(2): 105-107, 2017

Intensive electroconvulsive therapy in drug resistant neuroleptic malignant syndrome - case report. Psychiatria Danubina 24(2): 219-222, 2012

Cerebrospinal fluid monoamine metabolism in a case of neuroleptic malignant syndrome improved by electroconvulsive therapy. Biological Psychiatry 39(5): 383-384, 1996

Electroconvulsive therapy in a schizophrenic patient with neuroleptic malignant syndrome and pulmonary embolism: a case report. Psychiatry: 21, 2007

Neuroleptic Malignant Syndrome: Neuroleptic Rechallenge After Electroconvulsive Therapy. Convulsive Therapy 9(3): 198-204, 1993

Bitemporal ultra-brief pulse electroconvulsive therapy for the treatment of neuroleptic malignant syndrome in a first psychotic episode: a case report. Trends in Psychiatry and PsychoTherapy 39(1): 62-63, 2018

Neuroleptic Malignant Syndrome and Electroconvulsive Therapy. Convulsive Therapy 6(3): 251-253, 1990

Electroconvulsive Therapy in the Neuroleptic Malignant Syndrome. Convulsive Therapy 3(4): 278-283, 1987

Neuroleptic malignant syndrome and delirious mania as malignant catatonia in autism: prompt relief with electroconvulsive therapy. Acta Psychiatrica Scandinavica 132(4): 319-320, 2015

Electroconvulsive therapy as treatment for malignant neuroleptic syndrome. Revista de Psiquiatria Y Salud Mental 4(3): 169-176, 2011

Role of electroconvulsive therapy in neuroleptic malignant syndrome (NMS). Acta Psychiatrica Scandinavica 76(5): 603-604, 1987