Dergi Ara >>
Yıl:2006; Cilt: 13; Sayı: 3>> Özet
TAM METİN
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2006;13(3):124-129
Erken Ergenlikte Nöroleptik Malign Sendrom: Bir Olgu Sunumu
NÇ Memik, I Karakaya, A Coşkun, B Ağaoğlu
Kocaeli Üniv. Tıp Fak. Çocuk Ruh Sağlığı ve Hastalıkları Anabilim Dalı. Kocaeli
Nöroleptik Malign Sendrom (NMS) genelde antipsikotik kullanımı sonrası gelişen, rijidite, akinezi. diskinezi
gibi nörolojik belirtilerle başlayan, yüksek vücut ısısı, değişken kan basıncı ve taşikardi gibi belirtilerin
eşlik ettiği mortalitesi yüksek bir bozukluktur. Bu bozuklukta yüksek kreatin fosfokinaz düzeyi, lökositoz.
bilinç değişikliği, idrar inkontinansı görülebilmektedir. Bu yazıda tek doz yüksek potensli antipsikotiğin
kas içi enjeksiyonundan sonra. NMS gelişen onüç yaşında olan bir olgu bildirilmiştir. Olgumuza destekleyici
tedavinin yanı sıra bromokriptin uygulanmış olup. klinik tablonun düzelmesi sonucu tedavi üç hafta içinde
sonlandırılmıştır.
Neuroleptic Malignant Syndrome In Early Adolescence: A Case Report
Neuroleptic malignant syndrome (NMS) is a complication of antipsychotic drugs characterized by rigidity.
akinesia, dyskinesia, high body temperature, variable blood pressure and tachycardia which may lead
to mortality. High creatinine phosphokinase levels, leucocytosis. alterations in level of' conciousness.
urinary incontinence may be observed in this syndrome. In this case report, a thirteen [year] old girl in
whom NMS developed after a single intramuscular injection of a high potency antipsychotic is described.
Supportive therapy and bromocriptine were applied to tire patient which were stopped after symptom
improvement was obtained.

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