Neuroleptic malignant syndrome in adolescents: Four probable cases in the Western Cape

dc.contributor.authorHenderson, Terri
dc.date.accessioned2017-05-25T13:17:43Z
dc.date.available2017-05-25T13:17:43Z
dc.date.issued2011
dc.date.updated2016-01-08T10:14:26Z
dc.description.abstractBackground. Neuroleptic malignant syndrome (NMS) is a rare sideeffect of neuroleptic medication. Most NMS reports have been on adults, and the incidence in children and adolescents is unknown. Objective. This report reviews cases of NMS to highlight possible risk factors for the development of NMS in adolescents. Method. Four cases of probable NMS in adolescents diagnosed in the Western Cape between February 2009 and March 2010 are presented. Results. Risk factors in the development of the syndrome in adolescents in the Western Cape may be male gender, polypharmacy, the use of zuclopenthixol acetate (clopixol acuphase), a previous history of extra-pyramidal side-effects or NMS, and a history of substance misuse – in particular methamphetamine. Conclusion. Caution must be applied in the apparent overuse of intramuscular antipsychotics, and especially zuclopenthixol acetate (clopixol acuphase), in neuroleptic-naïve and agitated psychotic adolescents where the short-term use of benzodiazepines is more appropriate.
dc.identifier.apacitationHenderson, T. (2011). Neuroleptic malignant syndrome in adolescents: Four probable cases in the Western Cape. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/24413en_ZA
dc.identifier.chicagocitationHenderson, Terri "Neuroleptic malignant syndrome in adolescents: Four probable cases in the Western Cape." <i>South African Medical Journal</i> (2011) http://hdl.handle.net/11427/24413en_ZA
dc.identifier.citationHenderson, T. (2011). Neuroleptic malignant syndrome in adolescents: Four probable cases in the Western Cape. South African Medical Journal, 101(6), 405-407.
dc.identifier.ris TY - Journal Article AU - Henderson, Terri AB - Background. Neuroleptic malignant syndrome (NMS) is a rare sideeffect of neuroleptic medication. Most NMS reports have been on adults, and the incidence in children and adolescents is unknown. Objective. This report reviews cases of NMS to highlight possible risk factors for the development of NMS in adolescents. Method. Four cases of probable NMS in adolescents diagnosed in the Western Cape between February 2009 and March 2010 are presented. Results. Risk factors in the development of the syndrome in adolescents in the Western Cape may be male gender, polypharmacy, the use of zuclopenthixol acetate (clopixol acuphase), a previous history of extra-pyramidal side-effects or NMS, and a history of substance misuse – in particular methamphetamine. Conclusion. Caution must be applied in the apparent overuse of intramuscular antipsychotics, and especially zuclopenthixol acetate (clopixol acuphase), in neuroleptic-naïve and agitated psychotic adolescents where the short-term use of benzodiazepines is more appropriate. DA - 2011 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2011 T1 - Neuroleptic malignant syndrome in adolescents: Four probable cases in the Western Cape TI - Neuroleptic malignant syndrome in adolescents: Four probable cases in the Western Cape UR - http://hdl.handle.net/11427/24413 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/24413
dc.identifier.vancouvercitationHenderson T. Neuroleptic malignant syndrome in adolescents: Four probable cases in the Western Cape. South African Medical Journal. 2011; http://hdl.handle.net/11427/24413.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journal
dc.source.urihttp://www.samj.org.za/index.php/samj
dc.titleNeuroleptic malignant syndrome in adolescents: Four probable cases in the Western Cape
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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