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頁籤選單縮合
題 名 | Neuroleptic Malignant Syndrome Associated with Long-Term Clozapine Treatment: Report of a Case and Results of a Clozapine Rechallenge=長期使用clozapine引起抗精神病藥物惡性症候群及再使用 |
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作 者 | 黃條來; | 書刊名 | 長庚醫學 |
卷 期 | 24:8 2001.08[民90.08] |
頁 次 | 頁522-525 |
分類號 | 418.21 |
關鍵詞 | 抗精神病藥物惡性症候群; Clozapine; Neuroleptic malignant syndrome; |
語 文 | 英文(English) |
英文摘要 | Clozapine has recently been found to be associated with neuroleptic malignant syndrome (NMS) after long-term treatment. Here, I report on a 34-year-old Taiwanese woman who had been diagnosed with schizophrenic disorder 17 years previously. She had received clozapine 250 mg/day monotherapy for 7 years. She had sudden onset of NMS signs with high fever, profuse diaphoresis, severe muscular rigidity, elevated creatine phosphokinase level and consciousness disturbance. Brain computed tomography, blood culture and cerebral spinal fluid studies were negative. She had no muscle rigidity and fever after treatment with normal saline 1500 ml/day and diazepam 30mg/day for 8 days. On day 15, a rechallenge with clozapine was done with caution because the patient was experiencing auditory hallucinations and delusions of persecution. The dose was slowly increased to 250 mg/day over 18 days. She had no active psychotic symptoms or NMS again in the following year. I reported this case to remind readers of the possibility of induced NMS with long-term use of clozapine and successful clozapine rechallenge. (Chang Gung Med J 2001;24:522-5) |
本系統中英文摘要資訊取自各篇刊載內容。