Datos del Documento


Título: Neuroleptic Malignant Syndrome in Children and Adolescent
  Enlace: https://doi.org/10.1097/00004583-199902000-00018
  Autores: Silva, Raúl R.; Muñoz, Dinohra M. ; Alpert, Murray; Perlmutter, Ilisse R.; Díaz, José;
  Tipo de documento: Articulo de revista
  Idioma: Inglés
  Resumen:Objective: Neuroleptic malignant syndrome (NMS) is a serious iatrogenic condition. This report reviews the world literature to characterize the syndrome and evaluate factors that promote early detection and effective intervention.
Method: The review identified 77 NMS cases (49 males, 27 females, 1 gender unknown); ages ranged from 0.9 to 18 years (mean 14.8 ± 3.96). Univariate and multiple regression analyses were applied to 38 variables to identify early signs of the disorder, to identify correlates of outcome, and to evaluate treatments.
Results: The duration of NMS spanned from 1 to 119 days. Nine percent of patients died and 20% resolved with serious sequelae. Patients receiving low-potency neuroleptics had a poorer outcome (p = .01). Fever was related to longer duration of illness (p = .03). Anticholinergics and bromocriptine were effective and without fatalities, but dantrolene was not useful in this sample of children and adolescents.
Conclusions: Early detection and appropriate interventions appear important in moderating the course and outcome of NMS
  Descriptores: neuroleptic malignant syndrome; treatment; prognosis; adolescentes; niños; children; neurolépticos;
  Soporte: Digital
  Ilustraciones:
  Tipo documento: Revista
  Nombre revista: Journal of the American Academy of Child and Adolescent Psychiatry
  ISSN: ISSN: 0890-8567
  Periodicidad:
  Volumen: 38
  Número: 2
  Páginas: 187-194
  Año: 1999
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for Infant Mental Health
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