title: Two unusual complications of neuroleptic malignant syndrome.
abstract: Neuroleptic malignant syndrome (NMS) is a rare but well described complication of the administration of antipsychotic agents. Compartment syndrome, with increased pressures within the confined space of fascial sheaths leading to compression damage of the contained tissue, similarly is well described. Brachial plexus injuries caused by patient malposition are also very rare but a few cases have been reported. We report a case where these three complications occurred together. This was attributable to the patient developing NMS whilst asleep in the prone position overnight.
authors: Department of Anaesthesia and Intensive care, Morriston Hospital, Swansea, United Kingdom.
authors: A
authors: A
authors: Ahmad
authors: C A
authors: CA
authors: Harrison
authors: H G
authors: HG
authors: Davies
keywords: Brachial plexus injury; compartment syndrome; neuroleptic malignant syndrome
references: Am J Psychiatry. 1998 Aug;155(8):1113-6
references: 9699705
references: Br J Anaesth. 2000 Jul;85(1):129-35
references: 10928001
references: Crit Care. 2002 Dec;6(6):540-2
references: 12493078
references: Am J Psychiatry. 1999 Feb;156(2):169-80
references: 9989551
references: Br J Anaesth. 1995 Mar;74(3):343-4
references: 7718387
references: J Clin Psychiatry. 1989 Jan;50(1):18-25
references: 2562951
references: Br J Anaesth. 2004 Dec;93(6):868-71
references: 15377584