Yesterday a young male patient with history of autism and aggressive behaviour was presented at our ER and directly admissioned to our ICU. In a community hospital the question was raised, cloud that be a malignant neuroleptic syndrome. I took that as an opportunity to think a about this entity.
With the help of my dear colleague Sascha Berning we have sketched a possible SOP for malignant neuroleptic syndrome.
There is a very good score in uptodate
Neurointensivmedizin – kompakt 2012, Altenburg : J. Berrouschot, Klinikum Altenburger Land, 978-3-00-036912-4, http://d-nb.info/1022768417
Neuroleptic malignant syndrome, Wijdicks et al., 2013, http://www.uptodate.com/contents/neuroleptic-malignant-syndrome?detectedLanguage=en&source=search_result&search=neuroleptic+malignant+hyperthermia&selectedTitle=1%7E150&provider=noProvider#H31