Neuroleptic malignant-like syndrome after abrupt withdrawal of baclofen

We present the case of a 36-year-old man who presented with a clinically neuroleptic malignant-like syndrome involving disorientation, signs of autonomic dysfunction, rigidity and raised total creatine kinase level, but in the absence of any neuroleptic medication. He had, however, abruptly stopped...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of psychopharmacology (Oxford) 2001-01, Vol.15 (1), p.61-63
Hauptverfasser: Turner, M. R., Gainsborough, N.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 63
container_issue 1
container_start_page 61
container_title Journal of psychopharmacology (Oxford)
container_volume 15
creator Turner, M. R.
Gainsborough, N.
description We present the case of a 36-year-old man who presented with a clinically neuroleptic malignant-like syndrome involving disorientation, signs of autonomic dysfunction, rigidity and raised total creatine kinase level, but in the absence of any neuroleptic medication. He had, however, abruptly stopped taking his longterm baclofen in the days prior to presentation. He improved markedly after the reintroduction of baclofen, and we postulate that his clinical syndrome resulted from the sudden withdrawal of this drug. We concur with the concept that neuroleptic malignant syndrome represents a spectrum of disorders, and add it to the list of possible sequelae after abrupt withdrawal of baclofen.
doi_str_mv 10.1177/026988110101500111
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_745973968</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_026988110101500111</sage_id><sourcerecordid>1980087359</sourcerecordid><originalsourceid>FETCH-LOGICAL-c427t-734da7504b36468e147afa2d005605d8b897476186e673c1486830906027dec3</originalsourceid><addsrcrecordid>eNp1kM1OwzAQhC0EoqXwAhxQJA6cQr2JYztHVEFBquDSe7RxnJLi_GAnqvr2uGoFFQjtYS_fzM4OIddA7wGEmNKIp1ICUD8JpQBwQsbAOIQikskpGe-AcEeMyIVza49wxpNzMgKIhOAAYzJ_1YNtje76SgU1mmrVYNOHpvrQgds2hW1rHWDZaxtgboeuDzZV_15Y3KAJ2jLIUZm21M0lOSvROH112BOyfHpczp7Dxdv8ZfawCBWLRB-KmBUoEsry2EeRGpjAEqOC0oTTpJC5TAXzySTXXMQKmOQypinlNBKFVvGE3O1tO9t-Dtr1WV05pY3BRreDywRLUhGnXjQht7_IdTvYxmfLIJWUShEnqaeiPaVs65zVZdbZqka7zYBmu5KzvyV70c3BeshrXfxIDq0e3Uan0JQWG1W5by4F5n_01HRPOVzpo3T_H_4CjjqOQQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1980087359</pqid></control><display><type>article</type><title>Neuroleptic malignant-like syndrome after abrupt withdrawal of baclofen</title><source>Access via SAGE</source><source>MEDLINE</source><creator>Turner, M. R. ; Gainsborough, N.</creator><creatorcontrib>Turner, M. R. ; Gainsborough, N.</creatorcontrib><description>We present the case of a 36-year-old man who presented with a clinically neuroleptic malignant-like syndrome involving disorientation, signs of autonomic dysfunction, rigidity and raised total creatine kinase level, but in the absence of any neuroleptic medication. He had, however, abruptly stopped taking his longterm baclofen in the days prior to presentation. He improved markedly after the reintroduction of baclofen, and we postulate that his clinical syndrome resulted from the sudden withdrawal of this drug. We concur with the concept that neuroleptic malignant syndrome represents a spectrum of disorders, and add it to the list of possible sequelae after abrupt withdrawal of baclofen.</description><identifier>ISSN: 0269-8811</identifier><identifier>EISSN: 1461-7285</identifier><identifier>DOI: 10.1177/026988110101500111</identifier><identifier>PMID: 11277611</identifier><language>eng</language><publisher>London, Thousand Oaks, CA and New Delhi: SAGE Publications</publisher><subject>Adult ; Autonomic nervous system ; Baclofen ; Baclofen - adverse effects ; Baclofen - therapeutic use ; Biological and medical sciences ; Complications ; Creatine ; Creatine kinase ; Creatine Kinase - blood ; Disorientation ; Drug toxicity and drugs side effects treatment ; Electrocardiography - drug effects ; Humans ; Male ; Medical sciences ; Muscle Relaxants, Central - adverse effects ; Muscle Relaxants, Central - therapeutic use ; Muscle Rigidity - chemically induced ; Neuroleptic Malignant Syndrome - psychology ; Paraplegia - complications ; Pharmacology. Drug treatments ; Psychotropic drugs ; Reintroduction ; Rigidity ; Substance Withdrawal Syndrome - psychology ; Toxicity: nervous system and muscle</subject><ispartof>Journal of psychopharmacology (Oxford), 2001-01, Vol.15 (1), p.61-63</ispartof><rights>2001 INIST-CNRS</rights><rights>Copyright Sage Publications Ltd. Jan 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-734da7504b36468e147afa2d005605d8b897476186e673c1486830906027dec3</citedby><cites>FETCH-LOGICAL-c427t-734da7504b36468e147afa2d005605d8b897476186e673c1486830906027dec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/026988110101500111$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/026988110101500111$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=914476$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11277611$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Turner, M. R.</creatorcontrib><creatorcontrib>Gainsborough, N.</creatorcontrib><title>Neuroleptic malignant-like syndrome after abrupt withdrawal of baclofen</title><title>Journal of psychopharmacology (Oxford)</title><addtitle>J Psychopharmacol</addtitle><description>We present the case of a 36-year-old man who presented with a clinically neuroleptic malignant-like syndrome involving disorientation, signs of autonomic dysfunction, rigidity and raised total creatine kinase level, but in the absence of any neuroleptic medication. He had, however, abruptly stopped taking his longterm baclofen in the days prior to presentation. He improved markedly after the reintroduction of baclofen, and we postulate that his clinical syndrome resulted from the sudden withdrawal of this drug. We concur with the concept that neuroleptic malignant syndrome represents a spectrum of disorders, and add it to the list of possible sequelae after abrupt withdrawal of baclofen.</description><subject>Adult</subject><subject>Autonomic nervous system</subject><subject>Baclofen</subject><subject>Baclofen - adverse effects</subject><subject>Baclofen - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Complications</subject><subject>Creatine</subject><subject>Creatine kinase</subject><subject>Creatine Kinase - blood</subject><subject>Disorientation</subject><subject>Drug toxicity and drugs side effects treatment</subject><subject>Electrocardiography - drug effects</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Muscle Relaxants, Central - adverse effects</subject><subject>Muscle Relaxants, Central - therapeutic use</subject><subject>Muscle Rigidity - chemically induced</subject><subject>Neuroleptic Malignant Syndrome - psychology</subject><subject>Paraplegia - complications</subject><subject>Pharmacology. Drug treatments</subject><subject>Psychotropic drugs</subject><subject>Reintroduction</subject><subject>Rigidity</subject><subject>Substance Withdrawal Syndrome - psychology</subject><subject>Toxicity: nervous system and muscle</subject><issn>0269-8811</issn><issn>1461-7285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1OwzAQhC0EoqXwAhxQJA6cQr2JYztHVEFBquDSe7RxnJLi_GAnqvr2uGoFFQjtYS_fzM4OIddA7wGEmNKIp1ICUD8JpQBwQsbAOIQikskpGe-AcEeMyIVza49wxpNzMgKIhOAAYzJ_1YNtje76SgU1mmrVYNOHpvrQgds2hW1rHWDZaxtgboeuDzZV_15Y3KAJ2jLIUZm21M0lOSvROH112BOyfHpczp7Dxdv8ZfawCBWLRB-KmBUoEsry2EeRGpjAEqOC0oTTpJC5TAXzySTXXMQKmOQypinlNBKFVvGE3O1tO9t-Dtr1WV05pY3BRreDywRLUhGnXjQht7_IdTvYxmfLIJWUShEnqaeiPaVs65zVZdbZqka7zYBmu5KzvyV70c3BeshrXfxIDq0e3Uan0JQWG1W5by4F5n_01HRPOVzpo3T_H_4CjjqOQQ</recordid><startdate>20010101</startdate><enddate>20010101</enddate><creator>Turner, M. R.</creator><creator>Gainsborough, N.</creator><general>SAGE Publications</general><general>Sage</general><general>Sage Publications Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope></search><sort><creationdate>20010101</creationdate><title>Neuroleptic malignant-like syndrome after abrupt withdrawal of baclofen</title><author>Turner, M. R. ; Gainsborough, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-734da7504b36468e147afa2d005605d8b897476186e673c1486830906027dec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Autonomic nervous system</topic><topic>Baclofen</topic><topic>Baclofen - adverse effects</topic><topic>Baclofen - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Complications</topic><topic>Creatine</topic><topic>Creatine kinase</topic><topic>Creatine Kinase - blood</topic><topic>Disorientation</topic><topic>Drug toxicity and drugs side effects treatment</topic><topic>Electrocardiography - drug effects</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Muscle Relaxants, Central - adverse effects</topic><topic>Muscle Relaxants, Central - therapeutic use</topic><topic>Muscle Rigidity - chemically induced</topic><topic>Neuroleptic Malignant Syndrome - psychology</topic><topic>Paraplegia - complications</topic><topic>Pharmacology. Drug treatments</topic><topic>Psychotropic drugs</topic><topic>Reintroduction</topic><topic>Rigidity</topic><topic>Substance Withdrawal Syndrome - psychology</topic><topic>Toxicity: nervous system and muscle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Turner, M. R.</creatorcontrib><creatorcontrib>Gainsborough, N.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><jtitle>Journal of psychopharmacology (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Turner, M. R.</au><au>Gainsborough, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neuroleptic malignant-like syndrome after abrupt withdrawal of baclofen</atitle><jtitle>Journal of psychopharmacology (Oxford)</jtitle><addtitle>J Psychopharmacol</addtitle><date>2001-01-01</date><risdate>2001</risdate><volume>15</volume><issue>1</issue><spage>61</spage><epage>63</epage><pages>61-63</pages><issn>0269-8811</issn><eissn>1461-7285</eissn><abstract>We present the case of a 36-year-old man who presented with a clinically neuroleptic malignant-like syndrome involving disorientation, signs of autonomic dysfunction, rigidity and raised total creatine kinase level, but in the absence of any neuroleptic medication. He had, however, abruptly stopped taking his longterm baclofen in the days prior to presentation. He improved markedly after the reintroduction of baclofen, and we postulate that his clinical syndrome resulted from the sudden withdrawal of this drug. We concur with the concept that neuroleptic malignant syndrome represents a spectrum of disorders, and add it to the list of possible sequelae after abrupt withdrawal of baclofen.</abstract><cop>London, Thousand Oaks, CA and New Delhi</cop><pub>SAGE Publications</pub><pmid>11277611</pmid><doi>10.1177/026988110101500111</doi><tpages>3</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0269-8811
ispartof Journal of psychopharmacology (Oxford), 2001-01, Vol.15 (1), p.61-63
issn 0269-8811
1461-7285
language eng
recordid cdi_proquest_miscellaneous_745973968
source Access via SAGE; MEDLINE
subjects Adult
Autonomic nervous system
Baclofen
Baclofen - adverse effects
Baclofen - therapeutic use
Biological and medical sciences
Complications
Creatine
Creatine kinase
Creatine Kinase - blood
Disorientation
Drug toxicity and drugs side effects treatment
Electrocardiography - drug effects
Humans
Male
Medical sciences
Muscle Relaxants, Central - adverse effects
Muscle Relaxants, Central - therapeutic use
Muscle Rigidity - chemically induced
Neuroleptic Malignant Syndrome - psychology
Paraplegia - complications
Pharmacology. Drug treatments
Psychotropic drugs
Reintroduction
Rigidity
Substance Withdrawal Syndrome - psychology
Toxicity: nervous system and muscle
title Neuroleptic malignant-like syndrome after abrupt withdrawal of baclofen
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T05%3A53%3A20IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Neuroleptic%20malignant-like%20syndrome%20after%20abrupt%20withdrawal%20of%20baclofen&rft.jtitle=Journal%20of%20psychopharmacology%20(Oxford)&rft.au=Turner,%20M.%20R.&rft.date=2001-01-01&rft.volume=15&rft.issue=1&rft.spage=61&rft.epage=63&rft.pages=61-63&rft.issn=0269-8811&rft.eissn=1461-7285&rft_id=info:doi/10.1177/026988110101500111&rft_dat=%3Cproquest_cross%3E1980087359%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1980087359&rft_id=info:pmid/11277611&rft_sage_id=10.1177_026988110101500111&rfr_iscdi=true