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Neuroleptic Malignant Syndrome, Emergency Medicine


Basics


Description


  • Life-threatening neurologic disorder most often caused by an adverse reaction to a neuroleptic or antipsychotic medication.
  • Mortality can be as high as 20%
  • May develop any time during therapy with neuroleptics " öfrom a few days to many years:
    • Most often occurs in the 1st mo of therapy
  • Muscular rigidity and tremor resulting from dopamine blockade in the nigrostriatal pathway
  • Hyperthermia due to central dopamine receptor blockage in the hypothalamus.
  • More likely in the setting of benzodiazepine withdrawal
  • May be indistinguishable from other causes of drug-induced hyperthermia (malignant hyperthermia, serotonin syndrome, anticholinergic toxins, or sympathomimetic poisoning)
  • Most episodes resolve within 2 wk after cessation of offending agent.
  • Diagnostic criteria:
    • Development of elevated temperature and severe muscle rigidity in association with use of antipsychotic/neuroleptic medication
    • 2 or more of the following:
      • Diaphoresis
      • Dysphagia
      • Tremor
      • Incontinence
      • Altered mental status (range from confusion to coma)
      • Mutism
      • Tachycardia
      • Elevated labile BP
      • Leukocytosis
      • Lab evidence of muscle injury
    • Symptoms are not caused by another disease process

Etiology


  • Rare complication of treatment with neuroleptics:
    • Phenothiazines
      • Chlorpromazine (Thorazine)
      • Fluphenazine (Modecate)
      • Prochlorperazine (Compazine)
      • Promethazine (Phenergan)
      • Metoclopramide (Reglan)
    • Butyrophenones
      • Haloperidol
      • Droperidol
    • Atypical antipsychotics
      • Risperidone (Risperdal)
      • Olanzapine (Zyprexa)
      • Quetiapine (Seroquel)
      • Clozapine (Clozaril)
      • Aripiprazole (Abilify)
  • Occurs in ó ł ╝1% of patients treated with neuroleptics (especially haloperidol)
  • Has also been associated with abrupt withdrawal from dopamine agonists in Parkinson disease
  • SSRIs or lithium along with neuroleptic medication may be associated with an increased risk
  • Risk factors:
    • Rapid drug loading
    • High-dose antipsychotics
    • High-potency antipsychotics
    • IV administration of drug
    • Dehydration
    • Prior neuroleptic malignant syndrome (NMS)
    • Preceding extreme psychomotor agitation or catatonia
    • Infection or surgery

Diagnosis


Signs and Symptoms


  • Life-threatening condition
  • Hallmarks of the disease:
    • Hyperthermia (temperature may be as high as 106 " ô107 é ░F, 41 é ░C)
    • Altered level of consciousness " östupor
    • Significant skeletal muscle rigidity " ö " Łlead-pipe rigidity. " Ł
    • Autonomic instability
      • Tachycardia
      • Labile BP
      • Tachypnea
      • Profuse sweating
      • Dysrhythmias

History
  • Neuroleptic use
  • Discontinuation of antiparkinsonian drugs
  • Change in mental status

Physical Exam
  • Fever
  • Tachycardia, labile BP
  • Delirium
  • Muscle rigidity
  • Diaphoresis

Essential Workup


  • An accurate history (especially current medications) and physical exam confirm the diagnosis.
  • Creatine phosphokinase, WBC determination, liver function tests, and iron level

Diagnosis Tests & Interpretation


Lab
  • Electrolytes, glucose
  • BUN, creatinine
  • PT/PTT, urinalysis, and urine myoglobin
  • Creatine kinase
  • LFTs (lactate dehydrogenase, aspartate transaminase, alkaline phosphatase, etc.)
  • Venous blood gas (VBG)

Imaging
CT scan, EEG if the cause of altered level of consciousness is unclear é á
Diagnostic Procedures/Surgery
Lumbar puncture to rule out other causes of fever or altered mental status é á

Differential Diagnosis


Related disorders é á
  • Malignant hyperthermia
  • Serotonin syndrome
  • Anticholinergic poisoning
  • Sympathomimetic poisoning (cocaine, methamphetamine)
  • Drug intoxication toxicity (PCP, ecstasy MDMA)
  • Withdrawal from intrathecal baclofen therapy

Unrelated disorders é á
  • CNS infection (meningitis, encephalitis)
  • Tetanus
  • Heat stroke
  • Acute dystonia
  • Strychnine poisoning
  • Vascular CNS event
  • Thyrotoxicosis
  • Rabies
  • Alcohol withdrawal
  • Seizures
  • Pheochromocytoma
  • Acute porphyria
  • Acute hydrocephalus
  • Acute spinal cord injury
  • Systemic infections (e.g., pneumonia, sepsis)

Treatment


Pre-Hospital


  • Ventilation may be difficult because of chest wall rigidity
  • Cool the patient and treat seizures if they occur
  • Check fingerstick glucose

Initial Stabilization/Therapy


  • Airway intervention and circulatory support as needed
  • IV, supplemental O2, cardiac monitor
  • Immediate IV benzodiazepines (diazepam, lorazepam, midazolam):
    • May require repeated large doses
  • If symptoms are not controlled within a few minutes, rapid sequence intubation (RSI) and neuromuscular blockade are necessary:
    • Nondepolarizing neuromuscular blockers (vecuronium, rocuronium, pancuronium) are preferable to succinylcholine.
  • Measures to control hyperthermia:
    • Ice packs
    • Mist and fan
    • Cooling blankets
    • Ice water gastric lavage
  • Aggressive IV fluid therapy with lactated Ringer solution or normal saline

Ed Treatment/Procedures


  • Relief of muscle rigidity
  • Benzodiazepines are the drug of choice
  • Bromocriptine is a dopamine agonist that may play a role in longer-term management
  • Dantrolene is a direct skeletal muscle relaxant that may play a role in longer-term management
  • Neither bromocriptine nor dantrolene has a rapid onset and neither has been shown to alter outcome
  • Amantadine has dopaminergic and anticholinergic effects and can be used as an alternative to bromocriptine
  • Discontinue neuroleptics
  • Recognize complications (rhabdomyolysis, respiratory failure, acute renal failure)

Medication


First Line
  • Diazepam: 5 mg IV q5min
  • Lorazepam: 1 mg IV q5min
  • Midazolam 1 mg IV q5min
  • Rocuronium: 600 " ô1,200 Ä ╝g/kg IV â Ś 1 for RSI
  • Pancuronium: 60 " ô100 Ä ╝g/kg IV â Ś 1 for intubation

Second Line
  • Bromocriptine: 5 " ô10 mg PO TID " ôQID (start 2.5 mg)
  • Dantrolene: 1 mg/kg IV q4 " ô6h â Ś 24 " ô48 hr
  • Amantadine: 100 mg PO BID

Follow-Up


Disposition


Admission Criteria
  • Patients with NMS should be admitted
  • Patients will often require intensive care

Followup Recommendations


Patients and families must be counseled on the future use of any drug that may trigger NMS é á

Pearls and Pitfalls


  • Maintain high clinical suspicion for NMS in patients on neuroleptics with mental status changes, rigidity, fever, or dysautonomia
  • Must rule out other causes of fever and altered mental status (i.e., meningitis, encephalitis)
  • Medication history is essential when considering NMS
  • Discontinuing causative agent is the key step in treatment
  • Aggressive supportive care is essential

Additional Reading


  • Bellamy é áCJ, Kane-Gill é áSL, Falcione é áBA, et al. Neuroleptic malignant syndrome in traumatic brain injury patients treated with haloperidol. J Trauma.  2009;66:954 " ô958.
  • Marx é áJA, Hockberger é áRS, Walls é áRM, et al. Rosens Emergency Medicine: Concepts and Clinical Practice. 7th ed. St. Louis, MO: Mosby; 2009.
  • Seitz é áDP, Gill é áSS. Neuroleptic malignant syndrome complicating antipsychotic treatment of delirium or agitation in medical and surgical patients: Case reports and a review of the literature. Psychosomatics.  2009;50:8 " ô15.
  • Stevens é áDL. Association between selective serotonin-reuptake inhibitors, second-generation antipsychotics, and neuroleptic malignant syndrome. Ann Pharmacother.  2008;42:1290 " ô1297.
  • Wijdicks é áEFM. Neuroleptic malignant syndrome. In: Aminoff é áMJ, ed. UpToDate. Waltham, MA: 2012.

Codes


ICD9


333.92 Neuroleptic malignant syndrome é á

ICD10


G21.0 Malignant neuroleptic syndrome é á

SNOMED


  • 15244003 Neuroleptic malignant syndrome (disorder)
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