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Lethal catatonia responding to high-dose olanzapine therapy
E M Cassidy1, M O'Brien, M F Osman
1Department of Psychiatry, Royal College of Surgeons in Ireland and Beaumont Hospital, Dublin. eucass@hotmail.com
Abstract:
We present the case of a 31-year-old woman with recent refractory bipolar disorder who developed a malignant syndrome preceded by catatonic motor features. This resistant case of lethal catatonia responded selectively to high-dose olanzapine treatment. The case illustrates the need to consider lethal catatonia in apparent cases of neuroleptic malignant syndrome that do not respond to conventional treatment with dantrolene and bromocriptine.
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