NEUROLEPTIC MALIGNANT SYNDROME IN A PATIENT WITH HEAD-INJURY

Neuroleptic malignant syndrome is an idiosyncratic reaction associated with the use of neuroleptic drugs. We report a case of this rare synd rome in a head injury patient associated with some unusual features: r habdomyolysis with a high level of creatine kinase, the development of acute renal failure, the early use of continuous venovenous haemofilt ration in treatment and rigidity that was refractory to conventional t reatment with dantrolene and bromocriptine. The diagnosis in patients with multiple injuries must be based on a high index of suspicion.