PARALYTIC ILEUS AS A PRODROMAL SYMPTOM OF THE NEUROLEPTIC MALIGNANT SYNDROME

A schizophrenic patient receiving neuroleptic treatment developed para lytic ileus followed by the neuroleptic malignant syndrome (NMS). The patient had previously experienced two NMS episodes, one of which was also accompanied by paralytic ileus. It is suggested that paralytic il eus can occur as a prodromal symptom of NMS. Therefore, if this sympto m is observed in patients receiving neuroleptic treatment, especially those with a past history of NMS, careful attention should be paid to the possible development of NMS.