A man in his fifties with increasing motor fluctuations, sleep impairment and altered mental status.

Ingrid Nysveen,Mirza Jusufovic, Svein Martin Luth, Vidar Gundersen,Inger Marie Skogseid

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke（2020）

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摘要

Parkinsonism-hyperpyrexia syndrome can develop if dopaminergic treatment is reduced abruptly and excessively. Coexistence of confusion and/or psychosis and clear bradykinetic-rigid symptoms should alarm the clinician. Dopaminergic treatment should not be discontinued, but given intraduodenally. ECT can be effective if started sufficiently early and administered frequently.

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