{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T06:12:15Z","timestamp":1772086335062,"version":"3.50.1"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Prax"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Eine 57-j\u00e4hrige Patientin wurde mit Somnolenz unklarer Ursache auf eine IMC (Intermediate Care Station) not\u00e4rztlich eingewiesen. Mehrere Psychopharmaka standen auf der Medikamentenliste (Quetiapin 450\u200amg\/d, Paroxetin 40\u200amg\/d und Perphenazin 12\u200amg\/d), aufgrund einer Depression mit psychotischen Merkmalen. Wegen Zustandsverschlechterung an Tag 3 erfolgte die Intubation und Verlegung auf Intensivstation. Diagnostisch wurde zu diesem Zeitpunkt von einer malignen Hyperthermie (MH) ausgegangen. Auch die Einschaltung der \u201eMH-Hotline\u201c durch die Intensivstation erbrachte keinen Hinweis, dass eine Elektrokonvulsivtherapie (EKT) erwogen werden sollte. Erst an Tag 9 wurde unter der Verdachtsdiagnose eines malignen neuroleptischen Syndroms (MNS) ein psychiatrisches Konsil und unmittelbar danach eine EKT durchgef\u00fchrt. Es kam zu einer raschen Remission der vital bedrohlichen Symptomatik. Eine rechtzeitige EKT-Behandlung bei MNS auf Intensivstation ist lebensrettend.<\/jats:p>","DOI":"10.1055\/a-1702-2345","type":"journal-article","created":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T23:52:21Z","timestamp":1643241141000},"page":"276-279","source":"Crossref","is-referenced-by-count":3,"title":["Elektrokonvulsivtherapie (EKT) bei malignem neuroleptischen Syndrom (MNS) auf Intensivstation"],"prefix":"10.1055","volume":"49","author":[{"given":"Alexander","family":"Ionov","sequence":"additional","affiliation":[{"name":"KMG Klinikum G\u00fcstrow GmbH, Klinik f\u00fcr Allgemeinpsychiatrie und Suchttherapie"},{"name":"Universit\u00e4tsklinikum Hamburg-Eppendorf (UKE), Medizinische Fakult\u00e4t"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inger","family":"Boeck","sequence":"additional","affiliation":[{"name":"KMG Klinikum G\u00fcstrow GmbH, Klinik f\u00fcr Allgemeinpsychiatrie und 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