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© 1990 American Academy of Neurology Neuroleptic malignant syndromeA unique association with a tricyclic antidepressantDepartment of Medicine, Saint Joseph Hospital, Denver, CO. We report the 1st case of neuroleptic malignant syndrome occurring in a patient receiving desipramine, a tricyclic antidepressant, with no exposure to neuroleptics. Our case suggests that this syndrome may be caused by a central imbalance between norepinephrine and dopamine, and not by dopamine depletion alone. Address correspondence and reprint requests to Dr. Loretta Baca, Associate Director, Department of Medicine, Saint Joseph Hospital, 1835 Franklin Street, Denver, CO 80218. Received November 20, 1989. Accepted for publication in final form April 12, 1990.
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