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Commentary


NMS: Spelling it out

Vol. 3, No. 6 / June 2004

I read with interest Dr. Stanley Caroff’s excellent article on neuroleptic malignant syndrome (Current Psychiatry, December 2003).

As an instructor of psychiatry residents and clinical staff, I have utilized an acronym that helps raise the index of suspicion for NMS. Coming from the northland, it isn’t difficult for me to correlate shaking and stiffness with “FARGO:”

Fever

Autonomic dysregulation

Rigidity

Granulocytosis

Orientation changes

Andrew McLean, MD
Clinical professor of neuroscience
University of North Dakota School of Medicine
and Health Sciences
Fargo, ND

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