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Case Reports in Medicine
Volume 2012, Article ID 585713, 3 pages
Case Report

Propofol-Remifentanil Combination for Management of Electroconvulsive Therapy in a Patient with Neuroleptic Malignant Syndrome

1Department of Psychiatry, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
2Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
3Department of Anesthesia, Kurdistan University of Medical Sciences, Beasat Hospital, Sanandaj, Iran

Received 17 November 2011; Accepted 22 January 2012

Academic Editor: S. Kennedy

Copyright © 2012 Modabber Arasteh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Electroconvulsive therapy can be effective in severe or treatment resistant neuroleptic malignant syndrome patients. Anesthesia and use of muscle relaxant agents for electroconvulsive therapy in such patients may encounter anesthesiologists with specific challenges. This case report describes successful management of anesthesia in 28-year-old male patient undergoing eight electroconvulsive therapy sessions for treatment of neuroleptic malignant syndrome.