1. Brain neurotransmitter changes in three patients who had a fatal hyperthermia syndrome.
- Author
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Kish SJ, Kleinert R, Minauf M, Gilbert J, Walter GF, Slimovitch C, Maurer E, Rezvani Y, Myers R, and Hornykiewicz O
- Subjects
- Adolescent, Adult, Autopsy, Brain enzymology, Brain metabolism, Brain pathology, Catatonia pathology, Corpus Striatum analysis, Corpus Striatum pathology, Female, Fever pathology, Humans, Hypothalamus analysis, Hypothalamus pathology, Male, Middle Aged, Neuroleptic Malignant Syndrome pathology, Substantia Innominata analysis, Substantia Innominata pathology, Syndrome, Brain Chemistry, Catatonia metabolism, Choline O-Acetyltransferase analysis, Dopamine analysis, Fever metabolism, Neuroleptic Malignant Syndrome metabolism, Norepinephrine analysis
- Abstract
The authors examined the autopsied brains from three patients who had a fatal hyperthermia syndrome. There was marked hypothalamic noradrenaline depletion in all three patients, severe brain choline acetyltransferase deficiency with nucleus basalis cell loss in two patients, and mild to moderate brain choline acetyltransferase loss in one patient. Striatal dopamine metabolite/dopamine ratio was below normal in two patients and not elevated, as would be expected after short-term neuroleptic administration, in the third. This suggests that reduced capability (aggravated by the cholinergic deficit) of the nigrostriatal dopamine system to respond adequately to stress and/or neuroleptic-induced receptor blockade may be important in the development and course of fatal hyperthermia syndrome.
- Published
- 1990
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