PMID- 8777769 OWN - NLM STAT- MEDLINE DCOM- 19960917 LR - 20190914 IS - 0362-5664 (Print) IS - 0362-5664 (Linking) VI - 19 IP - 2 DP - 1996 Apr TI - Ecstasy intoxication: an overlap between serotonin syndrome and neuroleptic malignant syndrome. PG - 157-64 AB - 3,4-Methylenedioxymethamphetamine (MDMA), also known as "ecstasy" is a popular recreational drug with potential for abuse. Although its neurotoxic effects have been established in animal studies, the acute and long-term effects of this serotonergic agent in humans are still unknown. We describe a 19-year-old woman with overlapping symptoms of neuroleptic malignant syndrome and serotonin syndrome after a single exposure to MDMA. We also review 15 other cases reported in the literature to draw attention to the serious neurotoxicity, including fatal outcomes, caused by the use of this increasingly popular, illicit drug. FAU - Demirkiran, M AU - Demirkiran M AD - Department of Neurology, Baylor College of Medicine, Houston, TX 77030, USA. FAU - Jankovic, J AU - Jankovic J FAU - Dean, J M AU - Dean JM LA - eng PT - Case Reports PT - Journal Article PT - Review PL - United States TA - Clin Neuropharmacol JT - Clinical neuropharmacology JID - 7607910 RN - 0 (Hallucinogens) RN - 0 (Serotonin Agents) RN - 333DO1RDJY (Serotonin) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adolescent MH - Adult MH - Female MH - Hallucinogens/*poisoning MH - Humans MH - Infant MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine/*poisoning MH - Neuroleptic Malignant Syndrome/blood/physiopathology/*psychology MH - Psychoses, Substance-Induced/blood/physiopathology/*psychology MH - Serotonin/*physiology MH - Serotonin Agents/*poisoning MH - Substance-Related Disorders/psychology MH - Tremor/chemically induced/physiopathology RF - 43 EDAT- 1996/04/01 00:00 MHDA- 1996/04/01 00:01 CRDT- 1996/04/01 00:00 PHST- 1996/04/01 00:00 [pubmed] PHST- 1996/04/01 00:01 [medline] PHST- 1996/04/01 00:00 [entrez] AID - 10.1097/00002826-199619020-00004 [doi] PST - ppublish SO - Clin Neuropharmacol. 1996 Apr;19(2):157-64. doi: 10.1097/00002826-199619020-00004.