Ocular Flutter in the Serotonin Syndrome
A 46-year-old woman was brought to the emergency department because of agitation. On arrival, she had a fever (temperature, 38.6°C) and tachycardia (heart rate, 169 beats per minute). The patient was agitated and had ocular flutter as well as rigidity in the legs and myoclonus in the arms. The bowel sounds were hyperactive, and her skin was cold, with diaphoresis...

http://www.nejm.org/doi/full/10.1056/NEJMicm1506066#t=article
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