[Post-anoxic hemi-myoclonic encephalopathy: report of a case].
A case of a young man with myoclonus in his right side after cerebral hypoxia is reported. This patient had cerebral hypoxia caused by injury in his left common carotid artery. After a few hours he had generalized convulsive seizures of tonic-clonic type and also a septic shock. As consciousness was regained, he developed action and intention myoclonus in his right-side. The EEG showed diffuse typical myoclonus potentials. Clonazepan 8 mg daily was used with good results. This is the first reference in the medical literature of the unilateral localization in the Lance-Adams syndrome. The authors think that in this case two abnormalities contributed to the cerebral anoxia: the common carotid artery injury and the septic shock.
D000328:Adult; D020212:Carotid Artery Injuries; D004569:Electroencephalography; D006801:Humans; D002534:Hypoxia, Brain / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D009207:Myoclonus / Q000209:etiology*; D012772:Shock, Septic / Q000150:complications*; D014948:Wounds, Gunshot / Q000150:complications*
Encefalopatia hemi-mioclônica pós anóxica: registro de um caso.