Acute onset Lance-Adams syndrome following brief exposure to severe hypoxia without cardiac arrest -a case report-.
Myoclonic status epilepticus (MSE) within the first 24 hours after cardiopulmonary resuscitation (CPR) predicts poor prognosis, enough to discontinue the treatment. In contrast, chronic MSE appearing a few days after CPR is called Lance-Adams syndrome (LAS), which is characterized by preserved intellect and a favorable prognosis. We herein report a case of LAS, which developed after a transient hypoxic event without an overt cardiac arrest due to hematoma formation in the neck after partial glossectomy. Differential diagnosis was also challenging as LAS was developed 8 hours after the hypoxic event.
Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Medical Research Institute, Pusan National University Hospital, Busan, Korea.
Ah-Reum
AR
Cho
Jae-Young
JY
Kwon
Joo-Yun
JY
Kim
Eun-Soo
ES
Kim
Hee-Young
HY
Kim
Cardiopulmonary resuscitation; Hypoxic brain damage; Myoclonus; Respiratory insufficiency; Status epilepticus