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2016, Number 1

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Rev Ciencias Médicas 2016; 20 (1)

Post anoxic myoclonic encephalopathy or Lance-Adams syndrome

García MAJ
Full text How to cite this article

Language: Spanish
References: 10
Page: 152-155
PDF size: 160.11 Kb.


Key words:

myoclonic epilepsies, cerebellar ataxia.

ABSTRACT

Introduction: post anoxic myoclonic encephalopathy or Lance-Adams syndrome was described in 1963, it is a very rare complication that can appear in patients who have suffered from hypoxic episodes or prolonged hypotension, already recovered. They are characterized by myoclonus actions and cerebellar ataxia.
Case report: a patient suffering from two cardiorespiratory arrests, severe-generalized myoclonus of actions appearing after the recovery, which increases with tactile, auditory or nociceptive stimuli, relieving only during sleep, with a clear and progressive deterioration of the general status.
Conclusion: a successful recovery was observed within the 24 hours of treatment commencing with 4 milligrams of Clonazepam, being asymptomatic and monitored at one, three, six and 12 months.


REFERENCES

  1. Lance JW, Adams RD.The syndrome of intention or action myoclonus as a sequel to hypoxic encephalopathy.Brain.1963;86(1):111-36.

  2. Sainz Cabrera H. Encefalopatia post-anoxica. Corsalud 2014;6(supl.1):51-52. Disponible en: http://www.google.com.cu/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0ahUKEwiI3P2Lnp3LAhWG1B4KHRdwDlcQFggfMAA&url=http%3A%2F%2Fwww.cardiovcl.sld.cu%2Fcorsalud%2F2014%2Fv6s1a14%2Fencefalopatia.pdf&usg=AFQjCNEjRwL5ZEgeLwN0TxK3_cwUzbrgRA&bvm=bv.115339255,d.eWE&cad=rja

  3. Mata-Vicente JF. Encefalopatía anoxo-isquemica posterior al paro cardiorespiratorio. MedIntMex 2013;29:388-398

  4. Ruiz García D, Olivera Leal I, Gómez Viera N. Síndrome de Lance Adams. Rev Cubana Med Vol. 52 No. 1 C Habana ene-mar 2013. Disponible en:http://scielo.sld.cu/scielo.php?pid=S0034 -75232013000100008&script=sci_arttext

  5. Damiani D; Arevalo Neto JA,ShigueruIkuta L, Scheider R. Sindrome de Lance- Adams depois de parada cardiorepiratoria prolongada. Relato de caso. RevBrasClinMed. Sao Paulo, 2012 mar-abr;10(2): 152-4

  6. Ilik F, Kemal Ilik M, Cven I. Levatiracetam for The management of Lance-Adams Syndrome. Iran J Child Neurol. 2014 spring; 8(2):57-9. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4058067

  7. Bozic K, Gebauer-Bukuru K, Sakalas L, Diujak I, JesicA. Improvement of post-hypoxic action myoclonus with Levetiracetam add-on therapy: A case report. Vojnosanit Pregl. 2014 may: 71(5): 515. Disponible en: http://www.google.com.cu/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjrg8rln53LAhUDWT4KHfzqDNMQFggfMAA&url=http%3A%2F%2Fwww.doiserbia.nb.rs%2Fft.aspx%3Fid%3D0042 -84501405515B&usg=AFQjCNEN9u_GaWFdgSKgEw_2kUnZ8GbFjw&bvm=bv.115339255,d.eWE

  8. Malhotra S, Mohinder K. Lance-Adams syndrome: Difficulties surrounding diagnosis, pronostication, and treatment after cardiac arrest. Anesth Essays Res. 2012 Jul-Dec;6(2): 218-22. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173475

  9. Ferlazzo E, Gasparini S, Cianci V, Cherubini A, Aguglia V. Serial MRI findings in brain anoxia leading to Lance- Adams syndrome: a case report. neurolSci 2013 Nov:34(1):2047-50. Disponible en: http://link.springer.com/article/10.1007/s10072-013-1356-2/fulltext.html

  10. Jun-Hwa Shin, Jong Moon Park, A Ram Kim, Hee Suk Shin, Eun Shin Lee, et al. Lance-Adams Syndrome. Ann Rehbil med. 2012 Aug; 36(4): 561-564. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3438425




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