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KMID : 0356920130650040341
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Korean Journal of Anesthesiology
2013 Volume.65 No. 4 p.341 ~ p.344
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Acute onset Lance-Adams syndrome following brief exposure to severe hypoxia without cardiac arrest -a case report-
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Cho Ah-Reum
Kwon Jae-Young
Kim Joo-Yun
Kim Eun-Soo
Kim Hee-Young
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Abstract
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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.
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KEYWORD
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Cardiopulmonary resuscitation, Hypoxic brain damage, Myoclonus, Respiratory insufficiency, Status epilepticus
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