Published in IJCP May 2018
NEUROLOGy
Lance-Adams Syndrome: A Rare Case of Post-hypoxic Myoclonus, Developing After a Snake Bite
May 04, 2018 | Meet M Thacker, Manish N Mehta
Nephrology
     


Lance-Adams syndrome (LAS) is a rare complication of a successful cardiopulmonary resuscitation (CPR) and is often accompanied by post-hypoxic action myoclonus. Less than 200 cases have been reported in medical literature till date. A 50-year-old female presented to the Emergency Department in a state of unconsciousness. Urgent intubation and CPR resulted in stabilization of vitals over a period of few days. On regaining consciousness, the patient developed myoclonus, which was characteristically present only on activity and absent at rest or during sleep. This action myoclonus was troublesome to the patient and interfering in the day-to-day activities of the patient. Patient was started on a combination therapy with levetiracetam and clonazepam, which resulted in marked diminution of myoclonus over a period of 15-20 days. Though LAS is a rare complication, proper diagnosis and prompt management may significantly reduce the morbidity and improves the quality-of-life.