Lance Adams syndrome: two cases report and literature review

Author:

Guo Yu1,Xiao Yan1,Chen Li-Fa1,Yin De-Hui1,Wang Ruo-Dan1ORCID

Affiliation:

1. Department of Neurology, Second Affiliated Hospital of Army Medical University, Chongqing, China

Abstract

Hypoxic myoclonus, also known as Lance Adams syndrome, is a rare syndrome that results from the serious brain damage caused by cerebral hypoxia that often follows cardiopulmonary resuscitation. This current case report describes two patients with post-hypoxic myoclonus, both of whom received cardiopulmonary resuscitation. The neurological symptoms of these two patients were significantly improved by the administration of clonazepam and sodium valproate sustained-release tablets. The report presents a literature review detailing the pathogenesis, diagnosis and treatment of Lance Adams syndrome. The timely diagnosis and treatment of Lance Adams syndrome can significantly improve the quality of life of patients. Valproic acid, clonazepam and other antiepileptic drugs can be used. Whether levetiracetam is effective for cortical myoclonus requires further clinical study.

Publisher

SAGE Publications

Subject

Biochemistry (medical),Cell Biology,Biochemistry,General Medicine

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1. Myoclonus in CASPR2 Autoimmune Encephalitis: A Distinctive Association;Movement Disorders Clinical Practice;2023-11-30

2. The Muddle of Myoclonus;Neurology Clinical Practice;2023-10

3. Overnight response to levetiracetam in Lance–Adams syndrome presenting 3 years after cardiac arrest;The Egyptian Journal of Neurology, Psychiatry and Neurosurgery;2023-08-24

4. Carbamazepine/oxcarbamazepine/sodium-valproate;Reactions Weekly;2023-01-07

5. Post hypoxic myoclonus: A tale of two minds;Epilepsy & Behavior Reports;2023

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