Korean J Anesthesiol.
2013 Oct;65(4):341-344. 10.4097/kjae.2013.65.4.341.
Acute onset Lance-Adams syndrome following brief exposure to severe hypoxia without cardiac arrest: a case report
- Affiliations
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- 1Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Medical Research Institute, Pusan National University Hospital, Busan, Korea. jykwon@pusan.ac.kr
- KMID: 2164872
- DOI: http://doi.org/10.4097/kjae.2013.65.4.341
Abstract
- 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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