Shin Jun-Hwa, Park Jong Moon, Kim A Ram, Shin Hee Suk, Lee Eun Shin, Oh Min-Kyun, Yoon Chul Ho
Department of Rehabilitation Medicine and Institute of Health Sciences, Gyeongsang National University Graduate School of Medicine, Jinju 660-702, Korea.
Ann Rehabil Med. 2012 Aug;36(4):561-4. doi: 10.5535/arm.2012.36.4.561. Epub 2012 Aug 27.
It is not common for a patient who survives cardiac arrest to experience significant neurologic impairment such as acute and chronic post-hypoxic myoclonus, known as Lance-Adams syndrome. This syndrome is predominantly characterized by myoclonus that starts days to weeks after cardiopulmonary resuscitation in patients who regained consciousness. Although several cases of LAS were reported, the decisive treatment method has not been established. We report a 43 year old man with Lance-Adams syndrome who showed long-term improvement through treatment with anti-myoclonic agents and participation in a rehabilitation program.
心脏骤停后存活的患者出现严重神经功能损害,如急性和慢性缺氧后肌阵挛(即兰斯-亚当斯综合征)的情况并不常见。该综合征主要特征为肌阵挛,在心肺复苏后数天至数周开始出现,见于恢复意识的患者。虽然已有数例兰斯-亚当斯综合征的报道,但尚未确立决定性的治疗方法。我们报告了一名患有兰斯-亚当斯综合征的43岁男性,通过抗肌阵挛药物治疗和参与康复计划,病情得到了长期改善。