Lim Michelle L, Lim Rachel R Z, Tien JongChie C, Lim Shawn Z Z, Lee Yi Lin
From the Department of Surgical Intensive Care, Division of Anaesthesiology, Singapore General Hospital, Singapore.
Department of Anesthesia, Division of Anaesthesiology and Perioperative Medicine, Singapore General Hospital, Singapore.
A A Pract. 2022 Aug 10;16(8):e01605. doi: 10.1213/XAA.0000000000001605. eCollection 2022 Aug 1.
Lance-Adams syndrome (chronic post-hypoxic myoclonus) is a rare syndrome occurring in patients after cardiopulmonary resuscitation. Awareness of this condition is important to distinguish it from myoclonic status epilepticus, which is a poor prognostic sign. We present the case of a 32-year-old woman who developed Lance-Adams syndrome after an episode of hypoxic cardiac arrest from severe pneumonia. Brain computed tomography, magnetic resonance imaging, and an electroencephalogram were used to rule out other causes of myoclonus. In this report, we discuss the diagnosis, treatment, and prognosis of patients with Lance-Adams syndrome.
兰斯-亚当斯综合征（慢性缺氧后肌阵挛）是一种在心肺复苏后患者中出现的罕见综合征。认识到这种情况对于将其与肌阵挛性癫痫持续状态相区分很重要，后者是预后不良的体征。我们报告一例32岁女性，她在因严重肺炎导致缺氧性心脏骤停后发生了兰斯-亚当斯综合征。通过脑部计算机断层扫描、磁共振成像和脑电图来排除肌阵挛的其他病因。在本报告中，我们讨论了兰斯-亚当斯综合征患者的诊断、治疗和预后。
