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Cervical Osteomyelitis, Cardiac Arrest, and Lance-Adams Syndrome: A Case Report
Waiz Wasey1, Caitlin Carter2, Nav S Badesha3
1Family and Community Medicine, Southern Illinois University School of Medicine, Springfield, USA.
Cureus
|May 9, 2022
Summary
Lance-Adams syndrome (LAS), a rare complication of cardiopulmonary resuscitation, involves action myoclonus. This case highlights LAS in a patient post-cardiac arrest, emphasizing the challenges in managing this debilitating neurological condition.
Area of Science:
- Neurology
- Critical Care Medicine
- Resuscitation Science
Background:
- Lance-Adams syndrome (LAS) is a rare neurological complication following successful cardiopulmonary resuscitation.
- It is characterized by the sudden onset of action myoclonus, affecting various body parts.
Observation:
- A 53-year-old female experienced cardiac arrest and was successfully resuscitated.
- Post-resuscitation, she developed action myoclonus in all extremities.
- The patient also suffered anoxic brain injury, leading to significant debilitation.
Findings:
- The case details a patient with LAS presenting after cardiac arrest and posterior cervical fusion surgery.
- Treatment with clonazepam, levetiracetam, and sodium valproate resulted in only mild improvement of myoclonus.
Implications:
- This case underscores the rarity and severe impact of Lance-Adams syndrome.
- Effective management strategies for post-anoxic action myoclonus require further investigation.
- Highlighting the need for increased awareness and research into LAS management.
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