| Myoclonus after cardiac arrest: pitfalls in diagnosis and prognosis. | |
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MedLine Citation:
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PMID: 19604197 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Accurate prediction of neurological outcome in survivors of cardiac arrest may be difficult. We report the case of a 44-year-old survivor of a hypoxic cardiac arrest who repeatedly developed relentless myoclonic jerks on attempted discontinuation of his propofol infusion. These were initially thought to represent myoclonic status epilepticus before the correct diagnosis of Lance-Adams syndrome was made. Lance-Adams syndrome is a rare disorder seen in survivors of profound hypoxic episodes. It is characterised by intention myoclonus but preserved intellect. Accurate distinction between myoclonic status epilepticus and Lance-Adams syndrome is vital as they have very different prognoses. The different pathophysiology and distinguishing clinical features of these two conditions are highlighted. |
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Authors:
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W A English; N J Giffin; J P Nolan |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Anaesthesia Volume: 64 ISSN: 1365-2044 ISO Abbreviation: Anaesthesia Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-07-16 Completed Date: 2009-08-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370524 Medline TA: Anaesthesia Country: England |
Other Details:
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Languages: eng Pagination: 908-11 Citation Subset: AIM; IM |
Affiliation:
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Department of Anaesthesia and Critical Care, Royal United Hospital, Bath, UK. englishwilliam@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anoxia / complications Diagnosis, Differential Heart Arrest / complications* Humans Male Myoclonus / diagnosis, etiology* Prognosis Status Epilepticus / diagnosis Syndrome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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