Lance–Adams syndrome associated with cerebellar pathology

• Main Authors: Adam Waddell, Ahmed Dirweesh, Fausto Ordonez, Charles Kososky, Leema Reddy Peddareddygari, Raji P. Grewal
• Format: Article
• Language: English
• Published: Taylor & Francis Group 2017-07-01
• Series: Journal of Community Hospital Internal Medicine Perspectives
• Subjects: Lance–Adams syndrome; neurological complication; cardiopulmonary arrest; cerebellar lesion
• Online Access: http://dx.doi.org/10.1080/20009666.2017.1340730

Lance–Adams syndrome (LAS) is an uncommon neurological disorder characterized by the development of chronic post-hypoxic myoclonus. There are relatively few cases described following successful cardiopulmonary resuscitation. We report a patient who developed LAS 3 months after successful resuscitation. Cerebral imaging studies indicate that brain pathology in LAS patients is not uniform, suggesting that the pathophysiology of myoclonus may vary from patient to patient. Our patient adds to this etiological heterogeneity by demonstrating the unusual feature of cerebellar pathology by both cerebral magnetic resonance imaging and single-photon emission computed tomography scans. There is also heterogeneity of these patients in their response to therapy. Unlike some patients described in the literature, our patient has not responded to drug treatment. Studies of these rare patients with LAS are important as they provide insight into the pathophysiology of this condition which, it is hopefully, will facilitate the development of more effective therapy.