Overnight response to levetiracetam in Lance–Adams syndrome presenting 3 years after cardiac arrest

Abstract

Abstract Background Lance–Adams syndrome (LAS), also known as chronic post-hypoxic myoclonus manifests as myoclonic movements of the face, limbs, or trunk following hypoxic brain injury, which may occur during respiratory failure or cardiac arrest. Case presentation We present a case and provide a video of a patient who developed LAS 3 years after experiencing cardiac arrest, presenting with action-induced generalized myoclonus upon standing. The patient exhibited a significant response to levetiracetam. To the best of our knowledge, this is the first reported case of LAS with such a delayed onset following the initial hypoxic event. Conclusion It is crucial for clinicians to be aware of this treatable condition and recognize that its onset may be delayed, occurring years after a hypoxic brain insult. This improved understanding will facilitate prompt diagnosis and effective management of LAS, ultimately enhancing patient outcomes.

Keywords

• Myoclonus
• Post-anoxic
• Hypoxic–ischemic encephalopathy cardiac arrest
• Anoxic brain