A Case of Atypical Lance Adams Syndrome in Respiratory Failure Following Organophosphate Poisoning

Aditya Gudhate

Abstract: Chronic post hypoxic myoclonus (PHM) also termed Lance-Adams syndrome (LAS) 1 is a rare complication that occurs after successful cardiopulmonary resuscitation, in which myoclonus appears upon recovery from the severe hypoxic event usually after few days. To date, <150 cases have been reported. The following case describes an atypical variant of LAS, where the survivor of cardiac arrest and respiratory failure following organophosphate compound consumption who developed refractory generalized myoclonus within 1 hour of resuscitation but regained consciousness after 10 days.

Keywords: myoclonus, Lance-Adams syndrome, organophosphate, neurology, movement disorder