Khaleel Usuf¹, Sumesh Raj²* and Premkrishnan³

¹Post Graduate MD General Medicine, Gokulam Medical College, Kerala University of Health Science, India ²Professor of Medicine, Sree Gokulam Medical College, Kerala, India ³Consultant Neurologist, Sree Gokulam Medical College, Kerala, India

*Corresponding Author: Khaleel Usuf, Post Graduate MD General Medicine, Gokulam Medical College, Kerala University of Health Science, India.

Received: February 12, 2024; Published: March 07, 2024

Abstract

Myoclonus may be a prominent feature in patients who have survived severe Cerebral anoxia following cardiopulmonary arrest. Several post hypoxic sequlae have been described, Including myoclonus, dementia, Parkinson’s disease, Cerebral palsy in children etc. Post hypoxic myoclonus presents in two forms. Either immediately after hypoxia while the patient remains in coma myoclonus develops and usually carries poor prognosis. A second type of delayed post hypoxic action myoclonus described by Lance and Adams in 1960s following cardiac or respiratory arrest. Although some patients are severely affected by action myoclonus, postural lapses and other deficits, those with pure myoclonus can improve gradually.

Keywords: Myoclonus; Hypoxia; Encephalopathy

References

1. Allan H Ropper., et al. “Adams and Victor’s Principles of Neurology 11^th edition”. Mc Graw Hill Publishers (2019).
2. Christopher G Goetz. “Textbook of Clinical Neurology 2^nd edition Saunders publishers
3. Louis R Caplan. “Caplan’s stroke a clinical approach 4^th edition Saunders publisher (2009).
4. Elan D Louis., et al. “Merritt’s Neurology 13^th edition LWW publishers (2016).
5. William W Campbell. “Dejong’s the Neurologic examination 7^th edition Wolters Kluwer publications.
6. Elaine Wyllie (November 2015) The Treatment of Epilepsy, 4^th Edition Lippincott Williams abd Wilkins (LWW) publications (2015).
7. Shin JH., et al. “Lance-adams syndrome”. Annals of Rehabilitation Medicine 36 (2012): 561-564.
8. Polesin A and Stern M. “Post-anoxic myoclonus: a case presentation and review of management in the rehabilitation setting”. Brain Injury 20 (2006): 213-217.
9. Frucht S and Fahn S. “The clinical spectrum of posthypoxic myoclonus”. Movement Disorders 1 (2000): 2-7.
10. Lance JW and Adams RD. “The syndrome of intention or action myoclonus as a sequel to hypoxic encephalopathy”. Brain 86 (1963): 111-136.
11. Lim LL and Ahmed A. “Limited efficacy of levetiracetam on myoclonus of different etiologies”. Parkinsonism and Related Disorders 11 (2005): 135-137.
12. Frucht S and Fahn S. “The clinical spectrum of posthypoxic myoclonus”. Movement Disorders 1 (2000): 2-7.
13. Zivkovic SA and Brenner RP. “A case of area-specific stimulus-sensitive postanoxic myoclonus”. Journal of Clinical Neurophysiology 20 (2003): 111-116.

Citation

Citation: Khaleel Usuf., et al. “A Successful Cardiopulmonary Resuscitation followed by Post Hypoxic Action Myoclonus (PHAM) Presentation in a 67-year-old Female".Acta Scientific Clinical Case Reports 5.4 (2024): 15-17.

Copyright

Copyright: © 2024 Khaleel Usuf., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.