Rehabilitação de Síndrome de Lance-Adams: Caso Clínico

Lance-Adams syndrome, or chronic posthypoxic myoclonus, is a rare complication of successful cardiopulmonary resuscitation often associated with cerebellar ataxia. The authors report a 41-year-old patient who presented with clinical features of dysarthria, tetraplegia, severe myoclonus, dysdiadochokinesia and cerebellar ataxia after respiratory arrest in the context of chemotherapy treatment. These symptoms resulted in marked functional consequences with inability to stand or perform activities of daily living. Hypoxic encephalopathy with Lance-Adams syndrome was assumed. Implementation of pharmacological treatment coupled with an intensive interdisciplinary rehabilitation program produced marked symptomatic and functional improvements which permitted autonomous activities of daily living and supervised locomotion after 7 months. The aim of this report was to emphasize the importance of the correct diagnosis and proper management of Lance-Adams syndrome leading to the improvement of the patients’ functional outcomes.