Predicting the neurological outcome in survivors of cardiorespiratory arrest is difficult. A distinction has been made between acute and chronic posthypoxic myoclonus, called myoclonic status epilepticus and Lance–Adams syndrome (LAS), respectively, with the acute condition carrying a bad prognosis. Here, we report a case of a 37-year-old female who developed seizures after a successful cardiopulmonary resuscitation. The available literature on such cases is very rare and has generally mentioned a poor outcome. However, our patient was successfully managed and showed clinical features of LAS. Thus, making an early diagnosis and proper management of hypoxic brain insults is positively related to improving the patient's functional outcome.
Fixation off sensistivity is a electrographic marker of occipital lobe epilepsy. The report describes a 11 year old with infrequent seizures responsive to treatment with valproate who was found to have occipital epileptiform discharges which appeared only during eye closure. The typical phenomenology of visual aura or autonomic seizures as seen in benign occipital epilepsies is not mandatory to be associated with FOS. The spectrum of various epilepsy syndrome which display this typical finding is discussed.
Anterior spinal artery (ASA) syndrome is a rare and devastating neurological syndrome which can be recognized clinically. In this report, we describe the story of an unfortunate young girl who after having a friendly hassle with her peer, developed neck pain and over the next 4-6 hours became completely quadriplegic. Initially negative neuro-imaging led to the erroneous diagnosis of dissociative disorder. After the diagnosis was made clinically, confirmation was availed by spinal angiography. Anti-platelets, steroids and low molecular weight heparin were used along with physiotherapy. During the course of stay in hospital (10 days), she has shown a modest improvement in power and sensations. The case is presented for its rarity and the diagnostic challenges posed.
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