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Early myoclonic status and outcome after cardiorespiratory arrest
  1. H R Morrisa,b,
  2. R S Howarda,
  3. P Browna,b
  1. aNational Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK, bDepartment of Neurology, Middlesex Hospital, Mortimer Street, London, W1N 8AA, UK
  1. Dr P Brown, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK. Telephone 0171 829 8759; fax 0171 278 9836

Abstract

It has been suggested that early myoclonic status after cardiorespiratory arrest is an agonal event.1 Here we describe three cases who developed early myoclonic status during a coma after cardiorespiratory arrest due to acute asthma. As consciousness improved, each patient developed Lance-Adams type multifocal myoclonus, but the eventual outcome was satisfactory. Only one patient needed assistance to walk, and all three were self caring. One patient had persistent dyscalculia. Early myoclonic status is not necessarily an agonal event, particularly when it follows arrest due to acute asthma or asphyxia.

  • myoclonic status
  • cardiorespiratory arrest

https://doi.org/10.1136/jnnp.64.2.267

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