Dr. Roderick Sembrano
The Medical Director of the Brain Injury Program, New Hampshire USA.
Title: The Importance of Managing Coexisting Anxiety Disorder and Polysubstance Abuse at the Acute Inpatient Rehabilitation of a patient with Lance-Adams Syndrome (LAS): A Case Report
Biography
Biography: Dr. Roderick Sembrano
Abstract
CASE DESCRIPTION: The patient became unresponsive and suffered a pulseless electrical activity with cardiorespiratory arrest related to overdose of fentanyl and cocaine in the community with successful cardiopulmonary resuscitation and return of spontaneous circulation. On arrival to the emergency department patient underwent extensive work-up including imaging studies without any spinal fractures or intracranial pathology with CT scans. Stimulus-induced myoclonus was noted a few weeks during the hospitalization. Patient had a brain MRI as part of the work-up and at that time did not show any evidence of anoxia. Neurology diagnosed the patient with LAS and treated with valproic acid, levetiracetam and intermittent use of benzodiazepines with note of relative improvement of myoclonus.