Citation

Boukobza M, Baud FJ, Malissin I, Mégarbane B. Basal Ganglia 2016; 6(3): 149-151.

Copyright

(Copyright © 2016)

DOI

10.1016/j.baga.2016.03.001

PMID

unavailable

Abstract

A 72-year-old flecainide-poisoned woman developed refractory cardiogenic shock treated with veno-arterial extracorporeal membrane oxygenation (ECMO). Ten days after weaning ECMO, she developed Lance and Adams Syndrome and delayed Parkinsonism despite the absence of circulatory arrest onset. Magnetic resonance imaging (MRI) showed isolated globi pallidi infarcts explaining the patient's Parkinsonism. We emphasize the unusual concomitance of these two entities. Furthermore, this case highlights the need for early MRI in ECMO-treated patients presenting persistent abnormal neurological examination on ECMO weaning to guide appropriate further pharmacological treatment and rehabilitation. © 2016 Elsevier GmbH.

Language: en

Keywords

human; female; aged; case report; suicide attempt; brain infarction; priority journal; myoclonus; nuclear magnetic resonance imaging; parkinsonism; brain disease; levodopa; Glasgow coma scale; creatinine; creatinine blood level; potassium; potassium blood level; electroencephalography; bradycardia; blood pressure; lactate blood level; muscle hypotonia; globus pallidus; Article; prothrombin time; piracetam; cardiogenic shock; lactic acid; extracorporeal oxygenation; Parkinsonism; Extracorporeal membrane oxygenation; Flecainide intoxication; Lance Adams syndrome; Lance-Adams syndrome; Magnetic resonance imaging (MRI)