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Case Report

Online Publishing Date:
15 / 01 / 2020

 


Reticular Brainstem Myoclonus as A Symptom Post-Cardiac Arrest: A Case Report

I Gusti Agung Gede Ari Swanda, I Wayan Widyantara, Made Satria Yuda Dewangga, Made Agus Kresna Sucandra.


Abstract
Background: Improvements in cardiac arrest cannot reduce mortality and disability. Neurological disability or sequel that occurs can be in the form of cognitive and motor disorders. Report: A 66-year-old man with congested complaints diagnosed Acute Decompensated Heart Failure (ADHF) type C and intubated pneumonia due to respiratory failure. Two days of treatment, the patient experienced Atrial Fibrillation (AF) without a pulse, Ventricle Tachycardia (VT) / Ventricle Fibrillation (VF) asystole then Return of Spontaneous Circulation (ROSC). Post cardiac arrest of patients with Glasgow Coma Scale (GCS) 6 coma awareness accompanied by jerking movements several times, especially when touched in the distal extremity.Discussion: Patients with brief systemic circulation stops may experience cerebral ischemia-anoxia. Disorders that occur in the early phase after cardiac arrest is a decrease in a severe coma. Anoxic conditions can cause myoclonus. Myoclonus due to lesions in the brain stem includes exaggerated startle, reticular reflex myoclonus and palatal myoclonus or tremor. Conclusion: Reticular brainstem myoclonus as a neurological manifestation of post-cardiac arrest due to anoxia.

Key words: myoclonus, brainstem, anoxia, cardiac arrest


 
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How to Cite this Article
Pubmed Style

Swanda IGAGA, Widyantara IW, Dewangga MSY, Sucandra MAK. Reticular Brainstem Myoclonus as A Symptom Post-Cardiac Arrest: A Case Report. Int J Med Rev Case Rep. 2020; 4(4): 91-93. doi:10.5455/IJMRCR.reticular-brainstem

Web Style

Swanda IGAGA, Widyantara IW, Dewangga MSY, Sucandra MAK. Reticular Brainstem Myoclonus as A Symptom Post-Cardiac Arrest: A Case Report. https://www.mdpub.net/?mno=69550 [Access: April 04, 2024]. doi:10.5455/IJMRCR.reticular-brainstem

AMA (American Medical Association) Style

Swanda IGAGA, Widyantara IW, Dewangga MSY, Sucandra MAK. Reticular Brainstem Myoclonus as A Symptom Post-Cardiac Arrest: A Case Report. Int J Med Rev Case Rep. 2020; 4(4): 91-93. doi:10.5455/IJMRCR.reticular-brainstem


Vancouver/ICMJE Style

Swanda IGAGA, Widyantara IW, Dewangga MSY, Sucandra MAK. Reticular Brainstem Myoclonus as A Symptom Post-Cardiac Arrest: A Case Report. Int J Med Rev Case Rep. (2020), [cited April 04, 2024]; 4(4): 91-93. doi:10.5455/IJMRCR.reticular-brainstem


Harvard Style

Swanda, I. G. A. G. A., Widyantara, . I. W., Dewangga, . M. S. Y. & Sucandra, . M. A. K. (2020) Reticular Brainstem Myoclonus as A Symptom Post-Cardiac Arrest: A Case Report. Int J Med Rev Case Rep, 4 (4), 91-93. doi:10.5455/IJMRCR.reticular-brainstem


Turabian Style

Swanda, I Gusti Agung Gede Ari, I Wayan Widyantara, Made Satria Yuda Dewangga, and Made Agus Kresna Sucandra. 2020. Reticular Brainstem Myoclonus as A Symptom Post-Cardiac Arrest: A Case Report. International Journal of Medical Reviews and Case Reports, 4 (4), 91-93. doi:10.5455/IJMRCR.reticular-brainstem


Chicago Style

Swanda, I Gusti Agung Gede Ari, I Wayan Widyantara, Made Satria Yuda Dewangga, and Made Agus Kresna Sucandra. "Reticular Brainstem Myoclonus as A Symptom Post-Cardiac Arrest: A Case Report." International Journal of Medical Reviews and Case Reports 4 (2020), 91-93. doi:10.5455/IJMRCR.reticular-brainstem


MLA (The Modern Language Association) Style

Swanda, I Gusti Agung Gede Ari, I Wayan Widyantara, Made Satria Yuda Dewangga, and Made Agus Kresna Sucandra. "Reticular Brainstem Myoclonus as A Symptom Post-Cardiac Arrest: A Case Report." International Journal of Medical Reviews and Case Reports 4.4 (2020), 91-93. Print. doi:10.5455/IJMRCR.reticular-brainstem


APA (American Psychological Association) Style

Swanda, I. G. A. G. A., Widyantara, . I. W., Dewangga, . M. S. Y. & Sucandra, . M. A. K. (2020) Reticular Brainstem Myoclonus as A Symptom Post-Cardiac Arrest: A Case Report. International Journal of Medical Reviews and Case Reports, 4 (4), 91-93. doi:10.5455/IJMRCR.reticular-brainstem


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