Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 6 Issue 8

Delayed Neurological Manifestations Seen After Organophosphate Poisoning

Zia Arshad, Vishal Jainth*, Imran Rizvi, Matendra Singh Yadav, Ashish Gupta and GP Singh

Department of Anaesthesiology and Critical Care, King George's Medical University, Lucknow, India

*Corresponding Author: Vishal Jainth, Department of Anaesthesiology and Critical Care, King George's Medical University, Lucknow, India.

Received: June 27, 2022; Published: July 22, 2022

Abstract

Introduction: The incidence of organophosphate poisoning is very common in developing countries like india. As suicidal or accidental ingestion of organophosphorous poisoning case are seen in emergency department. And we also face some neurological manifestations like neuropathy and myelopathy in follow up of these patients.

Case Presentation: A Female patient of 28 years ingest organophosphate accidently. Managed conservatively in icu on ventilator and discharge. But in follow up after 10 days of discharge after recovery from organophosphorous poisoning had power in upper limb 5/5 and in lower limb 3/5. Deep tendon reflexes were exaggerated while bilateral plantar reflex is extensor. MRI shows long segment linear area of signal intensity alterations within the cord in ventral aspects extending from C3 to D5 levels. On nerve conduction velocity also shows abnormal pattern. So we manifestated myelopathy And neuropathy like neurological manifestations.

Conclusions: We observe neurological manifestations in follow up of the Patient which were admitted in intensive care as a case of organophosphate poisoning.

Keywords: Organophosphorous Poisoning; Myelopathy; Neuropathy

References

  1. Nand N., et al. “Organophosphate induced delayed neuropathy”. The Journal of the Association of Physicians of India 55 (2007): 72-73.
  2. Luiz Felipe R. “Vasconcellos, ana claudia leite, osvaldo j m nascimento. Organophosphate-induced delayed neuropthay”. Arquivos de Neuro-psiquiatria4 (2002).
  3. Senanayake N and Johnson MK. “Acute polyneuropathy after poisoning by a new organophosphate insecticide”. The New England Journal of Medicine 306 (1982): 155-157.
  4. Lotti M., et al. “Organophosphate polyneuropathy: pathogenesis and prevention”. Neurology 5 (1984): 658-662.
  5. Funk KA., et al. “Neuropathology of organophosphate-induced delayed neuropathy (opidn) in young chicks”. Archives of Toxicology5 (1994): 308-316.
  6. Senanayake N. “Tri-cresyl phosphate neuropathy in Srilanka: a clinical and neurophysiological study with a three year follow up”. Journal of Neurology, Neurosurgery, and Psychiatry 44 (1981): 775-780.

Citation

Citation: Vishal Jainth., et al. “Delayed Neurological Manifestations Seen After Organophosphate Poisoning”.Acta Scientific Medical Sciences 6.8 (2022): 88-90.

Copyright

Copyright: © 2022 Vishal Jainth., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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