Organophosphate-induced delayed neuropathy: case report
Arq. neuropsiquiatr
;
60(4): 1003-1007, Dec. 2002. ilus, tab
Article
in English
| LILACS
| ID: lil-326177
ABSTRACT
Organophosphate induced delayed neuropathy (OPIDN) is an uncommon clinical condition. It occurs in association with the ingestion of great amounts of organophosphate after the stimulation of cholinergic receptor. The clinical picture is characterized by a distal paresis in lower limbs associated with sensitive symptoms. Electrodiagnostic studies show a motor axonal neuropathy. Involvement of the central nervous system may occur. We describe a 39 years-old female patient who developed hyperesthesia associated with lower limbs paresis, fourteen days after she had ingested a Dichlorvos-based insecticide. Electrophysiological study was characterized by an axonal polyneuropathy pattern. Pyramidal tract dysfunction was observed later in upper limbs. Considering that both peripheral and central nervous systems are involved we believe that the more appropriated term would be organophosphate induced delayed neuropathy (OPIDN) instead of organophosphate induced delayed polyneuropathy (OPIDP)
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Polyneuropathies
/
Dichlorvos
/
Insecticides, Organophosphate
/
Nervous System Diseases
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Arq. neuropsiquiatr
Journal subject:
Neurology
/
Psychiatry
Year:
2002
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Federal Fluminense University/BR
/
Federal University of Rio de Janeiro/BR
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