Organophosphate induced delayed polyneuropathy: An unusual presentation.

ABSTRACT

Organophosphate poisoning is an important cause of suicides in hospital admission. The present case is of a female presenting with loss of power in all four limbs two weeks following a suicidal attempt. Nerve conduction velocity test revealed axonal type of motor neuropathy in bilateral median and ulnar nerve and peroneal and tibial nerves were unexcitable bilaterally. Therefore, in all cases of neuropathy, ingestion of organophosphate, either accidental or suicidal should be looked for even if the initial phases of intoxication are not clinically well defined.