Late onset polyneuropathy due to organophosphate (DDVP) intoxication


Sevim S., Aktekin M. , Dogu O., Ozturk H., Ertas M.

CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, cilt.30, ss.75-78, 2003 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 30 Konu: 1
  • Basım Tarihi: 2003
  • Doi Numarası: 10.1017/s0317167100002493
  • Dergi Adı: CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES
  • Sayfa Sayısı: ss.75-78

Özet

Background: Organophosphate intoxication can cause some well-known life threatening acute neurological complications such as seizures, paralysis, neuromuscular and cardiac conduction disorders. Less often, a predominantly motor and delayed axonal neuropathy can occur. This syndrome is due to inhibition of neuropathy target esterase. Case Report: A 30-year-old woman attempted suicide by drinking approximately 1000mg/kg dimethyl-2,2-dichloro vinyl phosphate (DDVP). After a muscarinic and cholinergic syndrome lasting four days, she developed a purely motor distal axonal polyneuropathy on the fifth week after ingestion confirmed by electroneuromyography and sural nerve biopsy. Neurological examination and electroneuromyography revealed a slight recovery at the end of the 21st month. Conclusion: This case of late onset polyneuropathy caused by organophosphate intoxication had unusual features such as intact sensory nerves and worse prognosis when compared to previously reported cases.