دورية أكاديمية

Delayed myelopathy after organophosphate intoxication: A case report

التفاصيل البيبلوغرافية
العنوان: Delayed myelopathy after organophosphate intoxication: A case report
المؤلفون: Sandesh Gautam, Sanjaya Sapkota, Rajeev Ojha, Anamika Jha, Ragesh Karn, Bikram Prasad Gajurel, Reema Rajbhandari, Sunanda Paudel, Niraj Gautam, Ashish Shrestha
المصدر: SAGE Open Medical Case Reports, Vol 10 (2022)
بيانات النشر: SAGE Publishing, 2022.
سنة النشر: 2022
المجموعة: LCC:Medicine (General)
مصطلحات موضوعية: Medicine (General), R5-920
الوصف: Organophosphate-induced delayed neuropathy, a central-distal axonopathy, passes through latent, progressive, static and improvement phases. During the improvement phase, the peripheral nerves regenerate unmasking the spinal cord lesion with myelopathic features. We report a case of a 16-year-old male who developed myelopathy 6 weeks following chlorpyrifos poisoning. He had a motor weakness of 4/5 in bilateral hips and 3/5 in bilateral knees and ankles. Spasticity and exaggerated reflexes with ankle clonus were present in the lower limbs. Sensory and the upper limb motor examinations were all normal. Pertinent blood, cerebrospinal fluid and nerve conduction tests were normal. Magnetic resonance imaging of the spine showed features of cord atrophy. Three months following physiotherapy, his power improved to 5/5 in bilateral knee and hip joints and 4/5 in bilateral ankles with spasticity. Organophosphate-induced delayed neuropathy can present as earlier as 6 weeks with myelopathy. Previous history of organophosphorous exposure is important in myelopathy or peripheral neuropathy.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2050-313X
2050313X
Relation: https://doaj.org/toc/2050-313X
DOI: 10.1177/2050313X221104309
URL الوصول: https://doaj.org/article/158262db3c654378827d51a41c485aa3
رقم الأكسشن: edsdoj.158262db3c654378827d51a41c485aa3
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:2050313X
DOI:10.1177/2050313X221104309