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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Delayed myelopathy in a child following organic phosphate poisoning
BMJ Case Reports, Volume 16, No. 10, Article e253456, Year 2023
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Description
We report a rare manifestation of delayed organophosphate (OP) poisoning in a male patient in his early childhood. After initially presenting with a cholinergic crisis after OP exposure, the patient returned 3 weeks later with paraparesis and difficulty with bladder control. The results of the MRI of the spine and brain as well as the nerve conduction studies were normal. Myelopathy induced by OP poisoning should be considered in any patient with a history of OP exposure and a presentation of paraparesis. At most recent follow-up, the patient had full bladder control and could walk without assistance. However, he demonstrated circumduction while walking with upper motor neuron signs. Furthermore, he had mild Achilles tendon contractures on both sides. To enable early detection, neurologists and paediatricians should be aware of this uncommon complication of OP poisoning which may influence neurological outcome. © 2023 BMJ Publishing Group. All rights reserved.
Authors & Co-Authors
Wali, Y. Ahmed
Oman, Muscat
Sultan Qaboos University
Al-Futaisi, Amna Mohammed
Oman, Muscat
Sultan Qaboos University
Statistics
Authors: 2
Affiliations: 2
Identifiers
Doi:
10.1136/bcr-2022-253456
ISSN:
1757790X
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Participants Gender
Male