Organophosphate induced delayed polyneuropathy.
Organophosphate induced delayed polyneuropathy (OPIDP) is a rare sensory-motor distal axonopathy, which usually occur after ingestion of large doses of certain organophosphate insecticide. The clinical picture is characterized by the distal paresis in lower limb associated with sensory symptoms. Electrodiagnostic studies show a motor axonal neuropathy. This case occurred in a 14 years old girl who developed cramping pain in both calves associated with lower limbs paresis 6 weeks after accidental organophosphate poisoning. After another week, she also developed weakness in both hands. Electrophysiological study was characterized by an axonal polyneuropathy pattern. Patient improved upon oral multivitamin therapy and physiotherapy.
Department of Orthopaedic Surgery, Karachi Medical and Dental College and ASH, Karachi.
Asif
A
Qureshi
Rajab
R
Ali
M Yousuf
MY
Yaqoob
Omema
O
Saleem