[Chronic parkinsonian syndrome after 10 years of repeated insecticide spraying].
BACKGROUND
Acute and reversible parkinsonism is usually described after massive ingestion of organophosphate insecticides whereas acute intoxications occurring after pesticide spraying are rare.


METHODS
We report one case of atypical parkinsonian disorder following repeated spraying with an aerosol insecticide containing pyrethre and organophosphate. This patient had a daily massive dermal and respiratory exposure to these pesticides for 10 years. Cerebral MRI was normal. DAT-scan showed a presynaptic loss of function.


CONCLUSIONS
Pesticides are suspected to be one risk factor responsible for parkinsonism. The present case supports this environmental hypothesis.
Aubeneau
L
L
Département de neurologie, CHU de Rouen-Charles-Nicolle, 1, rue de Germont, 76031, Rouen cedex, France.
Bohu
P A
PA
Hannequin
D
D
Maltête
D
D
D000382:Agricultural Workers' Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D002908:Chronic Disease; D006801:Humans; D007306:Insecticides / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure / Q000009:adverse effects*; D009943:Organophosphorus Compounds / Q000009:adverse effects; D020734:Parkinsonian Disorders / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000523:psychology; D011722:Pyrethrins / Q000009:adverse effects; D011877:Radionuclide Imaging
D007306:Insecticides; D009943:Organophosphorus Compounds; D011722:Pyrethrins