Document Detail


The clinical and electrophysiological features of a delayed polyneuropathy developing subsequently after acute organophosphate poisoning and it's correlation with the serum acetylcholinesterase.
MedLine Citation:
PMID:  14626722     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Organophosphorus-induced delayed polyneuropathy (OPIDP) characterised with cramping pain, paresthesias in the lower extremities and occasionally in the hands, followed by weakness of the distal limb muscles, especially in the legs, and partial denervation of affected muscles often develops within first 3 weeks following acute poisoning. OBJECTIVES: To determine the incidence of development of subsequent polyneuropathy among patients with acute organophosphate poisoning (OPP), to assess whether there was a difference between patient groups with severe poisoning and mild poisoning for the development of polyneuropathy, to determine whether there was a correlation between the serum AChE levels and the development of OPIDP, and to define the clinical and electrophysiological features of OPIDP. METHODS: Forty-one patients with acute OPP admitted to the Emergency department were included in this retrospective study. On days 1, 2, 3, and 7, each patient was assessed clinically, with the measurement of serum AChE, and results were recorded on special forms. RESULTS: OPIDP was diagnosed clinically in 14 patients (34.15%) during the 14th to 22nd days after poisoning. Twelve (85.7%) of 14 patients had a severe clinical status on day 1 after poisoning. The frequency of development of OPIDP was higher in the patients with severe poisoning than the patients with mild poisoning (p = 0.041). There was no significant correlation between the serum AChE levels and the development of OPIDP. CONCLUSION: We conclude that the serum AChE levels measured on the first day and consecutive several days can not be the predictive of the development of subsequent OPIDP.
Authors:
D Aygun; M K Onar; B L Altintop
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Electromyography and clinical neurophysiology     Volume:  43     ISSN:  0301-150X     ISO Abbreviation:  Electromyogr Clin Neurophysiol     Publication Date:    2003 Oct-Nov
Date Detail:
Created Date:  2003-11-20     Completed Date:  2003-12-16     Revised Date:  2004-11-18    
Medline Journal Info:
Nlm Unique ID:  0327533     Medline TA:  Electromyogr Clin Neurophysiol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  421-7     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, School of Medicine, Ondukuz Mayis University, 55139-Samsun-Turkey. daygun@omu.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Acetylcholinesterase / blood*
Acute Disease
Adolescent
Adult
Electrophysiology
Female
Humans
Incidence
Insecticides / poisoning*
Male
Middle Aged
Motor Neurons / physiology*
Neurons, Afferent / physiology*
Organophosphorus Compounds*
Polyneuropathies / chemically induced*,  epidemiology,  physiopathology*
Predictive Value of Tests
Severity of Illness Index
Time Factors
Chemical
Reg. No./Substance:
0/Insecticides; 0/Organophosphorus Compounds; EC 3.1.1.7/Acetylcholinesterase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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