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Organophosphate poisoning case with atypical clinical survey and magnetic resonance imaging findings
  1. E Teke1,
  2. H Sungurtekin2,
  3. T Sahiner3,
  4. H Atalay4,
  5. S Gur5
  1. 1Neurology Department, Pamukkale University, Denizli, Turkey
  2. 2Aneastesiology and Reanimation Department, Pamukkale University
  3. 3Neurology Department, Pamukkale University
  4. 4Aneastesiology and Reanimation Department, Pamukkale University
  5. 5Neurology Department, Pamukkale University
  1. Correspondence to:
 Dr E Teke
 Pamukkale University, Medicine Faculty, Neurology Department, 20100 Denizli, Turkey; eylemtekeyahoo.com

https://doi.org/10.1136/jnnp.2003.022830

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    Organophosphorous compounds, the anticholinesterases produce significant morbidity and mortality. Although exact estimates are not available, hospital based statistics suggest that nearly half of the admissions to emergency with acute poisoning are attributable to organophosphates.1 Sahin et al reported an organophosphate poisoning proportion of 15.1% among 564 poisonings.2 Patients with organic insecticide poisoning present with a spectrum of manifestations ranging from gastrointestinal symptoms of nausea, vomiting, and diarrhoea to severe neurological manifestations of fasciculations, seizures, and neuromuscular weakness and paralysis or cardiac manifestations of arrhythmias and conduction disturbances.3 The overall mortality was reported as 18%.4

    We report a case with atypical neurological findings and magnetic resonance imaging (MRI) lesions attributable to organophosphate poisoning.

    A previously healthy 31 year old man from Denizli (Turkey) presented with sudden onset of nausea, vomiting, and loss of conscious. During four days before the onset of his symptoms he was more irritable than usual. Five hours …

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