Parkinsonism complicating acute organophosphate insecticide poisoning

Organophosphate insecticides have a triphasic effect on the central nervous system, namely acute cholinergic crisis, intermediate syndrome and delayed polyneuropathy. Although acute organophosphate poisoning is relatively common, case reports describing parkinsonism as a neurological comp...

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Main Authors: Hashim, Hasnur Zaman, Wan Musa, Wan Rosmaiza, Chai, Soon Ngiu, Wan Yahya, Wan Nafisah, Hui, Jan Tan, Ibrahim, Norlinah
Format: Article
Language:English
Published: Academy of Medicine, Singapore 2011
Subjects:
Online Access:http://irep.iium.edu.my/18676/
http://irep.iium.edu.my/18676/
http://irep.iium.edu.my/18676/1/V40N3p150.pdf
id iium-18676
recordtype eprints
spelling iium-186762012-03-14T02:24:34Z http://irep.iium.edu.my/18676/ Parkinsonism complicating acute organophosphate insecticide poisoning Hashim, Hasnur Zaman Wan Musa, Wan Rosmaiza Chai, Soon Ngiu Wan Yahya, Wan Nafisah Hui, Jan Tan Ibrahim, Norlinah R Medicine (General) Organophosphate insecticides have a triphasic effect on the central nervous system, namely acute cholinergic crisis, intermediate syndrome and delayed polyneuropathy. Although acute organophosphate poisoning is relatively common, case reports describing parkinsonism as a neurological complication following an acute intoxication are limited. 1 We report a case of parkinsonism noted on day 24 of admission following an acute severe organophosphate poisoning which was successfully treated with benzhexol and levodopa. Previously, response to levodopa was reported to be poor in 3 patients studied by Bhatt et al 1whereas amantidine, dopamine agonist and bipiriden have been shown to be helpful. 2To the best of our knowledge, this is the fi rst case of parkinsonism complicating organophosphate poisoning which responded to levodopa and benzhexol therapy. Academy of Medicine, Singapore 2011 Article PeerReviewed application/pdf en http://irep.iium.edu.my/18676/1/V40N3p150.pdf Hashim, Hasnur Zaman and Wan Musa, Wan Rosmaiza and Chai, Soon Ngiu and Wan Yahya, Wan Nafisah and Hui, Jan Tan and Ibrahim, Norlinah (2011) Parkinsonism complicating acute organophosphate insecticide poisoning. Annals Academy of Medicine Singapore, 40 (3). pp. 150-151. ISSN 0304-4602 http://www.annals.edu.sg/pdf/40VolNo3Mar2011/V40N3p150.pdf
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Hashim, Hasnur Zaman
Wan Musa, Wan Rosmaiza
Chai, Soon Ngiu
Wan Yahya, Wan Nafisah
Hui, Jan Tan
Ibrahim, Norlinah
Parkinsonism complicating acute organophosphate insecticide poisoning
description Organophosphate insecticides have a triphasic effect on the central nervous system, namely acute cholinergic crisis, intermediate syndrome and delayed polyneuropathy. Although acute organophosphate poisoning is relatively common, case reports describing parkinsonism as a neurological complication following an acute intoxication are limited. 1 We report a case of parkinsonism noted on day 24 of admission following an acute severe organophosphate poisoning which was successfully treated with benzhexol and levodopa. Previously, response to levodopa was reported to be poor in 3 patients studied by Bhatt et al 1whereas amantidine, dopamine agonist and bipiriden have been shown to be helpful. 2To the best of our knowledge, this is the fi rst case of parkinsonism complicating organophosphate poisoning which responded to levodopa and benzhexol therapy.
format Article
author Hashim, Hasnur Zaman
Wan Musa, Wan Rosmaiza
Chai, Soon Ngiu
Wan Yahya, Wan Nafisah
Hui, Jan Tan
Ibrahim, Norlinah
author_facet Hashim, Hasnur Zaman
Wan Musa, Wan Rosmaiza
Chai, Soon Ngiu
Wan Yahya, Wan Nafisah
Hui, Jan Tan
Ibrahim, Norlinah
author_sort Hashim, Hasnur Zaman
title Parkinsonism complicating acute organophosphate insecticide poisoning
title_short Parkinsonism complicating acute organophosphate insecticide poisoning
title_full Parkinsonism complicating acute organophosphate insecticide poisoning
title_fullStr Parkinsonism complicating acute organophosphate insecticide poisoning
title_full_unstemmed Parkinsonism complicating acute organophosphate insecticide poisoning
title_sort parkinsonism complicating acute organophosphate insecticide poisoning
publisher Academy of Medicine, Singapore
publishDate 2011
url http://irep.iium.edu.my/18676/
http://irep.iium.edu.my/18676/
http://irep.iium.edu.my/18676/1/V40N3p150.pdf
first_indexed 2023-09-18T20:27:50Z
last_indexed 2023-09-18T20:27:50Z
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