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Laryngeal paralysis in organophosphorous poisoning

Published online by Cambridge University Press:  29 June 2007

R. Indudharan ,
M. N. Win  and
A. R. Noor
R. Indudharan*
Affiliation:
Departments of Otolaryngology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
M. N. Win
Affiliation:
Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
A. R. Noor
Affiliation:
Department of Pharmacology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
*
Address for correspondence: R. Indudharan, Department of Otolaryngology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. Fax: 09-7653370 E-mail: [email protected]
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Abstract

Organophosphorous poisoning causing isolated laryngeal paralysis has only been rarely reported before. We describe a case of difficult extubation in a patient with organophosphorous poisoning, the cause of which was found to be bilateral vocal fold palsy. This is a type of intermediate paralysis that recovers with time. Such a condition should be thought of as a cause of dyspnoea or difficult extubation in patients with organophosphorous poisoning.

Keywords

Organophosphorous compounds, poisoningVocal fold paralysis, bilateral
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 1 , January 1998 , pp. 81 - 82
Copyright
Copyright © JLO (1984) Limited 1998

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References

Aiuto, L. A., Pavlakis, S. G., Boxer, R. A. (1993) Life-threatening organophosphate-induced delayed polyneuro-pathy in a child after accidental chlorpyrifos ingestion. Journal of Pediatrics 122: 658–660.CrossRefGoogle Scholar
Benson, B., Tolo, D., Mclntire, M. (1992) Is the intermediate syndrome in organophosphate poisoning the result of insufficient oxime therapy? Clinical Toxicology 30:347–349.Google Scholar
Bleecker, J. D., Willems, J., Neucker, K. V. D., Reuck, J. D., Vogelaers, D. (1992) Prolonged toxicity with intermediate syndrome after combined parathion and methyl parathion poisoning. Clinical Toxicology 30: 333–345.Google ScholarPubMed
de Silva, H. J., Sanmuganathan, P. S., Senanayake, N. (1994) Isolated bilateral recurrent laryngeal nerve paralysis: a delayed complication of organophosphorous poisoning. Human and Experimental Toxicology 13: 171–173.CrossRefGoogle Scholar
Lotti, M., Becker, C. E., Aminoff, M. J. (1984) Organopho-sphate polyneuropathy: pathogenesis and prevention. Neurology 34: 658–662.CrossRefGoogle Scholar
Senanayake, N., Karalliedde, L. (1987) Neurotoxic effects of organophosphorous insecticides – An intermediate syndrome. New England Journal of Medicine 316: 761–763.CrossRefGoogle Scholar
Thompson, J. W., Stocks, R. M. (1997) Brief bilateral vocal cord paralysis after insecticide poisoning. A new variant of toxicity syndrome. Archives of Otolaryngology – Head and Neck Surgery 123: 93–96.CrossRefGoogle ScholarPubMed