{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:40:03Z","timestamp":1756312803931,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,10,11]]},"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>We report a rare manifestation of delayed organophosphate (OP) poisoning in a male patient in his early childhood. After initially presenting with a cholinergic crisis after OP exposure, the patient returned 3 weeks later with paraparesis and difficulty with bladder control. The results of the MRI of the spine and brain as well as the nerve conduction studies were normal. Myelopathy induced by OP poisoning should be considered in any patient with a history of OP exposure and a presentation of paraparesis. At most recent follow-up, the patient had full bladder control and could walk without assistance. However, he demonstrated circumduction while walking with upper motor neuron signs. Furthermore, he had mild Achilles tendon contractures on both sides. To enable early detection, neurologists and paediatricians should be aware of this uncommon complication of OP poisoning which may influence neurological outcome.<\/jats:p>","DOI":"10.1136\/bcr-2022-253456","type":"journal-article","created":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T03:25:41Z","timestamp":1698204341000},"page":"e253456","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Delayed myelopathy in a child following organic phosphate poisoning"],"prefix":"10.1136","volume":"16","author":[{"given":"Fatma","family":"Al Amrani","sequence":"first","affiliation":[{"name":"Department of Child Health, Sultan Qaboos University, Muscat, Oman"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4275-4524","authenticated-orcid":false,"given":"Yasser","family":"Wali","sequence":"additional","affiliation":[{"name":"Department of Child Health, Sultan Qaboos University, Muscat, Oman"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alok","family":"Mittal","sequence":"additional","affiliation":[{"name":"Department of Radiology and Molecular Imaging, Sultan Qaboos University Hospital, Seeb, Muscat, Oman"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amna","family":"Al Futaisi","sequence":"additional","affiliation":[{"name":"Department of Child Health, Sultan Qaboos University, Muscat, Oman"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,10,24]]},"reference":[{"doi-asserted-by":"publisher","key":"2025082709201763000_16.10.e253456.1","DOI":"10.3200\/AEOH.58.8.484-497"},{"doi-asserted-by":"publisher","key":"2025082709201763000_16.10.e253456.2","DOI":"10.4103\/0972-5229.144017"},{"doi-asserted-by":"publisher","key":"2025082709201763000_16.10.e253456.3","DOI":"10.1136\/jnnp.50.11.1442"},{"key":"2025082709201763000_16.10.e253456.4","doi-asserted-by":"crossref","first-page":"189","DOI":"10.4103\/0971-6580.117270","article-title":"A rare neurological complication of acute organophosphorous poisoning","volume":"20","author":"Kalyanam","year":"2013","journal-title":"Toxicol Int"},{"key":"2025082709201763000_16.10.e253456.5","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1177\/0049475519899580","article-title":"Acute encephalopathy followed by delayed Myelopathy: A rare presentation of Organophosphate poisoning","volume":"50","author":"Agarwal","year":"2020","journal-title":"Trop Doct"},{"key":"2025082709201763000_16.10.e253456.6","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1097\/NRL.0b013e318261035b","article-title":"Chlorpyrifos-induced delayed Myelopathy and pure motor neuropathy: A case report","volume":"18","author":"Thivakaran","year":"2012","journal-title":"Neurologist"},{"key":"2025082709201763000_16.10.e253456.7","doi-asserted-by":"crossref","first-page":"2050313X2211043","DOI":"10.1177\/2050313X221104309","article-title":"Delayed Myelopathy after Organophosphate intoxication: A case report","volume":"10","author":"Gautam","year":"2022","journal-title":"SAGE Open Medical Case Reports"},{"key":"2025082709201763000_16.10.e253456.8","doi-asserted-by":"crossref","first-page":"42","DOI":"10.4103\/JPN.JPN_45_18","article-title":"Organophosphorus-induced toxic Myeloneuropathy: series of three adolescent patients with short review","volume":"14","author":"Nayak","year":"2019","journal-title":"J Pediatr Neurosci"},{"doi-asserted-by":"publisher","key":"2025082709201763000_16.10.e253456.9","DOI":"10.1093\/brain\/88.1.165"},{"doi-asserted-by":"publisher","key":"2025082709201763000_16.10.e253456.10","DOI":"10.1177\/0960327113489047"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-253456","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:20:22Z","timestamp":1756311622000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-253456"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":10,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023,10,24]]},"published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1136\/bcr-2022-253456"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-253456","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,10]]}}}