{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:27:06Z","timestamp":1786739226390,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:p>Acute onset bulbar symptoms with respiratory failure and descending paralysis may occur in several neuromuscular disorders including variants of Guillain-Barre syndrome (GBS), diphtheria, botulism and toxins. We present a 51-year-old man who presented with complains of ptosis and dyspnea following pyrethroids spraying in an enclosed area for eradication of flea. Within 5-6 days of admission limb weakness, dysphagia, dysarthria, blurred vision, diplopia, tremor and respiratory distress added to previous symptoms. Temporal profile of events after exposure, development of similar symptoms in patient's son, electrodiagnostic findings and exclusion of other etiologies confirms intoxication etiology. We reviewed the literature and provide an extensive electrodiagnostic overview.<\/jats:p>","DOI":"10.4103\/2277-9175.178793","type":"journal-article","created":{"date-parts":[[2016,3,16]],"date-time":"2016-03-16T04:26:44Z","timestamp":1458102404000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Clinical and electrodiagnostic findings in cyhalothrine poisoning"],"prefix":"10.4103","volume":"5","author":[{"given":"Keivan","family":"Basiri","sequence":"first","affiliation":[{"name":"Department of Neurology, Isfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Reza","family":"Mohaghegh","sequence":"additional","affiliation":[{"name":"Department of Neurology, Isfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somayyeh Sadat","family":"Teimouri","sequence":"additional","affiliation":[{"name":"Department of Neurology, Isfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Asghar","family":"Okhovat","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kashani Hospital, Shahre-Kord University of Medical Sciences, Shahre-Kord, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2016,3,16]]},"reference":[{"key":"R1-20251008","doi-asserted-by":"crossref","first-page":"1931","DOI":"10.1021\/es403661a","article-title":"Urinary pyrethroid and chlorpyrifos metabolite concentrations in Northern California families and their relationship to indoor residential insecticide levels, part of the Study of Use of Products and Exposure Related Behavior (SUPERB)","volume":"48","author":"Trunnelle","year":"2014","journal-title":"Environ Sci Technol"},{"key":"R2-20251008","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1002\/mus.21801","article-title":"Reversible conduction failure in pharyngeal-cervical-brachial variant of Guillain-Barr\u00e9 syndrome","volume":"42","author":"Capasso","year":"2010","journal-title":"Muscle Nerve"},{"key":"R3-20251008","doi-asserted-by":"crossref","first-page":"867","DOI":"10.3109\/15563650.2010.535003","article-title":"Botulism, where are we now?","volume":"48","author":"Zhang","year":"2010","journal-title":"ClinToxicol (Phila)"},{"key":"R4-20251008","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1258\/td.2012.120293","article-title":"Post-diphtheritic neuropathy: A clinical study in paediatric intensive care unit of a developing country","volume":"42","author":"Kanwal","year":"2012","journal-title":"Trop Doct"},{"key":"R5-20251008","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/j.taap.2011.11.014","article-title":"A comprehensive review on experimental and clinical findings in intermediate syndrome caused by organophosphate poisoning","volume":"258","author":"Abdollahi","year":"2012","journal-title":"Toxicol Appl Pharmacol"},{"key":"R6-20251008","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.tox.2012.02.005","article-title":"A role for solvents in the toxicity of agricultural organophosphorus pesticides","volume":"294","author":"Eddleston","year":"2012","journal-title":"Toxicology"},{"key":"R7-20251008","first-page":"149","article-title":"Organophosphorus pesticide poisoning: Cases and developments","volume":"66","author":"AardemaH","year":"2008","journal-title":"Neth J Med"},{"key":"R8-20251008","doi-asserted-by":"crossref","first-page":"497","DOI":"10.3109\/15563650.2013.808747","article-title":"Recurrent tonic-clonic seizures and coma due to ingestion of Type 1 pyrethroids in a 19-month-old patient","volume":"51","author":"Giampreti","year":"2013","journal-title":"Clin Toxicol (Phila)"},{"key":"R9-20251008","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1007\/s11552-008-9126-y","article-title":"Delayed neuropathy due to organophosphate insecticide injection in an attempt to commit suicide","volume":"4","author":"Erg\u00fcn","year":"2009","journal-title":"Hand (N Y)"},{"key":"R10-20251008","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1590\/S0004-282X1977000200005","article-title":"Neurologic involvement caused by insecticides. 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