Evidence map›Paper›PMID 35747241›Full record

ArticleSAGE open medical case reports2022

Delayed myelopathy after organophosphate intoxication: A case report.

Sandesh Gautam, Sanjaya Sapkota, Rajeev Ojha, Anamika Jha, Ragesh Karn, Bikram Prasad Gajurel, Reema Rajbhandari, Sunanda Paudel, Niraj Gautam, Ashish Shrestha

Open access · goldAbstract readCase Reports
In one paragraph

Article in SAGE open medical case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Sandesh GautamDepartment of Internal Medicine, Tribhuvan University Institute of Medicine, Kathmandu, Nepal.ORCID https://orcid.org/0000-0002-3260-5149
Sanjaya SapkotaDepartment of Internal Medicine, Tribhuvan University Institute of Medicine, Kathmandu, Nepal.
Rajeev OjhaDepartment of Neurology, Tribhuvan University Institute of Medicine, Kathmandu, Nepal.ORCID https://orcid.org/0000-0001-7680-7036
Anamika JhaDepartment of Radiology, Tribhuvan University Institute of Medicine, Kathmandu, Nepal.
Ragesh KarnDepartment of Neurology, Tribhuvan University Institute of Medicine, Kathmandu, Nepal.
Bikram Prasad GajurelDepartment of Neurology, Tribhuvan University Institute of Medicine, Kathmandu, Nepal.
Reema RajbhandariDepartment of Neurology, Tribhuvan University Institute of Medicine, Kathmandu, Nepal.
Sunanda PaudelDepartment of Neurology, Tribhuvan University Institute of Medicine, Kathmandu, Nepal.
Niraj GautamDepartment of Neurology, Tribhuvan University Institute of Medicine, Kathmandu, Nepal.
Ashish ShresthaDepartment of Neurology, Tribhuvan University Institute of Medicine, Kathmandu, Nepal.
Tribhuvan University · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Organophosphate-induced delayed neuropathy, a central-distal axonopathy, passes through latent, progressive, static and improvement phases. During the improvement phase, the peripheral nerves regenerate unmasking the spinal cord lesion with myelopathic features. We report a case of a 16-year-old male who developed myelopathy 6 weeks following chlorpyrifos poisoning. He had a motor weakness of 4/5 in bilateral hips and 3/5 in bilateral knees and ankles. Spasticity and exaggerated reflexes with ankle clonus were present in the lower limbs. Sensory and the upper limb motor examinations were all normal. Pertinent blood, cerebrospinal fluid and nerve conduction tests were normal. Magnetic resonance imaging of the spine showed features of cord atrophy. Three months following physiotherapy, his power improved to 5/5 in bilateral knee and hip joints and 4/5 in bilateral ankles with spasticity. Organophosphate-induced delayed neuropathy can present as earlier as 6 weeks with myelopathy. Previous history of organophosphorous exposure is important in myelopathy or peripheral neuropathy.

Indexed as

chlorpyrifosmyelopathyOrganophosphateorganophosphate poisoning

Identifiers

PMID35747241
PMCPMC9210101
OpenAlexW4285170417

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.