Citation

Tan ST, Guanglin C, Lee D, Tan YJ. Neurol. Asia 2021; 26(4): 839-843.

Copyright

(Copyright © 2021, ASEAN Neurological Association)

DOI

10.54029/2021WRY

PMID

unavailable

Abstract

We describe the case of a middle-aged female with schizophrenia, who developed acute sensorimotor deficits of the right upper limb within a week of ingesting large amounts of metaldehyde in a suicide attempt. A right-sided brachial plexopathy was diagnosed clinically and supported by electrophysiologic assessments and targeted magnetic resonance imaging scans. Although metaldehyde's neurotoxicity typically affects the central nervous system, focal involvement of the peripheral nervous system remains unreported in medical literature, and its pathogenic processes await further elucidation. Therefore, we recommend the continued observation for the subsequent development of sensorimotor deficits during the first week of metaldehyde poisoning. © 2021, ASEAN Neurological Association. All rights reserved.

Language: en

Keywords

adult; human; female; case report; peripheral nervous system; schizophrenia; suicide attempt; hospitalization; rhabdomyolysis; intoxication; Neurotoxicity; middle aged; stomach lavage; neurotoxicity; nuclear magnetic resonance imaging; activated carbon; edema; olanzapine; hemodynamics; urinalysis; heart rate; creatine kinase; peripheral neuropathy; Glasgow coma scale; metabolic acidosis; infusion fluid; lethargy; blood analysis; neurologic examination; electrophysiology; Article; blood pressure monitoring; brachial plexus; anion gap; metaldehyde; Metaldehyde; sensorimotor function; upper limb; biceps brachii muscle; brachial plexopathy; Brachial plexopathy; cervical spondylosis; deep tendon reflex; fatty atrophy; focal involvement; foraminal stenosis; fructose bisphosphate aldolase; left lateral antebrachial cutaneous sensory nerve; left medial antebrachial cutaneous sensory nerve; left median nerve; left radial nerve; left ulnar nerve; monoplegia; nerve conduction study; pinprick test; right lateral antebrachial cutaneous sensory nerve; right medial antebrachial cutaneous sensory nerve; right median nerve; right radial nerve; right ulnar nerve; triceps brachii muscle