TY - JOUR PY - 2008// TI - Long-term event-related potential changes following organophosphorus insecticide poisoning JO - Clinical neurophysiology A1 - Dassanayake, Waidyaratne Dassanayake Mudiyanselage Tharaka Lagath A1 - Weerasinghe, V. A1 - Dangahadeniya, U. A1 - Kularatne, Keerthi A1 - Dawson, Andrew A1 - Karalliedde, L. A1 - Senanayake, N. SP - 144 EP - 150 VL - 119 IS - 1 N2 - OBJECTIVE: To determine prolonged effects of organophosphorus (OP) insecticide poisoning on cognitive event-related potentials (ERPs). METHODS: ERPs of a group of 32 patients recovered from cholinergic phase of OP insecticide poisoning were compared with those of two matched control groups: 32 healthy volunteers and nine patients hospitalised with paracetamol overdose. A follow-up assessment was done in 21 patients (66% of the initial sample) 6 months after OP intoxication and the findings were compared with their initial ERP data. RESULTS: Patients showed highly significant prolongation of P300 latency, compared to healthy controls (p=0.003) and the controls with paracetamol overdose (p=0.016). Follow-up ERP findings of the patients revealed that this impairment remained unchanged even 6 months after OP poisoning (p=0.790). There was no significant difference in N100, P200 and N200 latencies or P300 amplitude either among the groups or between the two assessments of the patients with OP poisoning. CONCLUSIONS: Our results suggest that acute OP poisoning causes a delay in cognitive processes involved in stimulus classification, lasting at least for 6 months. SIGNIFICANCE: These findings highlight the possibility of development of long-lasting cognitive deficits following OP insecticide poisoning, and warrant longer-term prospective studies to determine whether this impairment is permanent.
Language: en
LA - en SN - 1388-2457 UR - http://dx.doi.org/10.1016/j.clinph.2007.09.134 ID - ref1 ER -