Abnormal Spontaneous Eye Movements as Initial Presentation of Organophosphate Poisoning

Igor De Lima Teixeira; Silméia Garcia Zanati Bazan; Arthur Oscar Schelp; Gustavo José Luvizutto; Fabrício Diniz De Lima; Rodrigo Bazan

doi:10.7916/D80865WS

Abnormal Spontaneous Eye Movements as Initial Presentation of Organophosphate Poisoning

Tremor Other Hyperkinet Mov (N Y). 2017 Feb 7:7:445. doi: 10.7916/D80865WS. eCollection 2017.

Authors

Igor De Lima Teixeira¹, Silméia Garcia Zanati Bazan², Arthur Oscar Schelp¹, Gustavo José Luvizutto¹, Fabrício Diniz De Lima¹, Rodrigo Bazan¹

Affiliations

¹ Department of Neurology, Psychology and Psychiatry, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho, São Paulo, Brazil.
² Department of Internal Medicine, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho, São Paulo, Brazil.

Abstract

Background: Atypical ocular bobbing may result from an intentional poisoning from an organophosphate compound.

Phenomenology shown: The patient exhibited conjugated, slow, arrhythmic, unpredictable eye movements in all directions, diagnosed as atypical ocular bobbing.

Educational value: This is a rare, well-documented, clinically relevant case for medical students for correct diagnosis and appropriate treatment of organophosphate intoxication.

Keywords: coma; ocular bobbing; organophosphate.