Title of article :
QUADRIPLEGIA DUE TO LEAD-CONTAMINATED OPIUM - Case Report -
Author/Authors :
Beigmohammadi, Mohammad Taghi tehran university of medical sciences tums - Imam Khomeini Hospital - Department of Anesthesiology Intensive Care, تهران, ايران , Aghdashi, Moosa tehran university of medical sciences tums - Imam Khomeini Hospital - Department of Anesthesiology Intensive Care, تهران, ايران , Najafi, Atabak tehran university of medical sciences tums - Imam Khomeini Hospital - Department of Anesthesiology Intensive Care, تهران, ايران , Mojtahedzadeh, Mojtaba tehran university of medical sciences tums - Imam Khomeini Hospital - Department of Anesthesiology Intensive Care, تهران, ايران , Karvandian, Kassra tehran university of medical sciences tums - Imam Khomeini Hospital - Department of Anesthesiology Intensive Care, تهران, ايران
Abstract :
Purpose: Utilization of lead-contaminated opium may lead to severe motor neuron impairment and quadriplegia. Case report: Forty years oriented old male, opium addict, was admitted to the ICU, with headache, nausea and abdominal pain, and weakness in his lower and upper extremities without definitive diagnosis. The past medical and occupational history was negative. Laboratory investigation showed; anemia (Hb 7.7 g/dl), slightly elevated liver function tests, elevated total bilirubin, and ESR. Abdominal sonography and brain CT scan were normal. EMG and NCV results and neurologic examination were suggestive for Guillain-Barre. He underwent five sessions ofplasmapheresis. Blood lead level was 200 μg/dl. He received dimercaprol (BAL) and calcium disodium edetate (CaEDTA) for two five days session. Upon discharge from ICU all laboratory tests were normal and blood lead level was reduced, but he was quadriplegic. Conclusion: The delayed treatment of lead poisoning may lead to irreversible motor neuron defect.
Keywords :
Lead , Lead poisoning , Opium , Quadriplegia.
Journal title :
Middle East Journal of Anesthesiology
Journal title :
Middle East Journal of Anesthesiology
