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Published on: October 26, 2010
[Chronic parkinsonian syndrome after 10 years of repeated insecticide spraying]
L Aubeneau1, P A Bohu, D Hannequin
1Département de neurologie, CHU de Rouen-Charles-Nicolle, 1, rue de Germont, 76031, Rouen cedex, France.
Introduction:
Acute and reversible parkinsonism is usually described after massive ingestion of organophosphate insecticides whereas acute intoxications occurring after pesticide spraying are rare.
Case Report:
We report one case of atypical parkinsonian disorder following repeated spraying with an aerosol insecticide containing pyrethre and organophosphate. This patient had a daily massive dermal and respiratory exposure to these pesticides for 10 years. Cerebral MRI was normal. DAT-scan showed a presynaptic loss of function.
Conclusion:
Pesticides are suspected to be one risk factor responsible for parkinsonism. The present case supports this environmental hypothesis.
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