Non Convulsive Status Epileptics in a Child with Acute Organophosphorus Poisoning: A Case Report

Background: Organophosphate poisoning is common in developing countries, especially in Egypt.Electrographic seizures are uncommon presentation of acute organophosphorus intoxication.Methods: We present a case of 6years old female child presented by classical symptoms and signs of acute organophosphorus intoxication after accidental ingestion and contamination of her skin and developed sudden unexplained disturbance in her conscious level.Results: Electroencephalogram (EEG) was done showing features suggestive for nonconvulsive status epileptics and she became fully conscious 24hours after we start midazolam infusion with dramatic improvement in her follow-up EEG record.Conclusion: Non-convulsive status epileptics could be a complication after organophosphorus poisoning and could explain the prolonged disturbance in conscious level.EEG should be done to patients with prolonged disturbed consciousness unexplained either radiologically or metabolically.Further studies should be done about the incidence of Non convulsive seizures after organophosphorus poisoning.