Myeloneuropathy in organophosphorous compound poisoning

Organophosphorous compounds are commonly used pesticides and are consumed by humans with suicidal intention. It causes various neurological complications in the form of acute, intermediate and delayed syndromes. Organophosphorous induced delayed syndrome occurs only in certain organophosphorous compounds. In some patients with time when the lower motor neuron involvement features improves, the upper motor neuron involvement becomes evident. Recognition of upper motor neuron involvement is important as it is helpful for prognostication .we report two cases of organophosphorous compound poisoning with upper motor neuron involvement seen at our institute