Citation

Malhotra RC, Ghia DK, Cordato DJ, Beran RG. J. Clin. Neurosci. 2010; 17(11): 1472-1473.

Copyright

(Copyright © 2010, Elsevier Publishing)

DOI

10.1016/j.jocn.2010.02.026

PMID

20655231

Abstract

Glyphosate-surfactant (GlySH) is a commonly used herbicide that has been used in attempted suicide. Most reports of GlySH toxicity in patients have followed ingestion of the commercial product "Round-up" (Monsanto Ltd; Melbourne, Victoria, Australia), which consists of a mixture of glyphosate (as a isopropylanine salt) and a surfactant (polyoxyethyleneamine). Ingestion of Round-up is reported to cause significant toxicity including nausea, vomiting, oral and abdominal pain. Renal and hepatic impairment and pulmonary oedema may also occur. Impaired consciousness and encephalopathy have been reported as sequelae but there are limited data on the central nervous system (CNS) effects of Round-up toxicity. We report a 71-year-old male who attempted suicide with GlySH and developed a prolonged but reversible encephalopathy suggestive of acute CNS toxicity.

Language: en

Keywords

Humans; Aged; Male; Glasgow Coma Scale; Acute Disease; Herbicides; Glyphosate; Coma; Glycine; Acidosis; Shock, Cardiogenic; Surface-Active Agents; Neurotoxicity Syndromes