Long-term neuropsychological effects and MRI findings in patients with CS2 poisoning
Cho SK, Kim RH, Yim SH, Tak SW, Lee YK, Son MA. Long‐term neuropsychological effects and MRI findings in patients with CS2 poisoning. Acta Neurol Scand 2002; 106:269–275. © Blackwell Munksgaard 2002. Objectives– To evaluate the long‐term neuropsychological effects and magnetic resonance imaging (MRI...
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| Published in | Acta neurologica Scandinavica Vol. 106; no. 5; pp. 269 - 275 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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Oxford, UK
Munksgaard International Publishers
01.11.2002
Blackwell |
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| Abstract | Cho SK, Kim RH, Yim SH, Tak SW, Lee YK, Son MA. Long‐term neuropsychological effects and MRI findings in patients with CS2 poisoning.
Acta Neurol Scand 2002; 106:269–275. © Blackwell Munksgaard 2002.
Objectives– To evaluate the long‐term neuropsychological effects and magnetic resonance imaging (MRI) findings among retired patients with a history of exposure to carbon disulfide (CS2). Material and methods– Seventy‐four patients with a history of exposure to CS2 were divided into two equal groups according to their level of exposure, and they completed a questionnaire and were evaluated for neuropsychological symptoms using the Korean version of the revised Wechsler Adult Intelligence Scale. Thirty‐one MRI images were reviewed retrospectively. Results– There were no statistically significant differences in total, verbal and performance IQs between high‐ and low‐exposure groups. MRI findings revealed a significantly larger number of cerebral lacunae (five of 12 subjects) in the high‐exposure group. Periventricular hyperintensities were mostly located in frontal and occipital areas, and white‐matter hyperintensities were mostly in frontal and parietal areas. Conclusion– The higher prevalence of lacunae in the high‐exposure group as revealed by MRI suggests that further MRI studies are needed into long‐term neuropsychological effects induced by CS2. |
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| AbstractList | To evaluate the long-term neuropsychological effects and magnetic resonance imaging (MRI) findings among retired patients with a history of exposure to carbon disulfide (CS2).OBJECTIVESTo evaluate the long-term neuropsychological effects and magnetic resonance imaging (MRI) findings among retired patients with a history of exposure to carbon disulfide (CS2).Seventy-four patients with a history of exposure to CS2 were divided into two equal groups according to their level of exposure, and they completed a questionnaire and were evaluated for neuropsychological symptoms using the Korean version of the revised Wechsler Adult Intelligence Scale. Thirty-one MRI images were reviewed retrospectively.MATERIAL AND METHODSSeventy-four patients with a history of exposure to CS2 were divided into two equal groups according to their level of exposure, and they completed a questionnaire and were evaluated for neuropsychological symptoms using the Korean version of the revised Wechsler Adult Intelligence Scale. Thirty-one MRI images were reviewed retrospectively.There were no statistically significant differences in total, verbal and performance IQs between high- and low-exposure groups. MRI findings revealed a significantly larger number of cerebral lacunae (five of 12 subjects) in the high-exposure group. Periventricular hyperintensities were mostly located in frontal and occipital areas, and white-matter hyperintensities were mostly in frontal and parietal areas.RESULTSThere were no statistically significant differences in total, verbal and performance IQs between high- and low-exposure groups. MRI findings revealed a significantly larger number of cerebral lacunae (five of 12 subjects) in the high-exposure group. Periventricular hyperintensities were mostly located in frontal and occipital areas, and white-matter hyperintensities were mostly in frontal and parietal areas.The higher prevalence of lacunae in the high-exposure group as revealed by MRI suggests that further MRI studies are needed into long-term neuropsychological effects induced by CS2.CONCLUSIONThe higher prevalence of lacunae in the high-exposure group as revealed by MRI suggests that further MRI studies are needed into long-term neuropsychological effects induced by CS2. To evaluate the long-term neuropsychological effects and magnetic resonance imaging (MRI) findings among retired patients with a history of exposure to carbon disulfide (CS2). Seventy-four patients with a history of exposure to CS2 were divided into two equal groups according to their level of exposure, and they completed a questionnaire and were evaluated for neuropsychological symptoms using the Korean version of the revised Wechsler Adult Intelligence Scale. Thirty-one MRI images were reviewed retrospectively. There were no statistically significant differences in total, verbal and performance IQs between high- and low-exposure groups. MRI findings revealed a significantly larger number of cerebral lacunae (five of 12 subjects) in the high-exposure group. Periventricular hyperintensities were mostly located in frontal and occipital areas, and white-matter hyperintensities were mostly in frontal and parietal areas. The higher prevalence of lacunae in the high-exposure group as revealed by MRI suggests that further MRI studies are needed into long-term neuropsychological effects induced by CS2. Cho SK, Kim RH, Yim SH, Tak SW, Lee YK, Son MA. Long‐term neuropsychological effects and MRI findings in patients with CS2 poisoning. Acta Neurol Scand 2002; 106:269–275. © Blackwell Munksgaard 2002. Objectives– To evaluate the long‐term neuropsychological effects and magnetic resonance imaging (MRI) findings among retired patients with a history of exposure to carbon disulfide (CS2). Material and methods– Seventy‐four patients with a history of exposure to CS2 were divided into two equal groups according to their level of exposure, and they completed a questionnaire and were evaluated for neuropsychological symptoms using the Korean version of the revised Wechsler Adult Intelligence Scale. Thirty‐one MRI images were reviewed retrospectively. Results– There were no statistically significant differences in total, verbal and performance IQs between high‐ and low‐exposure groups. MRI findings revealed a significantly larger number of cerebral lacunae (five of 12 subjects) in the high‐exposure group. Periventricular hyperintensities were mostly located in frontal and occipital areas, and white‐matter hyperintensities were mostly in frontal and parietal areas. Conclusion– The higher prevalence of lacunae in the high‐exposure group as revealed by MRI suggests that further MRI studies are needed into long‐term neuropsychological effects induced by CS2. |
| Author | Lee, Y. K. Son, M. A. Tak, S. W. Yim, S. H. Kim, R. H. Cho, S. K. |
| Author_xml | – sequence: 1 givenname: S. K. surname: Cho fullname: Cho, S. K. organization: Department of Psychiatry, Eumsung Mental Hospital, Chung-Buk, South Korea – sequence: 2 givenname: R. H. surname: Kim fullname: Kim, R. H. organization: Department of Environmental Health, School of Public Health, Seoul National University, Seoul, South Korea – sequence: 3 givenname: S. H. surname: Yim fullname: Yim, S. H. organization: Department of Occupational Medicine, Wonjin Green Hospital, Kyeong-Ki, South Korea – sequence: 4 givenname: S. W. surname: Tak fullname: Tak, S. W. organization: Wonjin Institute of Occupational and Environmental Health, Kyeong-Ki, South Korea – sequence: 5 givenname: Y. K. surname: Lee fullname: Lee, Y. K. organization: Wonjin Institute of Occupational and Environmental Health, Kyeong-Ki, South Korea – sequence: 6 givenname: M. A. surname: Son fullname: Son, M. A. organization: Center of Occupational and Industrial Medicine, Hallym University, Seoul, South Korea |
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| Keywords | Human Performance evaluation Insecticide Occupational disease Pesticides Fumigant Psychometrics Nuclear magnetic resonance imaging Long term Carbon disulfide Medical imagery Adult Evolution Poisoning Occupational medicine Intelligence quotient |
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| References | REINHARDT F, DREXLER H, BICKEL A et al. Neurotoxicity of long-term low-level exposure to carbon disulphide: results of questionnaire, clinical neurological examination and neuropsychological testing. Int Arch Occup Environ Health 1997;69: 332-8. KRUSE A, BORCH-JOHNSEN K, PEDERSEN LM. Cerebral damage following a single high exposure to carbon disulfide. J Soc Occup Med 1982;32: 44-5. HORIKOSHI T, YAGI S, FUKAMACHI A. Incidental high-intensity foci in white matter on T2-weighted magnetic resonance imaging. Frequency and clinical significance in symptom-free adults. Neuroradiology 1993;35: 151-5. WHITE RF, FELDMAN RG, TRAVERS PH. Neurobehavioral effects of toxicity due to metals, solvents, and insecticides. Clin Neuropharmacol 1990;13: 392-412. PETERS HA, LEVINE RL, MATTHEWS CG et al. Extrapyramidal and other neurologic manifestations associated with carbon disulfide fumigant exposure. Arch Neurol 1988;45: 537-40. PUTZ-ANDERSON V, ALBRIGHT BE, LEE ST et al. A behavioral examination of exposed to carbon disulfide. Neurotoxicology 1983;4: 67-77. TAKEBAYASHI T, OMAE K, ISHIZUKA C et al. Cross-sectional observation of the effects of carbon disulphide on the nervous system, endocrine system, and subjective symptoms in rayon manufacturing workers. Occup Environ Med 1998;55: 473-9. MIRSEN TR, LEE DH, WONG CJ et al. Clinical correlates of white-matter changes on magnetic resonance imaging scans of the brain. Arch Neurol 1991;48: 1015-21. WOOD RW. Neurobehavioral toxicity of carbon disulfide. Neurobehav Toxicol Teratol 1981;3: 397-405. CASSITTO MG, CAMERINO D, IMBRIANI M et al. Carbon disulfide and the central nervous system: a 15-year neurobehavioral surveillance of an exposed population. Environ Res 1993;63: 252-63. BRADLEY WG, WALUCH V, BRANT-ZAWADZKI M et al. Patchy periventricular white matter lesions in the elderly: a common observation during NMR imaging. Noninvasive Med Imaging 1984;1: 35-42. HENDRIE HC, FARLOW MR, AUSTROM MG et al. Foci of increased T2 signal intensity on brain MR scans of healthy elderly subjects. Am J Neuroradiol 1989;10: 703-7. WHITE RF, PROCTOR SP. Solvents and neurotoxicity. Lancet 1997;349: 1239-43. KIM JS. Methodological principle in diagnosis of occupational diseases. J Inst Health Environ Sci 1993;3: 97-111. AASERUD O, HOMMEREN OJ, TVEDT B et al. Carbon disulfide exposure and neurotoxic sequelae among viscose rayon workers. Am J Ind Med 1990;18: 25-37. SUGIMURA K, KABASHIMA K, TATETSU S. Computerized tomography in chronic carbon disulfide poisoning. Brain Nerve 1979;31: 1245-53. BRANT-ZAWADZKI M, FEIN G, VAN DYKE C et al. MR imaging of the aging brain: patchy white-matter lesions and dementia. Am J Neuroradiol 1985;6: 675-82. SCHMIDT R, FAZEKAS F, KLEINERT G et al. Magnetic resonance imaging signal hyperintensities in the deep and subcortical white matter. A comparative study between stroke patients and normal volunteers. Arch Neurol 1992; 49: 825-7. AASERUD O, RUSSELL D, NYBERG-HANSEN R et al. Regional cerebral blood flow after long-term exposure to carbon disulfide. Acta Neurol Scand 1992;85: 266-71. HÄNNINEN H. Psychological picture of manifest and latent carbon disulphide poisoning. Br J Ind Med 1971;28: 374-81. KERTESZ A, BLACK SE, TOKAR G et al. Periventricular and subcortical hyperintensities on magnetic resonance imaging. `Rims, caps, and unidentified bright objects'. Arch Neurol 1988; 45: 404-8. AASERUD O, GJERSTAD L, NAKSTAD P et al. Neurological examination, computerized tomography, cerebral blood flow and neuropsychological examination in workers with long-term exposure to carbon disulfide. Toxicology 1988; 49: 277-82. HUANG CC, CHU CC, CHEN RS et al. Chronic carbon disulfide encephalopathy. Eur Neurol 1996;36: 364-8. YLIKOSKI A, ERKINJUNTTI T, RAININKO R et al. White matter hyperintensities on MRI in the neurologically nondiseased elderly. Analysis of cohorts of consecutive subjects aged 55-85 years living at home. Stroke 1995; 26: 1171-7. 1990; 13 1971; 28 1990; 18 1981; 3 1997; 69 1982; 32 1983; 4 1993; 63 1985; 6 1992 1991 1979; 31 1996; 36 1993; 3 1979 1999 1993; 35 1997; 349 1989; 10 1991; 48 1995; 26 1984; 1 1988; 49 1988; 45 1981 1980 1992; 49 1998; 55 1992; 85 |
| References_xml | – reference: HÄNNINEN H. Psychological picture of manifest and latent carbon disulphide poisoning. Br J Ind Med 1971;28: 374-81. – reference: REINHARDT F, DREXLER H, BICKEL A et al. Neurotoxicity of long-term low-level exposure to carbon disulphide: results of questionnaire, clinical neurological examination and neuropsychological testing. Int Arch Occup Environ Health 1997;69: 332-8. – reference: CASSITTO MG, CAMERINO D, IMBRIANI M et al. Carbon disulfide and the central nervous system: a 15-year neurobehavioral surveillance of an exposed population. Environ Res 1993;63: 252-63. – reference: HORIKOSHI T, YAGI S, FUKAMACHI A. Incidental high-intensity foci in white matter on T2-weighted magnetic resonance imaging. Frequency and clinical significance in symptom-free adults. Neuroradiology 1993;35: 151-5. – reference: HENDRIE HC, FARLOW MR, AUSTROM MG et al. Foci of increased T2 signal intensity on brain MR scans of healthy elderly subjects. Am J Neuroradiol 1989;10: 703-7. – reference: MIRSEN TR, LEE DH, WONG CJ et al. Clinical correlates of white-matter changes on magnetic resonance imaging scans of the brain. Arch Neurol 1991;48: 1015-21. – reference: BRANT-ZAWADZKI M, FEIN G, VAN DYKE C et al. MR imaging of the aging brain: patchy white-matter lesions and dementia. Am J Neuroradiol 1985;6: 675-82. – reference: PETERS HA, LEVINE RL, MATTHEWS CG et al. Extrapyramidal and other neurologic manifestations associated with carbon disulfide fumigant exposure. Arch Neurol 1988;45: 537-40. – reference: TAKEBAYASHI T, OMAE K, ISHIZUKA C et al. Cross-sectional observation of the effects of carbon disulphide on the nervous system, endocrine system, and subjective symptoms in rayon manufacturing workers. Occup Environ Med 1998;55: 473-9. – reference: BRADLEY WG, WALUCH V, BRANT-ZAWADZKI M et al. Patchy periventricular white matter lesions in the elderly: a common observation during NMR imaging. Noninvasive Med Imaging 1984;1: 35-42. – reference: SUGIMURA K, KABASHIMA K, TATETSU S. Computerized tomography in chronic carbon disulfide poisoning. Brain Nerve 1979;31: 1245-53. – reference: KRUSE A, BORCH-JOHNSEN K, PEDERSEN LM. Cerebral damage following a single high exposure to carbon disulfide. J Soc Occup Med 1982;32: 44-5. – reference: KERTESZ A, BLACK SE, TOKAR G et al. Periventricular and subcortical hyperintensities on magnetic resonance imaging. `Rims, caps, and unidentified bright objects'. Arch Neurol 1988; 45: 404-8. – reference: WOOD RW. Neurobehavioral toxicity of carbon disulfide. Neurobehav Toxicol Teratol 1981;3: 397-405. – reference: PUTZ-ANDERSON V, ALBRIGHT BE, LEE ST et al. A behavioral examination of exposed to carbon disulfide. Neurotoxicology 1983;4: 67-77. – reference: KIM JS. Methodological principle in diagnosis of occupational diseases. J Inst Health Environ Sci 1993;3: 97-111. – reference: WHITE RF, FELDMAN RG, TRAVERS PH. Neurobehavioral effects of toxicity due to metals, solvents, and insecticides. Clin Neuropharmacol 1990;13: 392-412. – reference: YLIKOSKI A, ERKINJUNTTI T, RAININKO R et al. White matter hyperintensities on MRI in the neurologically nondiseased elderly. Analysis of cohorts of consecutive subjects aged 55-85 years living at home. Stroke 1995; 26: 1171-7. – reference: AASERUD O, HOMMEREN OJ, TVEDT B et al. Carbon disulfide exposure and neurotoxic sequelae among viscose rayon workers. Am J Ind Med 1990;18: 25-37. – reference: AASERUD O, GJERSTAD L, NAKSTAD P et al. Neurological examination, computerized tomography, cerebral blood flow and neuropsychological examination in workers with long-term exposure to carbon disulfide. Toxicology 1988; 49: 277-82. – reference: WHITE RF, PROCTOR SP. Solvents and neurotoxicity. Lancet 1997;349: 1239-43. – reference: HUANG CC, CHU CC, CHEN RS et al. Chronic carbon disulfide encephalopathy. Eur Neurol 1996;36: 364-8. – reference: SCHMIDT R, FAZEKAS F, KLEINERT G et al. Magnetic resonance imaging signal hyperintensities in the deep and subcortical white matter. A comparative study between stroke patients and normal volunteers. Arch Neurol 1992; 49: 825-7. – reference: AASERUD O, RUSSELL D, NYBERG-HANSEN R et al. Regional cerebral blood flow after long-term exposure to carbon disulfide. Acta Neurol Scand 1992;85: 266-71. – volume: 349 start-page: 1239 year: 1997 end-page: 43 article-title: Solvents and neurotoxicity publication-title: Lancet – volume: 1 start-page: 35 year: 1984 end-page: 42 article-title: Patchy periventricular white matter lesions in the elderly: a common observation during NMR imaging publication-title: Noninvasive Med Imaging – year: 1981 – volume: 26 start-page: 1171 year: 1995 end-page: 7 article-title: White matter hyperintensities on MRI in the neurologically nondiseased elderly. Analysis of cohorts of consecutive subjects aged 55–85 years living at home publication-title: Stroke – volume: 45 start-page: 404 year: 1988 end-page: 8 article-title: Periventricular and subcortical hyperintensities on magnetic resonance imaging. `Rims, caps, and unidentified bright objects' publication-title: Arch Neurol – volume: 32 start-page: 44 year: 1982 end-page: 5 article-title: Cerebral damage following a single high exposure to carbon disulfide publication-title: J Soc Occup Med – volume: 10 start-page: 703 year: 1989 end-page: 7 article-title: Foci of increased T2 signal intensity on brain MR scans of healthy elderly subjects publication-title: Am J Neuroradiol – volume: 49 start-page: 277 year: 1988 end-page: 82 article-title: Neurological examination, computerized tomography, cerebral blood flow and neuropsychological examination in workers with long‐term exposure to carbon disulfide publication-title: Toxicology – volume: 3 start-page: 397 year: 1981 end-page: 405 article-title: Neurobehavioral toxicity of carbon disulfide publication-title: Neurobehav Toxicol Teratol – volume: 18 start-page: 25 year: 1990 end-page: 37 article-title: Carbon disulfide exposure and neurotoxic sequelae among viscose rayon workers publication-title: Am J Ind Med – year: 1979 – year: 1992 – volume: 36 start-page: 364 year: 1996 end-page: 8 article-title: Chronic carbon disulfide encephalopathy publication-title: Eur Neurol – volume: 45 start-page: 537 year: 1988 end-page: 40 article-title: Extrapyramidal and other neurologic manifestations associated with carbon disulfide fumigant exposure publication-title: Arch Neurol – volume: 31 start-page: 1245 year: 1979 end-page: 53 article-title: Computerized tomography in chronic carbon disulfide poisoning publication-title: Brain Nerve – volume: 13 start-page: 392 year: 1990 end-page: 412 article-title: Neurobehavioral effects of toxicity due to metals, solvents, and insecticides publication-title: Clin Neuropharmacol – volume: 6 start-page: 675 year: 1985 end-page: 82 article-title: MR imaging of the aging brain: patchy white‐matter lesions and dementia publication-title: Am J Neuroradiol – volume: 63 start-page: 252 year: 1993 end-page: 63 article-title: Carbon disulfide and the central nervous system: a 15‐year neurobehavioral surveillance of an exposed population publication-title: Environ Res – volume: 69 start-page: 332 year: 1997 end-page: 8 article-title: Neurotoxicity of long‐term low‐level exposure to carbon disulphide: results of questionnaire, clinical neurological examination and neuropsychological testing publication-title: Int Arch Occup Environ Health – year: 1980 – volume: 48 start-page: 1015 year: 1991 end-page: 21 article-title: Clinical correlates of white‐matter changes on magnetic resonance imaging scans of the brain publication-title: Arch Neurol – volume: 4 start-page: 67 year: 1983 end-page: 77 article-title: A behavioral examination of exposed to carbon disulfide publication-title: Neurotoxicology – volume: 3 start-page: 97 year: 1993 end-page: 111 article-title: Methodological principle in diagnosis of occupational diseases publication-title: J Inst Health Environ Sci – volume: 35 start-page: 151 year: 1993 end-page: 5 article-title: Incidental high‐intensity foci in white matter on T2‐weighted magnetic resonance imaging. Frequency and clinical significance in symptom‐free adults publication-title: Neuroradiology – volume: 85 start-page: 266 year: 1992 end-page: 71 article-title: Regional cerebral blood flow after long‐term exposure to carbon disulfide publication-title: Acta Neurol Scand – volume: 28 start-page: 374 year: 1971 end-page: 81 article-title: Psychological picture of manifest and latent carbon disulphide poisoning publication-title: Br J Ind Med – year: 1991 – volume: 55 start-page: 473 year: 1998 end-page: 9 article-title: Cross‐sectional observation of the effects of carbon disulphide on the nervous system, endocrine system, and subjective symptoms in rayon manufacturing workers publication-title: Occup Environ Med – volume: 49 start-page: 825 year: 1992 end-page: 7 article-title: Magnetic resonance imaging signal hyperintensities in the deep and subcortical white matter. A comparative study between stroke patients and normal volunteers publication-title: Arch Neurol – year: 1999 |
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| Snippet | Cho SK, Kim RH, Yim SH, Tak SW, Lee YK, Son MA. Long‐term neuropsychological effects and MRI findings in patients with CS2 poisoning.
Acta Neurol Scand 2002;... To evaluate the long-term neuropsychological effects and magnetic resonance imaging (MRI) findings among retired patients with a history of exposure to carbon... |
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| SubjectTerms | Aged Behavioral Symptoms - chemically induced Behavioral Symptoms - pathology Biological and medical sciences Brain Infarction - chemically induced Brain Infarction - pathology carbon disulfide Carbon Disulfide - administration & dosage Carbon Disulfide - poisoning Chemical and industrial products toxicology. Toxic occupational diseases Dose-Response Relationship, Drug Gas, fumes Humans Intelligence Tests Magnetic Resonance Imaging Medical sciences Middle Aged Nervous System Diseases - chemically induced Nervous System Diseases - pathology neuropsychological effects Occupational Diseases - chemically induced Occupational Diseases - pathology Occupational Exposure - adverse effects Retrospective Studies Time Factors Toxicology Tropical medicine |
| Title | Long-term neuropsychological effects and MRI findings in patients with CS2 poisoning |
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