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Document ID (ISN)78350
CIS number 02-301
ISSN - Serial title 0271-3586 - American Journal of Industrial Medicine
Year 2001
Convention or series no.
Author(s) Page E.H., Pajeau A.K., Arnold T.C., Fincher A.R., Goddard M.J.
Title Peripheral neuropathy in workers exposed to nitromethane
Bibliographic information July 2001, Vol.40, No.1, p.107-113. 33 ref.
Abstract Two workers from a headlight subassembly plant developed severe peripheral neuropathy. These workers had extensive, but brief (1-2 months), dermal and inhalation exposure to nitromethane, a solvent. Environmental sampling was performed for nitromethane and ethyl cyanoacrylate. Medical records, including electrodiagnostic studies, were reviewed. Literature on nitromethane, ethyl cyanoacrylate, and other exposures in the workplace was reviewed. Electromyography and nerve conduction studies performed on these patients were consistent with a severe, axonal neuropathy. No aetiology was discovered despite an extensive medical evaluation. Environmental sampling revealed exposure to nitromethane at the threshold limit value. The history of acute onset of severe peripheral neuropathy temporally associated with exposure to nitromethane is suggestive of a toxic neuropathy. While it cannot be definitively concluded that these two workers developed peripheral neuropathy secondary to exposures at work, occupational exposure to nitromethane appears to be the most likely aetiology.
Descriptors (primary) neurotoxic effects; diseases of peripheral nervous system; nitromethane
Descriptors (secondary) case study; determination in air; methyl cyanoacrylate; ethyl 2-cyanoacrylate
Document type D - Periodical articles
Country / State or ProvinceUSA
Subject(s) Occupational pathology
Broad subject area(s) Chemical safety
Browse category(ies) Diseases of the nervous system
Aliphatic nitro compounds