6.Analysis of 15 cases of toxic encephalopathy caused by acute benzene poisoning.
Qiong Na ZHENG ; Wen Shuang SHENG ; A Shan PAN
Chinese Journal of Industrial Hygiene and Occupational Diseases 2022;40(9):694-697
In this paper, the MRI manifestations of 15 patients with benzene toxic encephalopathy were analyzed, and the lesion location, shape, scope and signal were observed. The clinical manifestations of 15 patients were mainly central nervous system damage, and the MRI manifestations were characteristic, with a wide range of lesions, and the shapes were "sunflower-like", "flame-like", "bracket-like" and "butterfly-like", and the MRI signal was sheet-like long T(1), long T(2), fluid attenuated inversion recovery (FLAIR) sequence and diffusion weighted imaging (DWI) high signal, apparent diffusion coeffecient (ADC) map low, equal or high signals. When the patient's diagnosis is unclear, MRI examination may provide clinical basis for diagnosis.
Benzene
;
Diffusion Magnetic Resonance Imaging/methods*
;
Humans
;
Magnetic Resonance Imaging
;
Neurotoxicity Syndromes/etiology*
7.Serum levels and clinical significance of IL in patients with delayed encephalopathy after acute carbon monoxide poisoning.
Long ZHEN ; Ren-jun GU ; Ping ZHANG
Chinese Journal of Industrial Hygiene and Occupational Diseases 2008;26(9):561-562
Adult
;
Aged
;
Aged, 80 and over
;
Carbon Monoxide Poisoning
;
complications
;
Female
;
Humans
;
Interleukins
;
blood
;
Male
;
Middle Aged
;
Neurotoxicity Syndromes
;
blood
;
etiology
9.Imaging features of 10 patients with toxic encephalopathy caused by diquat.
Chinese Journal of Industrial Hygiene and Occupational Diseases 2022;40(5):362-365
Objective: To explore the CT and MRI imaging findings of diquat toxic encephalopathy. Methods: CT and MRI imaging features of 10 patients with diquat poisoning encephalopathy who had been clinically diagnosed were retrospectively reviewed. Results: CT was performed in all 10 patients, and MRI was performed in 8 patients. In 10 patients, 7 had positive signs on CT, and 8 patients with MRI examination had abnormal changes in the images. The main CT findings were symmetrical hypodensity in bilateral cerebellar hemisphere, brainstem, thalamus and basal ganglia, and swelling of brain tissue. The main MRI findings were symmetrical lesions and brain edema in the deep nuclei of cerebellar hemisphere, brainstem, thalamus and basal ganglia, low signal on T1WI, high signal on T2WI and T2-FLAIR, and cytotoxic edema on diffusion weighted imaging (DWI) . On review after treatment, both CT and MRI showed resorption of the lesion, which narrowed in size. Conclusion: The imaging findings of diquat poisoning encephalopathy are characteristic and the location of the lesion is characteristic, and CT and MRI have a certain diagnostic value in diquat poisoning encephalopathy, which is important for clinical treatment.
Brain Diseases
;
Diffusion Magnetic Resonance Imaging/methods*
;
Diquat
;
Humans
;
Magnetic Resonance Imaging/methods*
;
Neurotoxicity Syndromes/etiology*
;
Retrospective Studies
10.Detection rate analysis on neurological sign of workers exposed to different concentrations of carbon disulfide.
Kuirong LI ; Wenhui ZHOU ; Guizhen GU ; Shiyi ZHOU ; Yuxin ZHENG ; Shanfa YU
Chinese Journal of Preventive Medicine 2014;48(10):888-892
OBJECTIVETo study the effects of exposed to different concentrations of carbon disulfide on neurological signs of workers.
METHODSCollection the information of concentration of carbon disulfide in the workplace or workers individuals exposed of a chemical fiber industry from 2004 to 2011, a total of 3 537 workers exposed to carbon disulfide were detected muscle strength and muscle tone, knee reflex, Achilles tendon reflex, trembling limbs, sensory function, and three chatter. Chi-square test was used for statistical analysis on abnormal neurological signs of workers.
RESULTSEight hours time-weighted average concentration range of workers exposed to carbon disulfide in this chemical fiber industry was 0.2-41.0 mg/m(3), geometric mean was 2.38 mg/m(3). Concentration of carbon disulfide exposure of 1 771 workers was from 0.2 to 2.5 mg/m3( ≤ 2.5 mg/m(3)), 642 workers was 2.6-4.8 mg/m(3) (< 5.0 mg/m(3)), other 1 051 workers was from 5.1 to 41.0 mg/m(3) ( > 5.0 mg/m(3)) in all subjects. The different detection rates of knee reflex were 3.0% (31/1 045), 3.7% (21/574), 4.8% (16/331), 3.3% (10/305), 5.9% (11/187), 6.7% (68/1 022), the different detection rates of Achilles tendon reflex were 2.2% (23/1 045), 3.7% (21/574), 2.7% (9/331), 2.3% (7/305), 2.1% (4/187), 5.6% (57/1 022), the different detection rates of sensory dysfunction were 0.4% (4/1 045), 0.5% (3/574), 0.6% (2/331), 0.0% (0/305), 2.1% (4/187), 1.7% (17/1 022) in different cumulative amount of contact groups ( ≤ 10.0, 10.1-20.0, 20.1-30.0, 30.1-40.0, 40.1-50.0, >50.0 mg/m(3) per year), and the differences were statistically significant (χ(2) = 19.53, 21.27 and 15.89, all P values were <0.01) . Stratified according to age and gender, in addition to the ≤ 25 years group the difference of detection rate analysis on Achilles tendon reflex was statistically significant in the different concentration group (the ratio of on Achilles tendon reflex in the different groups of concentration of carbon disulfide exposure of 2.5, 2.6-5.0, ≥ 5.0 mg/m(3) were 0.4% (2/511), 1.0% (1/98), 2.1% (7/327), χ(2) = 5.59, P = 0.045) , the difference of detection rate analysis on neurological sign was not statistically significant in the different concentration group on the rest of the age and gender groups (P > 0.05).
CONCLUSIONWithin the concentration range of the object of study contact actual, different concentrations of carbon disulfide in addition to individual neurological signs of individual ages influential, it has no significant effect on the various signs of nervous system of workers of most age and gender groups, expect the age below the 25 years old group.
Adult ; Age Factors ; Carbon Disulfide ; adverse effects ; Chemical Industry ; China ; Humans ; Middle Aged ; Neurotoxicity Syndromes ; etiology ; Occupational Exposure ; adverse effects ; Workplace