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NEUROLOGY 1976;26:238
© 1976 American Academy of Neurology

Glue sniffer's neuropathy

JAVAD TOWFIGHI, M.D., NICHOLAS K. GONATAS, M.D., DAVID PLEASURE, M.D., HOMI S. COOPER, M.D. and LAURA McCREE, B.S.

From the Department of Pathology (Neuropathology) and Neurology, University of Pennsylvania Medical School, Philadelphia, Pennsylvania.

Progressive sensorimotor neuropathy developed in two patients exposed to prolonged (chronic) inhalation of n-hexane (glue sniffing). Sural nerve biopsies showed loss of axons; remaining axons were either normal or showed accumulation of filaments of 90 to 100 A thick, widened nodes of Ranvier, and focal enlargements. The muscle biopsy revealed neurogenic atrophy. Intramuscular nerve twigs and end-plates, studied in one patient, showed loss of axons and nerve terminals. Unmyelinated axons also showed accumulation of 90 to 100 A thick filaments. The similarities between the pathologic findings in the peripheral nerve of these patients and those with acrylamide neuropathy suggest that the n-hexane inhalation produces a dying back neuropathy.

Dr. Towfighi's address is Laboratory of Neuropathology, University of Pennsylvania School of Medicine, 447 Johnson Pavilion G2, Philadelphia, PA 19174.

This study was supported by research grants from the National Institutes of Health (NS05712-03-NS05572-10) and National Multiple Sclerosis Society RG889-B-2.

Received for publication March 13, 1975.




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