Document Detail


Cadmium encephalopathy: a report with elemental analysis and pathological findings.
MedLine Citation:
PMID:  7879607     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a boy of East Indian origin, aged 2 years and 10 months, who died suddenly and unexpectedly. Autopsy findings showed marked cerebral swelling with herniation and histological evidence of marked cerebral edema with perivascular protein leakage, indicating blood-brain barrier disruption. Energy dispersive X-ray microprobe analysis of the brain demonstrated the presence of cadmium and a marked increase in sulfur, predominantly intracellular, both within neuroglial, and to a lesser degree endothelial, cells. Localization was predominantly in the nucleus. Analysis of the kidney showed cadmium deposition in renal tubules and in the basal lamina of podocytes within the glomerulus. Although the environmental source of cadmium remains unknown, we speculate that acute cadmium toxicity led to brain intracellular accumulation with resultant cellular dysfunction, blood-brain barrier disruption, and lethal cerebral edema.
Authors:
J P Provias; C A Ackerley; C Smith; L E Becker
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta neuropathologica     Volume:  88     ISSN:  0001-6322     ISO Abbreviation:  Acta Neuropathol.     Publication Date:  1994  
Date Detail:
Created Date:  1995-03-31     Completed Date:  1995-03-31     Revised Date:  2007-11-09    
Medline Journal Info:
Nlm Unique ID:  0412041     Medline TA:  Acta Neuropathol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  583-6     Citation Subset:  IM    
Affiliation:
Department of Pathology (Division of Neuropathology), Hospital for Sick Children, Toronto, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Blood-Brain Barrier
Brain Diseases / chemically induced*,  pathology
Brain Edema / chemically induced,  pathology
Cadmium / adverse effects*,  analysis
Child, Preschool
Humans
Kidney / metabolism
Male
Metallothionein / metabolism
Chemical
Reg. No./Substance:
7440-43-9/Cadmium; 9038-94-2/Metallothionein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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