[Biochemical examinations and measurements of conduction velocity of trichloroethylene exposed persons (author's transl)]

Occupational exposure to organic solvents and long-term nervous system damage detectable by brain imaging, neurophysiology or histopathology

The purpose of the present review is to assess the evidence published in scientific literature that industrial organic solvents as a generic group have the ability to induce long-term nervous system damage in workers that can be detected by techniques other than neuropsychological testing. The main body of evidence considered in this review was 40 studies involving the use of brain imaging, neurophysiological testing, gross autopsy or histopathology in groups of workers with long-term solvent exposure. Case reports involving both solvent abuse and occupational exposure, and experimental animal data have also been reviewed as supporting data. A number of the studies in groups of workers provide evidence of the presence of marginal atrophic abnormalities in the brain or deficits in nerve conduction velocity in solvent-exposed workers. However, there are limitations in the design of many of these studies, the strength of association between exposure and effect is not consistently strong, no dose-response relationship can be detected, the reported changes lack specificity and there is no coherence between the human and experimental animal data. Overall, it is not possible to draw reliable conclusions with respect to the presence or absence of nervous system damage related to the common properties of organic solvents.

[Investigations on neurotoxicity of chemical substances at the workplace. III. Determination of the motor and sensory nerve conduction velocity in persons occupationally exposed to trichloroethylene]

We studied 31 employees (26 men, five women) from three firms, between the ages of 16 and 56 years, who had been exposed to trichloroethylene (TRI) from 1 month to 35 years, mean 7 years. To objectify the actual solvent-exposure we performed "biological monitoring" and determined TRI- and the metabolites trichloroethanol (TCE) and trichloroacetic acid (TCA) in blood- and/or urine-samples. The following concentrations were found in the urine-samples: TCE 19.0-357.0 mg/g creatinine, median 90.0; TCA 2.0-201.0 mg/g creatinine, median 48.0; TTC (TCE + TCA) 31.0-416.0 mg/g creatinine, median 112.5. Additionally three results of former urine-analyses in the period 1978-1980 from 10 workers were obtained to calculate "time-weighted-average (TWA)"-levels (TWA-TTC in urine: 53-640 mg/g creatinine). Nerve conduction velocity (NLG)-measurements of motor and/or sensory fibers of the ulnar and median nerve were performed to test peripheral nerve function. Seven employees were excluded. They had possible competitive risks of peripheral neuropathy, or were of less than 10 months exposed. For controls we examined 24 healthy persons of identical sex and age (matched pairs), but without known risks of a peripheral neuropathy. In comparing the nerve conduction velocities there were no significant differences between TRI-exposed and non-exposed persons. Correlation analyses and the individual assessment of the data concerning exposure/dose and effect revealed no signs of a "dose-effect-relationship".