Abstract
Disease of the lower motor neurone is a recognized hazard of lead toxicity, but the importance of contact with lead in the causation of motor neurone disease has not previously been ascertained. In 74 cases of motor neurone disease, 15% had a history of extensive exposure to lead, compared with 5·4% of a control group. The five year survival rate of these patients was 54%, compared with 16% in the remainder. The more benign course of the disease in some of these cases may be due to treatment with chelating agents. A history of either disease of the axial skeleton or previous fracture was obtained in 25% of patients compared with 9·4% of controls. There may be a relationship between skeletal demineralization and the development of motor neurone disease. The lead content of iliac crest bone biopsy specimens in 25 patients with motor neurone disease was no greater than that of a control group, but this does not exclude the possibility that lead liberated from bone might affect the motor neurone.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- BAUER G. C., CARLSSON A. Post-fracture bone salt resorption studied in rats. Acta Orthop Scand. 1955;25(2):83–88. [PubMed] [Google Scholar]
- Barltrop D. Lead poisoning in childhood. Postgrad Med J. 1968 Jul;44(513):537–542. doi: 10.1136/pgmj.44.513.537. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brown A., Tompsett S. L. Poisoning due to Mobilization of Lead from the Skeleton. Br Med J. 1945 Dec 1;2(4430):764–765. [PMC free article] [PubMed] [Google Scholar]
- CAMPBELL A. M. Calcium versenate in motor-neurone disease. Lancet. 1955 Aug 20;269(6886):376–377. doi: 10.1016/s0140-6736(55)92357-6. [DOI] [PubMed] [Google Scholar]
- Campbell A. M., Williams E. R. Chronic lead intoxication mimicking motor neurone disease. Br Med J. 1968 Nov 30;4(5630):582–582. doi: 10.1136/bmj.4.5630.582-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Campbell A. M., Williams E. R., Pearce J. Late motor neuron degeneration following poliomyelitis. Neurology. 1969 Nov;19(11):1101–1106. doi: 10.1212/wnl.19.11.1101. [DOI] [PubMed] [Google Scholar]
- Crawford M. D., Crawford T. Lead content of bones in a soft and a hard water area. Lancet. 1969 Apr 5;1(7597):699–701. doi: 10.1016/s0140-6736(69)92649-x. [DOI] [PubMed] [Google Scholar]
- Currier R. D., Haerer A. F. Amyotrophic lateral sclerosis and metallic toxins. Arch Environ Health. 1968 Nov;17(5):712–719. doi: 10.1080/00039896.1968.10665310. [DOI] [PubMed] [Google Scholar]
- Doyle F., Brown J., Lachance C. Relation between bone mass and muscle weight. Lancet. 1970 Feb 21;1(7643):391–393. doi: 10.1016/s0140-6736(70)91520-5. [DOI] [PubMed] [Google Scholar]
- Fullerton P. M. Chronic peripheral neuropathy produced by lead poisoning in guinea-pigs. J Neuropathol Exp Neurol. 1966 Apr;25(2):214–236. doi: 10.1097/00005072-196604000-00003. [DOI] [PubMed] [Google Scholar]
- HEANEY R. P. Radiocalcium metabolism in disuse osteoporosis in man. Am J Med. 1962 Aug;33:188–200. doi: 10.1016/0002-9343(62)90017-7. [DOI] [PubMed] [Google Scholar]
- KEHOE R. A. The Harben Lectures, 1960: The metabolism of lead in man in health and disease. 3. Present hygienic problems relating to the absorption of lead. J R Inst Public Health. 1961 Aug;24:177–203. [PubMed] [Google Scholar]
- Livesley B., Sissons C. E. Chronic lead intoxication mimicking motor neurone disease. Br Med J. 1968 Nov 9;4(5627):387–388. doi: 10.1136/bmj.4.5627.387-d. [DOI] [PMC free article] [PubMed] [Google Scholar]
- PARTINGTON T. Motor neurone disease. Postgrad Med J. 1962 Jul;38:383–395. doi: 10.1136/pgmj.38.441.383. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Power J. G., Barnes R. M., Nash W. N., Robinson J. D. Lead poisoning in Gurkha soldiers in Hong Kong. Br Med J. 1969 Aug 9;3(5666):336–337. doi: 10.1136/bmj.3.5666.336. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SIMPSON J. A., SEATON D. A., ADAMS J. F. RESPONSE TO TREATMENT WITH CHELATING AGENTS OF ANAEMIA, CHRONIC ENCEPHALOPATHY, AND MYELOPATHY DUE TO LEAD POISONING. J Neurol Neurosurg Psychiatry. 1964 Dec;27:536–541. doi: 10.1136/jnnp.27.6.536. [DOI] [PMC free article] [PubMed] [Google Scholar]
- WHEDON G. D., SHORR E. Metabolic studies in paralytic acute anterior poliomyelitis. II. Alterations in calcium and phosphorus metabolism. J Clin Invest. 1957 Jun;36(6 Pt 2):966–981. doi: 10.1172/JCI103496. [DOI] [PMC free article] [PubMed] [Google Scholar]