Residual cognitive deficits 50 years after lead poisoning during childhood

The long term neurobehavioural consequences of childhood lead poisoning are not known. In this study adult subjects with a documented history of lead poisoning before age 4 and matched controls were examined with an abbreviated battery of neuropsychological tests including measures of attention, reasoning, memory, motor speed, and current mood. The subjects exposed to lead were inferior to controls on almost all of the cognitive tasks. This pattern of widespread deficits resembles that found in children evaluated at the time of acute exposure to lead rather than the more circumscribed pattern typically seen in adults exposed to lead. Despite having completed as many years of schooling as controls, the subjects exposed to lead were lower in lifetime occupational status. Within the exposed group, performance on the neuropsychological battery and occupational status were related, consistent with the presumed impact of limitations in neuropsychological functioning on everyday life. The results suggest that many subjects exposed to lead suffered acute encephalopathy in childhood which resolved into a chronic subclinical encephalopathy with associated cognitive dysfunction still evident in adulthood. These findings lend support to efforts to limit exposure to lead in childhood

Three siblings with Asperger syndrome: A family case study

Reports of multiple incidence of Asperger syndrome have suggested links between Asperger syndrome and autism. In this case study, we describe three siblings with Asperger syndrome based on the ICD-10 criteria. There was no family history of mental retardation or of autism. We propose that in some families, Asperger syndrome may occur as a distinct clinical entity and show no overlap with autism. Les publications sur l'incidence multiple du Syndrome d'Asperger ont suggéré des liens entre ce syndrome et l'autisme. Dans cette étude, nous décrivons 3 membres d'une même fratrie avec un Syndrome d'Asperger répondant aux critères d'l'ICD-10. Il n'yavait pas dans l'histoire familiale de retard mental ni d'autisme. Nous proposons que dans certaines familles le Syndrome d'Asperger peut survenir comme entité clinique distincte sand chevauchement avec l'autisme. Berichte über multiples Auftreten des Asperger-Syndroms haben Zusammenhänge zwischen dem Asperger-Syndrom und Autismus nahegelegt. In diesem Fallbericht beschreiben wir drei Geschwister mit einem Asperger-Syndrom (ICD-10-Kriterien). Die Familienanamnese im Hinblick auf geistige Behinderung oder Autismus war unauffällig. Wir schlagen vor, daß in einigen Familien das Asperger-Syndrom als eine eigenständige klinische Entität ohne Überlappung zum Autismus auftreten kann.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/41755/1/787_2005_Article_BF02098829.pd