Description

A person who inhales trimethyltin may develop an acute limbic-cerebellar syndrome.


 

Neurologic findings:

(1) hearing loss

(2) ataxia

(3) nystagmus

(4) sensory neuropathy

(5) seizures

 

Neurobehavioral findings:

(1) disorientation

(2) confabulation

(3) amnesia

(4) impulse control disorder (aggressive behavior, hyperphagia, disturbed sexual behavior, etc)

 

Laboratory findings:

(1) elevated organotin levels in the urine

 

The severity of the syndrome was proportional to the peak level of organotin excreted in the urine. The peak in excretion may occur from 1 to 10 days after the exposure.

 

Outcomes:

(1) death

(2) severe disability due to neurologic complications

 


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