Articles
Reviews
- Pathology of Minamata disease.
Eto
K Toxicol Pathol 1997 Nov-Dec;25(6):614-23
- Abstract Minamata disease, or methylmercury
poisoning, was first discovered in 1956 around
Minamata Bay, Kumamoto Prefecture, Japan. A similar
epidemic occurred in 1965 along the Agano River,
Niigata Prefecture, Japan. The neuropathology of
Minamata disease has been well studied; this review
focuses on human cases of Minamata disease in Kumamoto
Prefecture. Nervous system lesions associated with
Minamata disease have a characteristic distribution.
In the cerebral cortex, the calcarine cortex was found
to be involved in all cases of Minamata disease,
particularly along the calcarine fissure. The
destruction of nerve tissue was prominent in the
anterior portions of the calcarine cortex.
Occasionally, the centrifugal route from the visual
and visual association areas (internal sagittal
stratum) showed secondary degeneration in prolonged
cases after acute onset. Postcentral, precentral, and
temporal transverse cortices showed similar changes,
though they were less severe. Intense lesions in the
precentral cortex caused the development of secondary
bilateral degeneration of the pyramidal tracts. In the
cerebellum, the lesions occurred deeper in the
hemisphere. The granule cell population was most
affected. In the peripheral nerves, sensory nerves
were more affected than motor nerves. Secondary
degeneration of Goll's tracts was occasionally seen in
prolonged or chronic cases.
- Epidemiological and clinical features of Minamata
disease.
Igata
A Environ Res 1993 Oct;63(1):157-69
- Abstract Minamata disease is methyl mercury
intoxication from fish contaminated by a chemical
factory in Minamata city. Based on the results of our
regional survey, cardinal clinical features of the
disease were clarified by a multivariant analysis of
all symptoms in inhabitants in the polluted area. The
clinical features were found to be essentially the
same as those of Hunter Russell syndrome; however,
some additional symptoms were also found. Those
symptoms are influenced by many factors, such as
degree of exposure and duration of pollution. The
disposition of each inhabitant also plays a role in
clinical manifestation. This analysis contributes to a
correct individual diagnosis and to the correct
estimation of patients in polluted areas. Long-term
studies also uncovered a few inhabitants who claimed
to have begun to experience some neurological symptoms
after pollution ceased. These symptoms were attributed
mainly to aging. As many inhabitants with mild
neurological complaints were not easily diagnosed, a
questionable borderline group should be postulated for
social settlement of Minamata disease. The
characteristics of Minamata disease are discussed and
compared to cases of methyl mercury poisoning in other
parts of the world.
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