Delayed brainstem auditory evoked potential latencies in 14-year-old children exposed to methylmercury

J Pediatr. 2004 Feb;144(2):177-83. doi: 10.1016/j.jpeds.2003.10.059.

Abstract

Objective: To determine possible exposure-associated delays in auditory brainstem evoked potential latencies as an objective measure of neurobehavioral toxicity in 14-year-old children with developmental exposure to methylmercury (MeHg) from seafood.

Study design: Prospective study of a birth cohort in the Faroe Islands, where 878 of eligible children (87%) were examined at age 14 years. Latencies of brainstem evoked potential peaks I, III, and V at 20 and 40 Hz constituted the outcome variables. Mercury concentrations were determined in cord blood and maternal hair, and in the child's hair at ages 7 and 14.

Results: Latencies of peaks III and V increased by about 0.012 ms when the cord blood mercury concentration doubled. As seen at age 7 years, this effect appeared mainly within the I-III interpeak interval. Despite lower postnatal exposures, the child's hair mercury level at age 14 years was associated with prolonged III-V interpeak latencies. All benchmark dose results were similar to those obtained for dose-response relationships at age 7 years.

Conclusions: The persistence of prolonged I-III interpeak intervals indicates that some neurotoxic effects from intrauterine MeHg exposure are irreversible. A change in vulnerability to MeHg toxicity is suggested by the apparent sensitivity of the peak III-V component to recent MeHg exposure.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Audiometry
  • Child
  • Cohort Studies
  • Denmark
  • Environmental Exposure / adverse effects*
  • Evoked Potentials, Auditory, Brain Stem / drug effects*
  • Evoked Potentials, Auditory, Brain Stem / physiology
  • Female
  • Fetal Blood / chemistry
  • Food Contamination
  • Hair / chemistry
  • Humans
  • Male
  • Mercury Poisoning, Nervous System / physiopathology*
  • Methylmercury Compounds / analysis
  • Methylmercury Compounds / toxicity*
  • Pregnancy
  • Prenatal Exposure Delayed Effects*
  • Seafood / adverse effects

Substances

  • Methylmercury Compounds