P. Grandjean et al., COGNITIVE DEFICIT IN 7-YEAR-OLD CHILDREN WITH PRENATAL EXPOSURE TO METHYLMERCURY, Neurotoxicology and teratology, 19(6), 1997, pp. 417-428
A cohort of 1022 consecutive singleton births was generated during 198
6-1987 in the Faroe Islands. Increased methylmercury exposure from mat
ernal consumption of pilot whale meat was indicated by mercury concent
rations in cord blood and maternal hair. At approximately 7 years of a
ge, 917 of the children underwent detailed neurobehavioral examination
. Neuropsychological tests included Finger Tapping; Hand-Eye Coordinat
ion; reaction time on a Continuous Performance Test; Wechsler Intellig
ence Scale for Children-Revised Digit Spans, Similarities, and Block D
esigns; Bender Visual Motor Gestalt Test; Boston Naming Test; and Cali
fornia Verbal Learning Test (Children). Clinical examination and neuro
physiological testing did not reveal any clear-cut mercury-related abn
ormalities. However, mercury-related neuropsychological dysfunctions w
ere most pronounced in the domains of lan guage, attention, and memory
, and to a lesser extent in visuospatial and motor functions. These as
sociations remained after adjustment for covariates and after exclusio
n of children with maternal hair mercury concentrations above 10 mu g/
g (50 nmol/g). The effects on brain function associated with prenatal
methylmercury exposure therefore appear widespread, and early dysfunct
ion is detectable at exposure levels currently considered safe. (C) 19
97 Elsevier Science Inc.