Seven of nine postal workers exposed to lead-sulfate batteries over a
period of up to 30 years developed parkinsonian symptoms. One of the r
emaining two showed left-hand bradykinesia and one was not available f
or examination. The high prevalence and cause of parkinsonism in these
patients remains unexplained. Lead intoxication may play a role in th
e occurrence of parkinsonian symptoms, but involvement of sulfate and
other sulfur compounds must also be considered.