This paper reports neuronal changes in rat brains subacutely intoxicated wi
th Clostridium perfringens type D epsilon toxin. Neuronal damage was charac
terized by either (1) progressive cytoplasmic vacuolation leading to necros
is, or (2) shrunken hyperchromatic cells with nuclear pyknosis. The neurona
l injury was also often bilaterally symmetrical, particularly in the brains
tem. These findings suggest that, after gaining access to brain tissue by p
roducing an increase in vascular permeability, epsilon toxin later exerts a
directly cytotoxic effect on neurons. (C) 1999 W.B. Saunders Company Limit
ed.