Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-22T07:58:41.656Z Has data issue: false hasContentIssue false

Volatile Substance Abuse: A Review of Possible Long-Term Neurological, Intellectual and Psychiatric Sequelae

Published online by Cambridge University Press:  29 January 2018

Maria A. Ron*
Affiliation:
The National Hospitals for Nervous Diseases, Queen Square, London WC1N 3BG

Abstract

The possibility that chronic abuse of volatile substances can cause permanent neurological, psychiatric, and intellectual sequelae is critically reviewed. Toluene, present in the commonly used adhesives, is most often implicated in ‘glue sniffing’; this review focuses on its potential long-term effects. Many criticisms—particularly poor matching of control samples and inability to distinguish between acute and chronic effects—can be levelled at the available studies, while no adequate follow-up studies have been performed. In the light of present knowledge, the possibility that permanent structural brain damage, with accompanying psychiatric manifestations, results from solvent abuse remains inconclusive.

Type
Review Article
Copyright
Copyright © 1986 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alapin, B. (1973) Trichloroethylene addiction and its effects. British Journal of Addiction, 68, 331335.Google Scholar
Anderson, H. R., Dick, B., Macnair, R. S., Palmer, J. C. & Ramsey, J. D. (1982) An investigation of 140 deaths associated with volatile substance abuse in the United Kingdom (1971–1981). Human Toxicology, 1, 207221.CrossRefGoogle ScholarPubMed
Arlien-Søborg, P., Bruhn, P., Gyldensted, C. & Melgaard, B. (1979) Chronic painters' syndrome. Acta Neurologica Scandinavica, 60, 149156.Google Scholar
Baker, A. B. & Tichy, Fae Y. (1953) The effects of organic solvents and industrial poisonings on the central nervous system. Research Publication: Association for Research in Nervous and Mental Diseases, 32, 475505.Google ScholarPubMed
Barker, G. H. & Adams, W. T. (1963) Glue sniffers. Sociology and Social Research, 47, 299310.Google Scholar
Bass, M. (1970) Sudden sniffing death. Journal of the American Medical Association, 212, 20752079.CrossRefGoogle ScholarPubMed
Berry, G. J., Heaton, R. K. & Kirby, M. W. (1977) Neuropsychological deficits of chronic inhalant abusers. In Management of the Poisoned Patient, (eds Rumach, B. & Temple, A.). Princeton, New Jersey: Science Press.Google Scholar
Biggs, S. J., Bender, M. P. & Foreman, J. (1983) Are there psychological differences between persistent solvent abusing delinquents and delinquents who do not abuse solvents? Journal of Adolescence, 6, 7186.Google Scholar
Boor, J. W. & Hurtig, H. I. (1977) Persistent cerebellar ataxia after exposure to toluene. Annals of Neurology, 2, 440442.CrossRefGoogle ScholarPubMed
Channer, K. S. & Stanley, S. (1983) Persistent visual hallucinations secondary to chronic solvent encephalopathy: case report and review of the literature. Journal of Neurology, Neurosurgery and Psychiatry, 46, 8386.Google Scholar
Cherry, N., Venables, H. & Waldron, H. A. (1983) Research in Britain. In Neuropsychological Effects of Solvent Exposure (eds Cherry, N. & Waldron, H. A.). The Colt Foundation.Google Scholar
Clark, D. G. & Tinston, D. J. (1982) Acute inhalation toxicity of some halogenated and non-halogenated hydrocarbons. Human Toxicology, 1, 239247.CrossRefGoogle ScholarPubMed
Crites, J. & Schuckit, M. A. (1979) Solvent misuse in adolescents at a community alcohol center. Journal of Clinical Psychiatry, 40, 3943.Google Scholar
D'Amanda, C, Plumb, M. M. & Taintor, Z. (1977) Heroin addicts with a history of glue sniffing: A deviant group within a deviant group. International Journal of Addictions, 12, 255270.CrossRefGoogle ScholarPubMed
Davies, B., Thorley, A. & O'Connor, D. (1985) Progression of addiction careers in young adult solvent misusers. British Medical Journal, 290, 109110.CrossRefGoogle ScholarPubMed
Dodds, J. & Santostefano, S. (1964) A comparison of the cognitive functioning of glue sniffers and non-sniffers. Journal of Pediatrics, 64, 565570.Google Scholar
Ehyai, A. & Freemon, F. R. (1983) Progressive optic neuropathy and sensorineural hearing loss due to chronic glue sniffing. Journal of Neurology, Neurosurgery and Psychiatry, 46, 349351.Google Scholar
Elofsson, S. A., Gamberale, F. & Hindmarsh, T. (1980) Exposure to organic solvents. Scandinavian Journal of Work and Environmental Health, 6, 239273.CrossRefGoogle ScholarPubMed
Escobar, A. & Aruffo, C. (1980) Chronic thinner intoxication: Clinico-pathologic report of a human case. Journal of Neurology, Neurosurgery and Psychiatry, 43, 986994.CrossRefGoogle ScholarPubMed
Fishburn, P. H., Abelson, H. I. & Cisin, I. (1980) National Survey on Drug Abuse: Main Findings. Publication No. ADH80–976. National Institute on Drug Abuse, US Department of Health and Human Services: Rockville, Maryland.Google Scholar
Fornazzari, L., Wilkinson, D. A., Kapur, B. M. & Carlen, P. L. (1983) Cerebellar cortical and functional impairment in toluene abusers. Acta Neurologica Scandinavica, 67, 319329.Google Scholar
Francis, J., Murray, V. S. G., Ruprah, M., Flanagan, R. J. & Ramsey, J. D. (1982) Suspected solvent abuse in cases referred to the Poisons Unit, Guy's Hospital, July H1980–June 1981. Human Toxicology, 1, 271280.Google Scholar
Garriott, J. & Petty, C. S. (1980) Death from inhalant abuse: Toxicological and pathological evaluation of 34 cases. Clinical Toxicology, 16, 305315.Google Scholar
Gay, M., Meller, R. & Stanley, S. (1982) Drug abuse monitoring: A survey of solvent abuse in the County of Avon. Human Toxicology, 1, 257263.Google Scholar
Glaser, H. H. & Massengale, O. N. (1962) Glue sniffing in children. Journal of the American Medical Association, 181, 300303.Google Scholar
Grabski, D. G. (1961) Toluene sniffing producing cerebellar degeneration. American Journal of Psychiatry, 118, 461462.CrossRefGoogle ScholarPubMed
Halstead, W. C. (1947) Brain and Intelligence: A Quantitative Study of the Frontal Lobe. Chicago: University of Chicago Press.Google Scholar
Hänninen, H., Eskeunen, L., Husman, K. & Nurminen, M. (1976) Behavioural effects of long-term exposure to a mixture of organic solvents. Scandinavian Journal of Work and Environmental Health, 4, 240255.CrossRefGoogle Scholar
Hofmann, F. G. & Hofmann, A. D. (1975) A Handbook on Drug and Alcohol Abuse. London: Oxford University Press.Google Scholar
Ikeda, T. & Miyake, H. (1978) Decreased learning in rats following repeated exposure to toluene: preliminary report. Toxicology Letters, 1, 235239.Google Scholar
Juntunen, J., Hernberg, S., Eistola, P. & Hupu, V. (1980) Exposure to industrial solvents and brain atrophy. European Neurology, 19, 366375.CrossRefGoogle ScholarPubMed
Keane, J. R. (1978) Toluene optic neuropathy. Annals of Neurology, 4, 390.CrossRefGoogle ScholarPubMed
Kelly, T. W. (1975) Prolonged cerebellar dysfunction associated with paint sniffing. Pediatrics, 56, 605606.Google Scholar
King, M. D., Day, R. E., Oliver, J. S., Lush, M. & Watson, J. (1981) Solvent encephalopathy. British Medical Journal, 283, 663665.Google Scholar
King, M. D., (1982) Neurological sequelae of toluene abuse. Human Toxicology, 1, 281287.Google Scholar
Knox, J. W. & Nelson, J. R. (1966) Permanent encephalopathy from toluene inhalation. New England Journal of Medicine, 275, 14941496.Google Scholar
Korman, J., Matthews, R. W. & Lovitt, R. (1981) Neuropsychological effects of abuse of inhalants. Perceptual and Motor Skills. 53, 547553.CrossRefGoogle ScholarPubMed
Korobkin, R., Asbury, A. K., Sumner, A. J. & Nielsen, S. L. (1975) Glue sniffing neuropathy. Archives of Neurology, 32, 158162.Google Scholar
Lewis, J. D., Moritz, D. & Meixis, L. P. (1981) Long-term toluene abuse. American Journal of Psychiatry, 138, 368370.Google ScholarPubMed
Lindstrom, K. & Wickstrom, G. (1983) Psychological function changes among maintenance house painters exposed to low levels of organic solvent mixtures. Acta Psychiatrica Scandinavica, 67, Suppl. 303; 8191.Google Scholar
Lockhart, W. H. & Lennox, M. (1983) The extent of solvent abuse in a regional secure unit sample. Journal of Adolescence, 6, 4345.Google Scholar
Lush, M., Oliver, J. S. & Watson, J. (1980) The analysis of blood in cases of suspected solvent abuse with a review of results during the period October 1977 to July 1979. In Forensic Toxicology (ed. Oliver, J. S.). London: Croom Helm.Google Scholar
Malm, G. & Lying-Tunell, U. (1980) Cerebellar dysfunction related to toluene sniffing. Acta Neurologica Scandinavica, 62, 188190.Google Scholar
Massengale, O. N., Glaser, H. H., Le Lievre, R. E., Dodds, J. B. & Klock, M. E. (1963) Physical and psychological factors in glue sniffing. New England Journal of Medicine, 269, 13401344.Google Scholar
Masterton, G. & Sclare, A. B. (1978) Solvent abuse. Health Bulletin, 36, 305309.Google Scholar
Merry, J. (1967) Glue sniffing and heroin abuse. British Medical Journal, ii, 360.Google Scholar
Merry, J. & Zachariadis, N. (1962) Addiction to glue sniffing. British Medical Journal, ii, 1448.CrossRefGoogle Scholar
Nelson, H. E. & O'Connell, A. (1978) Dementia: The estimation of premorbid intelligence using the New Adult Reading Test. Cortex, 14, 234244.CrossRefGoogle ScholarPubMed
Oliver, J. S. & Watson, J. M. (1977) Abuse of solvents “for kicks”—A review of 50 cases. Lancet, i, 8486.Google Scholar
Press, E. & Done, A. K. (1967) Physiologic effects and community control measures for intoxication from the intentional inhalation of organic solvents. Pediatrics, 39, 451461.Google Scholar
Pryor, G. T., Howd, R. A. & Robert, C. S. (1982) Developmental long-term effects of inhalants in animals. Annual Report No. 2. Maryland: National Institute of Drug Abuse, Rockville.Google Scholar
Raczka, R. A. (1983) The effects of solvent abuse: An investigation into the neuropsychological functioning of a group of solvent abusers. MSc., Leeds University.Google Scholar
Ramsey, A. W. (1982) Solvent abuse: an educational perspective. Human Toxicology, 1, 265270.Google Scholar
Ron, M. A. (1983) The alcoholic brain: CT scan and psychological findings. Psychological Medicine. Monograph Supplement 3. Cambridge: Cambridge University Press.Google Scholar
Rutter, M. & Giller, L. H. (1983) Juvenile Delinquency: Trends and Perspectives. London: Penguin Educational.Google Scholar
Sasa, M., Igarashi, S., Miyazaki, T., Miyazaki, K., Nakano, S. & Matsuoka, I. (1978) Equilibrium disorders with diffuse brain atrophy in long-term toluene sniffing. Archives of Otorhinolaryngology, 221, 163169.Google Scholar
Sharp, C. W. & Korman, M. (1981) Volatile substances. In Substance Abuse: Clinical Problems and Perspectives (eds Lowinson, J. H. & Ruiz, P.). Baltimore: Williams & Wilkins.Google Scholar
Shirabe, T., Tsuda, T., Terao, A. & Araki, S. (1974) Toxic polyneuropathy due to glue sniffing. Journal of Neurological Sciences, 21, 101113.Google Scholar
Skuse, D. & Burrell, S. (1982) A review of solvent abusers and their management by a child psychiatric out-patient service. Human Toxicology, 1, 321329.Google Scholar
Sourindhrin, I. & Baird, J. A. (1984) Management of solvent misuse. A Glasgow community approach. British Journal of Addiction, 79, 227232.Google Scholar
Streicher, H. Z., Gabow, P. A., Moss, A. H., Kono, D. & Kaehny, W. D. (1981) Syndromes of toluene sniffing in adults. Annals of Internal Medicine, 94, 758762.Google Scholar
Struwe, G. & Wennberg, A. (1983) Psychiatric and neurological symptoms in workers occupationally exposed to organic solvents—results of a differential epidemiological study. Acta Psychiatrica Scandinavica, 67, Suppl. 303, 6880.Google Scholar
Towfighi, J., Gonatas, N. K., Pleasure, D., Cooper, H. S. & McCree, L. (1976) Glue sniffer's neuropathy. Neurology, 26, 238243.Google Scholar
Tsushima, W. T. & Scott Towne, W. (1977) Effects of paint sniffing on neuropsychological test performance. Journal of Abnormal Psychology, 86, 402407.Google Scholar
Von Oettingen, W. F., Neal, P. A. & Donahue, D. D. (1942) The toxicity and potential dangers of toluene. Journal of the American Medical Association, 118, 579584.Google Scholar
Watson, J. M. (1979) Morbidity and mortality statistics on solvent abuse. Medicine, Science and the Law, 19, 246252.CrossRefGoogle ScholarPubMed
Watson, J. M. (1982) Solvent abuse: Presentation and clinical diagnosis. Human Toxicology, 1, 249256.CrossRefGoogle ScholarPubMed
Wolff, P. H., Waber, D., Bauermeister, M., Cohen, C. & Ferber, R. (1982) The neuropsychological status of adolescent delinquent boys. Journal of Child Psychology and Psychiatry, 23, 267279.Google Scholar
Zur, J. (1983) The cognitive and affective sequelae of chronic solvent abuse. MPhil, London University.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.