Arora Shilpa Khanna, Batra Prerna, Sharma Tusha, Banerjee Basu Dev, Gupta Sushan
Department of Pediatrics, University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi 110095, India.
Department of Pediatrics, University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi 110095, India ; Department of Pediatrics, University College of Medical Sciences and Guru Tegh Bahadur Hospital, Dilshad Garden, Delhi-95, India.
ISRN Pediatr. 2013 Dec 3;2013:849709. doi: 10.1155/2013/849709. eCollection 2013.
Background. Organochlorine pesticides (OCP) are persistent organic pollutants that have been implicated in causing several deleterious effects in humans. These are known neurotoxins in high doses, but the role of environmentally acquired OCPs in the body to induce seizures in children has not been investigated yet. Objectives. To assess the serum levels of OCPs in children aged 2-12 with idiopathic seizure and to find out any association between the two are our objectives. Methods. It was a cross-sectional pilot study. Twenty developmentally normal children aged 2-12, presenting with idiopathic generalized seizures, were recruited. Twenty age-matched controls without any history of seizures were also taken. Their serum levels of α, β, and γ hexachlorocyclohexane (HCH); and aldrin; dieldrin; p,p-dichlorodiphenyltrichloroethane (DDT), o,p-DDT, and p,p dichlorodiphenyldichloroethylene (DDE); and α and β endosulfan were analysed using gas chromatography (GC). Mann-Whitney U test was used to compare OCP levels between the groups. Spearman correlation was used to find the correlation between individual pesticide levels with age and seizure duration. Results. Levels of β, γ, and total HCH were significantly higher among cases as compared to the control group (P ≤ 0.05). Conclusion. There exists a possible association between idiopathic seizures and high serum levels of OCPs, especially HCH.
背景。有机氯农药(OCP)是持久性有机污染物,已被证明会对人类造成多种有害影响。高剂量时这些是已知的神经毒素,但环境中获取的有机氯农药在体内诱发儿童癫痫发作的作用尚未得到研究。目的。评估2至12岁特发性癫痫患儿的有机氯农药血清水平,并找出两者之间的任何关联是我们的目标。方法。这是一项横断面试点研究。招募了20名2至12岁发育正常、患有特发性全身性癫痫发作的儿童。还选取了20名年龄匹配、无任何癫痫发作史的对照儿童。使用气相色谱法(GC)分析他们血清中的α、β和γ六氯环己烷(HCH);艾氏剂;狄氏剂;对,对-二氯二苯三氯乙烷(DDT)、邻,对-DDT和对,对-二氯二苯二氯乙烯(DDE);以及α和β硫丹水平。采用曼-惠特尼U检验比较两组间的有机氯农药水平。使用斯皮尔曼相关性分析来找出个体农药水平与年龄和癫痫发作持续时间之间的相关性。结果。与对照组相比,病例组中β、γ和总六氯环己烷水平显著更高(P≤0.05)。结论。特发性癫痫发作与高血清有机氯农药水平,尤其是六氯环己烷之间可能存在关联。