title: Gasoline sniffing multifocal neuropathy.
abstract: The polyneuropathy caused by chronic gasoline inhalation is reported to be a gradually progressive, symmetric, sensorimotor polyneuropathy. We report unleaded gasoline sniffing by a female 14 years of age that precipitated peripheral neuropathy. In contrast with the previously reported presentation of peripheral neuropathy in gasoline inhalation, our patient developed multiple mononeuropathies superimposed on a background of sensorimotor polyneuropathy. The patient illustrates that gasoline sniffing neuropathy may present with acute multiple mononeuropathies resembling mononeuritis multiplex, possibly related to increased peripheral nerve susceptibility to pressure in the setting of neurotoxic components of gasoline. The presence of tetraethyl lead, which is no longer present in modern gasoline mixtures, is apparently not a necessary factor in the development of gasoline sniffer's neuropathy.
authors.affiliation: Department of Neurology, University of Virginia, Charlottesville, Virginia, USA.
authors.forename: T M
authors.initials: TM
authors.lastname: Burns
authors.forename: B F
authors.initials: BF
authors.lastname: Shneker
authors.forename: V C
authors.initials: VC
authors.lastname: Juel
mesh_terms: D000280:Administration, Inhalation; D000293:Adolescent; D005260:Female; D005742:Gasoline / Q000009:adverse effects*; D006801:Humans; D020422:Mononeuropathies / Q000139:chemically induced* / Q000175:diagnosis; D009431:Neural Conduction / Q000187:drug effects; D009443:Neuritis / Q000139:chemically induced* / Q000175:diagnosis; D009460:Neurologic Examination / Q000187:drug effects; D011930:Reaction Time / Q000187:drug effects; D019966:Substance-Related Disorders / Q000175:diagnosis*
chemical_list: D005742:Gasoline