Structural MRI and Cognitive Correlates in Pest-control Personnel from Gulf War I

Abstract

Acetylcholinesterase (AChE) inhibitors including organophosphate (OP) pesticides are known to produce chronic neurological symptoms at sufficient exposure levels. Our previous study of cognitive functioning in pest-control personnel from the GWI, found that military pesticide applicators classified as higher pesticide-exposed reported significantly more health symptoms and performed less well on objective cognitive testing than the lower-exposed veterans. It is the goal of this follow-up neuroimaging study to identify the relationships between OP pesticides, brain imaging, cognitive functioning and health symptoms in this well-characterized group of pest-control personnel from GWI. It is hypothesized that GWI veterans with higher levels and more exposures to AChE inhibiting pesticides and low-level nerve agents will show lower brain white matter volumes on MRI, report more health symptoms and perform less well on cognitive testing than less exposed veterans. Each participant will undergo a structural brain MRI, a brief neuropsychological screening battery and a clinical interview. They will also complete a current health symptom questionnaire. This follow-up neuroimaging study will evaluate the combination of exposures to AChE inhibitors as factors in the expression of GWI veterans' continued health symptoms. Knowledge of these relationships will be useful in identifying objective indicators of pathology that distinguish ill from healthy veterans.

Open PDF

Document Details

Document Type
Technical Report
Publication Date
Apr 01, 2009
Accession Number
ADA501573

Entities

People

  • Kimberly Sullivan

Organizations

  • Boston University

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Acetylcholinesterases
  • Brain
  • Brain Injuries
  • Cognition
  • Ecology
  • Environmental Exposure
  • Environmental Health
  • Environmental Protection
  • Health
  • Medical Personnel
  • Nerve Agents
  • Neuroimaging
  • Organophosphates
  • Pest Control
  • Psychology
  • Public Health
  • Traumatic Stress Disorder

Fields of Study

  • Medicine
  • Psychology

Readers

  • Gulf War Illness and Chronic Multisymptom Illness in Veterans.