White matter changes seem to start in the deep periventricular white matter, and they spread into peripheral white matter, causing the loss of gray matter-white matter differentiation with continued toluene abuse. The deposition of iron due to demyelination and axonal loss is the most probable mechanism for the thalamic hypointensity found in solvent abusers.
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Cerebellar, cortical and functional impairment in toluene abusers
Luis Fornazzari, D. Adrian Wilkinson, B.M. Kapur et al. · Acta Neurologica Scandinavica · 2009 · 178 citations
Permanent Encephalopathy from Toluene Inhalation
J. William Knox, James R. Nelson · New England Journal of Medicine · 1966 · 176 citations
Asthma, Toluene Vapor, Glue Vapors +18