Visual and neurobehavioral impairment associated with polychlorinated biphenyls.

To determine whether residents exposed to PCBs and thermolysis products had impaired neurobehavioral functions, the performance of 98 exposed adults was compared with 58 unexposed regional referents (all volunteers). Visual field performance, color confusion index, balance as sway speed, blink reflex latency R-1, hearing, grip strength, simple and choice visual reaction times problem solving for Culture Fair and digit symbol, recall memory, peg placement, trail making A and B for attention and dexterity and long-term memory were tested. A profile of mood states (POMS) and questionnaires for chemical exposures, medical histories and the frequency of 35 symptoms were completed. Only statistically significant differences are described. Exposed subjects had slower simple and choice reaction times and faster sway speeds with eyes closed and open. Color discrimination and visual performance scores were lower and visual fields were often constricted. Scores on Culture Fair, digit symbol, vocabulary and verbal recall were lower. Placement of pegs in a slotted pegboard was slower and trail making A and B took longer. Even embedded memory test scores including vocabulary were lower. POMS scores were elevated. There were no competing chemical exposures, confounding factors or other explanations for the findings. Long residential exposure to PCBs was associated with visual defects and impaired neurophysiologic and neuropsychologic functions.