Lead has been used by humans as long as recorded history for various purposes ranging from jewellery to weapons and construction materials, paints, and pigment manufacture. Lead colic was known to ancient physicians since the time of Hippocrates, but encephalopathy was first described as late as 1925; it is especially common in children. Here we report a rare case of lead encephalopathy associated with ataxia in a 30 year old battery plate manufacturer.

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He had been working for the past 12 years in a factory making battery plates. He presented with history of abnormal behaviour and unsteadiness of gait for 8 days accompanied by colicky abdominal pain and paraesthesiae in the legs. Later the patient started behaving abnormally; he shouted irrelevantly, became violent, and refused to recognise relatives. He was treated with antipsychotic medication which quietened him. Two days later he had difficulty in walking. His gait was unsteady and speech was incoherent.

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