“…Reports on the possible existence of pervasive cognitive deficits among children from konzo-affected areas (Katumbay et al, 2000, Boivin et al, 2013) justify the need for a thorough investigation to determine whether they share common biomarkers and/or mechanisms with the classical paralysis known as konzo. Possible common mechanisms may include the direct effect of cyanide or cyanate, neurotoxic metabolites of linamarin, the main cassava cyanogenic compound (Spencer, 1999, Kimani et al, 2013); the metabolic interference of thiocyanate (SCN), the downstream detoxification product of cyanide, with the uptake of iodine at the thyroid gland level (Erdogan et al, 2001) or glutamergic transmission (Spencer, 1999); a nutritional deficiency in select nutrients (Thilly et al, 1990, Thilly et al, 1993, Adamolekun, 2010); or a combination of the aforementioned factors (Elnour et al, 2000, Erdogan et al, 2001, Bonmarin et al, 2002, Di Filippo et al, 2008, Nyaradi et al, 2013). In this study, we sought to determine whether cognitive deficits observed among children from the most affected area of the DRC (Bonmarin et al, 2002, Boivin et al, 2013) were explained by changes in thyroid function while assessing the role of traditionally known risk factors for konzo e.g.…”