1,2-Dichloropropane (1,2-DCP) is used widely in Korea as a substitute for
trichloroethylene or methylene chloride. Some companies mistakenly consider that 1,2-DCP
is an eco-friendly detergent because its use is not regulated, but 1,2-DCP is known to
inhibit the central nervous system in animals; a few cases of accidental exposure have
been reported in humans. We present a case of acute encephalopathy caused by exposure to
1,2-DCP. A 41 yr-old male presented with dizziness, headache, and diplopia after exposure
to the detergent without protective equipment. Brain magnetic resonance imaging suggested
metabolic encephalopathy, but the patient had no thiamine deficiency and no other
metabolic disorder. As the symptoms had commenced after exposure to a large amount of
solvent while skimming rust from the surface, and as the symptoms were more severe during
the work week, improved on weekends, and disappeared after solvent exposure ceased, the
toxic encephalopathy was likely induced by inhalation of the detergent.