The current study comprises the analysis of mutations in 10 individuals accidentally exposed to cesium‐137 during the 1987 radiological accident in Goiânia, Brazil. Their exposures were among the highest experienced, ranging from 1 to 7 Gy. Peripheral T‐lymphocyte samples were obtained 3.3 years after the original exposure and mutation was studied at the hprt locus using the 6‐thioguanine‐resistance selection assay. The mutational spectrum for the exposed population is comprised of 90 independent mutants. Based on T‐cell receptor analysis, only 5% (5/95) were clonally related. Mutants were initially studied using RT‐PCR and directly sequenced using an automated laser fluorescent DNA sequencer. Mutants that repeatedly failed to produce cDNAs were studied using a multiplex PCR assay with genomic DNA. Missense mutations were the most frequent event recovered, comprising 40% (23/57) of the spectral sample. An excess of events involving A:T base pairs was observed, exhibiting a significant difference (χ2 = 12.7, P = 0.0004) when compared to the spontaneous spectrum. This finding may reflect the effect of ionizing radiation‐induced damage, suggesting a potential similarity to radiation effects in prokaryotes. At the genomic level, 36.7% (33/90) of the mutants exhibited gross structural alterations, as detected by multiplex PCR. Deletion events were over‐represented in our spectral sample, displaying a twofold increase when compared to the frequency observed in the spontaneous mutation database. Environ. Mol. Mutagen. 30:385–395, 1997 © 1997 Wiley‐Liss, Inc.