Diagnostic Ultrasound of the Vagus Nerve in Patients with Diabetes

Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging
Eman A TawfikRana A El-Hilaly

Abstract

Autonomic neuropathy is a serious and common complication of diabetes mellitus. The vagus nerve is the longest autonomic nerve, and may be affected in diabetes as a part of generalized neuropathy. Our objective was to assess for possible sonographic changes of the vagus nerve in diabetic patients. The vagus nerve was bilaterally scanned in 20 healthy volunteers and 54 patients with diabetes in the axial plane at the lateral neck. The mean cross-sectional area of the vagus nerve was significantly smaller in patients with diabetes compared with controls. Receiver operating characteristic curve analyses revealed an area under the curve of .96, and an optimum cutoff point of 3 mm2 with a sensitivity of 85.2% and specificity of 100%. This study demonstrates a degree of vagus nerve atrophy in patients with diabetes. This finding may have relevance in the diagnosis and treatment of diabetic neuropathy if further validated.

References

Nov 1, 1987·Journal of Neurology, Neurosurgery, and Psychiatry·Y P GuoJ Baverstock
Feb 1, 1980·Annals of Internal Medicine·L W DuchenJ D Mackay
Nov 1, 1993·Diabetic Medicine : a Journal of the British Diabetic Association·W RathmannF A Gries
Aug 13, 1999·Diabetic Medicine : a Journal of the British Diabetic Association·N EjskjaerM Peakman
Feb 27, 2001·AJR. American Journal of Roentgenology·F Giovagnorio, C Martinoli
May 30, 2002·AJR. American Journal of Roentgenology·Carlo MartinoliLorenzo E Derchi
Apr 30, 2003·Diabetes Care·Aaron I VinikRoy Freeman
May 23, 2006·The Journal of Hand Surgery·Ethan R WieslerFrancis O Walker
Mar 21, 2008·Muscle & Nerve·Michael S CartwrightFrancis O Walker
Jun 18, 2009·Muscle & Nerve·Michael S CartwrightJames B Caress
Aug 22, 2009·Muscle & Nerve·Craig M ZaidmanAlan Pestronk
Jan 28, 2010·Diabetes Care·Rodica Pop-Busui
Sep 28, 2010·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Robert Daniel HoeldtkeKnox VanDyke
Sep 12, 2014·Journal of Neurology, Neurosurgery, and Psychiatry·Alexander GrimmPeter Fuhr
Sep 30, 2014·Journal of the Neurological Sciences·Alexander GrimmHubertus Axer
Apr 9, 2015·Journal of Clinical Neurology·Eman A TawfikMichael S Cartwright
Jun 17, 2015·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Eman A TawfikMichael S Cartwright
Jul 1, 2015·Muscle & Nerve·Bernhard F DécardAlexander Grimm
Jul 30, 2015·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Alexander GrimmPeter Fuhr
Mar 12, 2016·Journal of Back and Musculoskeletal Rehabilitation·Bayram KelleFerdi Yavuz
Jun 18, 2016·Muscle & Nerve·Ari BreinerVera Bril

❮ Previous
Next ❯

Citations

Jul 24, 2018·Frontiers in Neurology·Nadin FedtkeTino Prell
Jun 28, 2020·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Jingwen NiuMingsheng Liu
Oct 16, 2018·Frontiers in Neurology·Uwe WalterMatthias Löhle
Nov 10, 2020·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Korbinian Holzapfel, Markus Naumann
Feb 13, 2021·Diagnostics·Magdalena KramerSophia Willikens
Apr 7, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·F SartucciG Orlandi
May 11, 2021·Logopedics, Phoniatrics, Vocology·Hakan GölaçMetin Yilmaz
Jun 25, 2021·Autonomic Neuroscience : Basic & Clinical·Ramy AbdelnabyAndrea Maier
Jul 20, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ovidijus LauciusDaiva Rastenytė
Sep 25, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Marianna PapadopoulouIoannis Michopoulos
May 21, 2020·Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)·Hakan GölaçMetin Yılmaz
Dec 30, 2021·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Kang DuLingchao Meng
Jun 19, 2021·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Ramy AbdelnabyAndrea Maier

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Diabetes & Tolerance

Patients with type I diabetes lack insulin-producing beta cells due to the loss of immunological tolerance and autoimmune disease. Discover the latest research on targeting tolerance to prevent diabetes.

Related Papers

Acta Pathologica Et Microbiologica Scandinavica. Section A, Pathology
K KristenssonP Sourander
Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging
Eman A TawfikMichael S Cartwright
European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies
T ArumugamN Shahrizaila
© 2022 Meta ULC. All rights reserved