Role of blink reflex in diagnosis of subclinical cranial neuropathy in diabetic mellitus type II

American Journal of Physical Medicine & Rehabilitation
S S Kazem, D Behzad

Abstract

Peripheral neuropathy (PN) is one of the late complications of diabetes mellitus. Cranial nerves III, VII, and V are among the most commonly affected in diabetic patients. Traditional electrodiagnosis (Edx) studies are a useful method for diagnosis of PN and symptomatic cranial neuropathy, and may not be useful for detecting subclinical involvement of cranial nerves. The main objective of this study is to evaluate the role of blink reflex (BR) for early diagnosis of cranial neuropathy in diabetic patients with PN. A prospective study was performed on NIDDM patients with PN. One hundred eighty-eight subjects were included in our study in which 142 acted as healthy subjects and 46 as diabetic patients. Patients were excluded with prior history of cranial nerve lesions, stroke, or any other disease with polyneuropathy or drug-induced neuropathy. Routine nerve conduction studies were performed, and only patients with PN were included in this study. Abnormalities were found in 54.4% of patients. R1, IR2, and CR2 were prolonged relative to the healthy group. Statistically there was no significant difference in R/D ratio of patients (P=0.201). Also, there was a positive correlation between R1, IR2, and CR2 latencies with duration of d...Continue Reading

References

Dec 18, 2001·Diabetes/metabolism Research and Reviews·B NazlielB Koçer
Apr 17, 2002·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·L A L ResendeP Barretti
Jun 29, 2002·Nature Biotechnology·Tom Jacobs

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Citations

Oct 2, 2014·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Jasem Y Al-HashelPlamen Tzvetanov
Dec 3, 2014·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Saly H ElkholyManal M Mohamed
Apr 19, 2019·Cancer Chemotherapy and Pharmacology·Oznur YigitErol Belgin
Nov 22, 2019·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Yun-Ru LaiCheng-Hsien Lu
Apr 2, 2021·Journal of Diabetes Research·Li XiaoJun Luo

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