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| NEUE FORSCHUNGSERGEBNISSE |
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The usefulness of the blink reflex in the early diagnosis of cranial nerve
neuropathy associated with diabetes mellitus.
BACKGROUND: Electrophysiological testing can be of value in early
diagnosis of diabetic neuropathy. Limited data is available in the use of
the blink reflex (BR) in diabetes mellitus (MD). AIM: is to evaluate the
efficacy of BR in early diagnosis of cranial nerve neuropathy in DM.
MATERIALS AND METHODS: 67 diabetes and 32 healthy controls-age and sex
matched- were chosen. The diabetes were of type I and type II and of more
than or less than 10 years duration. The BR was elicited by stimulation
the supraorbital nerve using the Dantec Neuromatic 2000M machine. The
latency of the components response recorded as R1, R2y (ipsilateral) and
R2c (contralateral). A direct response was achieved by the stimulation of
the facial nerve; a square wave of 200 msec. was used. RESULTS: No
differences were noted when the two sides were compared in diabetic
patients, while the difference was highly significant in the increased
latency of R1, R2y and R2c each type of diabetes as compared to the
control. Comparison of the types and duration of diabetes between each
other showed no significant difference. Direct measurement of the latency
response of the facial nerve gave a response in diabetics of both types
and duration. CONCLUSION: the BR can be useful in the early diagnosis of
diabetic neuropathy.
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Autoren:
Al-Azzawi, L M
Mirza, K b
Kummoona, R
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Quelle:
Electromyogr Clin Neurophysiol 2004 Sep;44(6):323-7.
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| Literaturrecherche: U.S.National Library of Medicine's PubMed®
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| WISSENSCHAFT |
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