Evaluation of Brain Stem Function in Diabetics with and without Distal Symmetrical Polyneuropathy Using the Blink Reflex
DOI:
https://doi.org/10.32007/jfacmedbagdad.1987Keywords:
Blink reflex, Diabetic, Distal Symmetrical PolyneuropathyAbstract
Background: Diabetic peripheral neuropathy (DPN) is the most common complication of T2DM. Neuropathy is a descriptor for a spectrum of clinical and subclinical symptoms with varying anatomical distributions, clinical histories, and perhaps underlying pathogenetic mechanisms. The distal Symmetrical sensory polyneuropathy is chronic, symmetrical, length-dependent sensorimotor. Studies of the blink reflex have shown potential as a method of assessing brainstem activity.
Objective: The primary purpose of this research was to assess the function of the blink reflex in the early detection of cranial nerves and brain stem dysfunction in diabetes patients with and without polyneuropathy. We also aimed to see whether there were differences in blink reflex abnormalities between individuals with and without polyneuropathy.
Methods: The study included a group of sixty diabetic patients. Clinician and electrophysiologist evaluations were used to determine the severity of neuropathy. Patients with diabetes were separated into two groups: those with and without neuropathy.
Results: A statistically significant difference between the two groups was found for C.R.2 latency and I.R.2 latency with a P-value <0.001. Except for the blink reflex’s R1 latency, all other blink reflex parameters were statistically different between patients who experienced diabetic neuropathy and those who didn’t. Regarding HbA1c, a significant positive association with IR2 latency and C.R.2 latency was noted, and a statistically significant negative association was found with I.R.2 duration and C.R.2 duration. Amplitudes of sural, tibial, and peroneal nerves were negatively associated with blink reflex latencies and positively associated with blink reflex duration.
Conclusion: Blink-reflex parameters (including ipsilateral R.2 latency and contralateral R.2 latency) are significantly associated with HBA1C level and degree of peripheral diabetic neuropathy.
Received Sept. 2022
Revised: Nov. 2022
Accepted Nov. 2023
Published Jan. 2024
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