Characteristics of cranial nerve palsies in diabetic patients

Watanabe, Kyoko; Hagura, Ryoko; Akanuma, Yasuo; Takasu, Toshiaki; Kajinuma, Hiroshi; Kuzuya, Nobusada; Irie, Minoru

doi:10.1016/0168-8227(90)90077-7

Cited by 120 publications

(74 citation statements)

References 13 publications

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“…There have been no prospective, population-based studies of cranial neuropathy, amyotrophy, mono-neuropathies or truncal neuropathy in subjects with diabetes. Cranial neuropathies in diabetic patients are extremely rare and occur in older individuals with longstanding diabetes [45,46] . In the present study, 0.36% of diabetic patients had mononeuritis multiplex, while femoral amyotrophy and truncal neuropathy each occurred in 0.24% of patients.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Diabetes and Diabetic Neuropathy in Qena Governorate: Population-Based Survey

Khedr¹,

Fawi²,

Abbas³

et al. 2016

Neuroepidemiology

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Background: No previous study was done to estimate the prevalence of diabetic neuropathy (DN) in Arabic countries. The aim of this study was to estimate the prevalence of DN and its characteristics in Qena governorate. Material and Methods: This is a random sampling of 10 study areas, involving 9,303 inhabitants; 51.1% men and 48.9% women were recruited. There were 57.3% urban residents and 42.7% rural residents. Patients were diagnosed using a screening questionnaire for diabetes mellitus (DM) as well as for DN in addition to measuring blood sugar in suspected cases. All positive cases were referred to Qena University Hospital and were subjected to full clinical, electrophysiological and laboratory investigations. Results: Out of 9,303 people screened, 837 were diabetic giving prevalence 8.99% of the population. Eight hundred eleven had type II DM and 26 cases had type I giving prevalence of 8.7 and 0.3%, respectively. One hundred fifty-five out of 837 (18.5%) diabetic patients had evidence of DN with prevalence rate being 1.7% of the total population. Diabetic polyneuropathy was the commonest type with prevalence 1.5%. The prevalence of DN was higher in women than in men. Rural residents had significantly higher prevalence of DN compared to urban residents (1.9 vs. 1.4) and illiterate population more than educated (5.8 vs. 1.2). Conclusion: The overall crude prevalence rate of DM and DN is nearly the same as in European countries and lower than that in other Arabic countries.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Diabetes and Diabetic Neuropathy in Qena Governorate: Population-Based Survey

Khedr¹,

Fawi²,

Abbas³

et al. 2016

Neuroepidemiology

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“…Cranial neuropathies in diabetic patients are extremely rare (0.05%) and occur in older individuals with a long duration of diabetes (105). Ocular neuropathies.…”

Section: B Cranial Neuropathiesmentioning

confidence: 99%

Diabetic Somatic Neuropathies

et al. 2004

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“…It has been reported that the incidence of cranial nerve palsy in diabetics is 5–10 times higher than in nondiabetics [2]. As microvascular dysfunction is common in the pathogenesis of both diabetic ophthalmoplegia and diabetic retinopathy, the prevalence of each may be expected to be proportional.…”

Section: Introductionmentioning

confidence: 99%

Retinopathy in Patients with Diabetic Ophthalmoplegia

Acaroğlu¹,

Akıncı

Zilelioğlu

2008

Ophthalmologica

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Purpose: To compare patients with palsy of the 3rd, 4th or 6th cranial nerve due to diabetes mellitus (DM) with controls matched for age, sex and disease duration in terms of the presence and severity of diabetic retinopathy. Patients and Method: Thirty-three diabetic patients with cranial nerve palsies and 33 age- and sex-matched controls with the same duration of disease were included in this case-control study. Groups were evaluated in terms of the type of DM, presence and level of diabetic retinopathy and coexisting systemic diseases. Outcomes were compared by χ² and paired-sample tests. Results: Eleven patients had diabetic retinopathy in the study group. In the control group, 23 patients had diabetic retinopathy. Differences in the presence and severity of diabetic retinopathy between the two groups were found to be statistically significant (p = 0.028 and p = 0.018, respectively). Conclusion: Presence and level of diabetic retinopathy are significantly lower in diabetics with cranial nerve palsy than in the age-, sex- and disease-duration-matched controls.

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Characteristics of cranial nerve palsies in diabetic patients

Cited by 120 publications

References 13 publications

Prevalence of Diabetes and Diabetic Neuropathy in Qena Governorate: Population-Based Survey

Prevalence of Diabetes and Diabetic Neuropathy in Qena Governorate: Population-Based Survey

Diabetic Somatic Neuropathies

Retinopathy in Patients with Diabetic Ophthalmoplegia

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