Erkan CÜRE, Serkan KIRBAŞ, Medine CÜRE, Ahmet TÜFEKÇİ, Aynur KIRBAŞ, Süleyman YÜCE, Sabri OĞULLAR

Steatozlu Hastalarda Blink Refleksin Değerlendirilmesi

Amaç: Blink refleks (BR) nöropatileri değerlendirmek için kullanılan yararlı bir elektrodiagnostik yöntemdir. Biz bu çalışmada basit steatozda nöropatinin erken tanısında BR’in rolünü incelemeyi amaçladık. Materyal ve Metod: Çalışmaya basit steatozlu 56 hasta (29 kadın, 27 erkek) ve 30 sağlıklı kontrol (17 kadın, 13 erkek) olmak üzere toplam 86 kişi dahil edildi. Supraorbital sinirin elektriksel uyarımından sonra orbikularis okuli kasında ortaya çıkan iki cevap, erken ipsilateral cevap ve geç bilateral cevap gecikme zamanları kaydedildi. Bulgular: Trigliserid düzeyi ve lipid akümülasyon skoru steatozlu hastalarda kontrol grubundan daha yüksekti. Kontrol grubuyla karşılaştırıldığında hasta grubunda erken sağ ipsilateral gecikme, geç sağ ipsilateral gecikme, geç sağ kontralateral gecikme, erken sol ipsilateral gecikme, geç sol ipsilateral gecikme ve geç sol kontralateral gecikme zamanı uzundu. Sonuç: Steatoz aşamasında BR’de yavaşlama vardır. Steatozlu hastalarda BR ölçülerek nöropati gelişimi erken aşamada tespit edilebilir

Anahtar Kelimeler:

Blink refleks, nöropati, steatoz, non-alkolik yağlı karaciğer, hipertrigliseridemi

Evaluation of Blink Reflex in Patients with Steatosis

Purpose: The blink reflex (BR) is a useful electrodiagnostic method for evaluating neuropathies. The aim of our study was to investigate the role of the BR in the early diagnosis of neuropathy in simple steatosis. Material and Methods: A total of 86 subjects were enrolled in this study: 56 patients (29 female, 27 male) with simple steatosis and 30 healthy controls (17 female, 13 male). After the electrical stimulation of the supraorbital nerve, two responses in the orbicularis oculi muscle occur, the early ipsilateral response and the late bilateral response latencies, which were recorded. Results: The triglyceride levels and lipid accumulation products were higher in the patients with steatosis than in the controls. When compared to the control group, the patient group had early right ipsilateral latency, late right ipsilateral latency, late right contralateral latency, early left ipsilateral latency, late left ipsilateral latency, and late left contralateral latency. Conclusion: There is a slowdown of the BR in the steatosis stage; therefore, by performing the BR, neuropathy can be detected at an early stage in patients with steatosis.

Keywords:

Blink reflex, neuropathy, steatosis, non-alcoholic fatty liver disease, hypertriglyceridemia,

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