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[Sensitive polyneuropathy and diabetic cardiovascular dysautonomy]

C Goulon-Goeau1, A Fontbonne, G Saïd

  • 1Service de Neurologie, CHU de Bicêtre, Université Paris XI, France.

Revue Neurologique
|January 1, 1993
PubMed
Summary

Diabetic neuropathy can affect cardiocirculatory function. This study found a strong correlation between the extent of sensory loss and impaired autonomic function tests in patients with diabetic sensory neuropathy.

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Area of Science:

  • Neurology
  • Cardiology
  • Diabetology

Context:

  • Diabetic distal symmetrical sensory neuropathy is a common complication.
  • Autonomic dysfunction can occur in diabetic neuropathy.
  • Understanding the relationship between neuropathy severity and autonomic function is crucial.

Purpose:

  • To correlate the extent of sensory loss in diabetic patients with distal symmetrical sensory neuropathy with alterations in cardiocirculatory tests.
  • To investigate the relationship between sensory loss level and autonomic nervous system function.

Summary:

  • A clinical and physiological study was conducted on 56 diabetic patients with distal symmetrical sensory neuropathy.
  • Cardiovascular tests including blood pressure, heart rate variations, Valsalva's maneuver, and respiratory R-R intervals were performed.

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  • A highly significant correlation (p < 0.001) was found between the level of sensory loss and impairment of all three physiological tests, particularly when sensory loss extended above the knee.

    • Impact:

    • The findings suggest that severe neuropathy, indicated by sensory loss above the knee, is associated with impaired cardiocirculatory tests.
    • While a strong correlation exists, it may not definitively prove that cardiocirculatory impairment in diabetic neuropathy is solely a length-dependent phenomenon.
    • This research contributes to understanding the multifaceted nature of diabetic neuropathy and its systemic effects.