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[Otoneurologic abnormalities in insulin-dependent diabetes]
K Jáuregui-Renaud1, B Domínguez-Rubio, A Ibarra-Olmos
1Departamento de Audiología y Otoneurologia, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, México DF. kjauren@data.net.mx
Summary
Diabetes can lead to neuro-otological deterioration, affecting auditory and vestibular function. This study observed declining function in patients with insulin-dependent diabetes mellitus over three years.
Area of Science:
- Otolaryngology
- Endocrinology
- Neurology
Context:
- Diabetes mellitus is a complex metabolic disorder with widespread systemic implications.
- Neuro-otological complications, including auditory and vestibular dysfunction, are increasingly recognized in diabetic patients.
- Early detection of neuro-otological changes is crucial for managing long-term health outcomes.
Purpose:
- To evaluate auditory and vestibular function in patients diagnosed with insulin-dependent diabetes mellitus.
- To identify potential early indicators of neuro-otological deterioration in this patient cohort.
- To investigate the progression of auditory and vestibular changes over a three-year period.
Summary:
- Ten patients with insulin-dependent diabetes mellitus (IDDM) and peripheral neuropathy underwent a three-year longitudinal study.
- Initially, all patients exhibited normal auditory brainstem responses but showed diminished horizontal vestibulo-ocular responses.
- Over the study period, one patient developed vertigo and asymmetric vestibulo-ocular responses, another showed similar abnormalities, and a third experienced sensorineural hearing loss.
Impact:
- Suggests that insulin-dependent diabetes mellitus can precipitate neuro-otological deterioration.
- Highlights the importance of regular audiological and vestibular assessments in diabetic patients.
- Provides evidence for potential subclinical neuro-otological dysfunction in diabetes, even without retinopathy.