The role of inflammation markers in predicting the prognosis of Bell's palsy
Journal Title: The European Research Journal - Year 2019, Vol 5, Issue 4
Abstract
Objectives: This study aimed to investigate the relationship between the neutrophil-to-lymphocyte ratio (NLR) and the platelet-to-lymphocyte ratio (PLR) and Bell’s palsy in addition to the usability of these markers to predict prognosis. Methods: In this prospective study, the patient group included 24 patients that were diagnosed with Bell’s palsy and 29 healthy volunteers that had similar characteristics to them regarding age and gender with patient group as the control group. The temporal gadolinium-enhanced magnetic resonance imaging (TGd-MRI) was performed to all patients. The complete blood count was also obtained from both the patient and the control groups, and these two groups were compared for NLR and PLR, mean platelet volume (MPV), platelet distribution width (PDW), and platelet count. The relationship between these markers and Bell’s paralysis prognosis was also investigated. Results: The patient and control groups were similar in age and gender (p > 0.05). NLR was significantly higher in the patient group compared with the control group (p = 0.016). There was no correlation between the NLR value and the prognosis of Bell’s Palsy. The PDW and white blood cell count (WBC) were significantly higher in the patient group than the control group (p = 0.023 and p = 0.012, respectively). A comparison of the recovered and unrecovered patients revealed that the PDW value was significantly higher and the platelet count was lower in the recovered patients than the unrecovered patients (p = 0.009 and p = 0.003 respectively). The MPV value was higher in the recovered patients, though not statistically significant (p = 0.063). Based on the cut-off values determined in the receiver operator characteristic (ROC) curve analysis, a comparison of the recovered and unrecovered patients reveals that the likelihood of not healing was significantly higher in those that had normal PDW values (p = 0.036). Conclusion: These results might support the theory of inflammation in patients with Bell’s palsy.
Authors and Affiliations
Bülent Ulusoy, Kazım Bozdemir, Hayati Kale, Mehmet Hakan Korkmaz
Keywords
Related Articles
- EP ID EP610234
- DOI 10.18621/eurj.404778
- Views 104
- Downloads 0
Fatty necrosis of falciform ligament due to torsion mimics falciform ligament cyst on MRI
The falciform ligament which is a broad and thin peritoneal ligament, divides the left and right subphrenic compartments. Some pathologies of this ligament can be a rare cause of acute abdomen. Mostly its pathologies pre...
Semi-wrapping lateral cartilage to a square edged strut perpendicularly to prevent collapse in external nasal valve dysfunction: pseudodome technique
Objectives: During inhalation through the nose, the weakness of lateral cartilage may cause the collapse of nasal vestibule and sidewall, causing the complaint of difficult breathing through the nose. We aimed to support...
Preventive effect of selenium pretreatment against cisplatin-induced oral mucositis in rats
Objective. The aim of the present study was to investigate the protective role of selenium against cisplatin-induced oral mucositis in rats. Methods. Healthy wistar albino rats (n=21) were randomly divided into three gro...
Unusual location of lichen striatus in an adult patient
Lichen striatus is a rare inflammatory dermatosis that influences mostly children, being rare reports in adults. The pathogenesis is unknown. In addition, lichen striatus is demonstrated as T-cell mediated inflammatory c...
Current approaches in gestational diabetes mellitus
Gestational diabetes mellitus (GDM) is one of the most common medical complications in pregnancy and has become a global public health issue in terms of causing fetal and maternal morbidity and mortality in short- and lo...