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Frequency of Brain Ventricular Enlargement among Patients with Diabetes Mellitus

Diabetes Research and Clinical Practice(2024)

Sapienza Univ Rome | UniCamillus Int Med Univ | Univ Genoa | York Univ

Cited 0|Views21
Abstract
Aims: To determine the prevalence of dilated ventricles and concomitant high blood glucose measures. Methods: We retrieved blood glucose measures from the emergency department database and selected a subgroup of individuals having both the radiological marker Evans' index (EI) values and blood glucose measures. Results: Out of 1221 consecutive patients submitted to axial Computed Tomography scans, a blood glucose measure was detected in 841 individuals. 176 scans (21 %) showed an EI > 0.30. According to the blood glucose categorization, diabetic patients were 104 (12 %), 25 of them (24 %) were dilated (mean EI 0.33). The age difference between dilated and not-dilated ventricles is about ten years in not-diabetic participants, whereas it is five years in diabetic participants. The age difference between dilated and not-dilated ventricles is about 10 years in diabetic men, whereas it zero in diabetic women. Conclusions: Pathological ventricular enlargement is more frequent in men and in the elderly. In diabetic patients (especially women), the cerebral ventricles enlarge faster than in non-diabetic individuals. Age, sex, and diabetes may interact in determining how cerebral ventricle size changes over time, especially in diabetic women, making routine brain imaging advisable in these patients after the age of 70 years.
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Brain,Diabetes,Enlargement,Evans ' index,Normal pressure hydrocephalus,Ventricular system
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要点】:本文研究了糖尿病患者中脑室扩张的频率,发现糖尿病患者的脑室扩张现象更为常见,尤其是在女性糖尿病患者中,脑室扩张速度比非糖尿病患者快。

方法】:通过分析急诊科数据库中的血糖测量数据,选择同时具有Evans'指数(EI)值和血糖测量值的个体作为研究样本。

实验】:对1221名连续进行轴向计算机断层扫描的患者进行研究,其中841名个体有血糖测量记录,176名(21%)的扫描显示EI > 0.30。根据血糖分类,糖尿病患者为104名(12%),其中25名(24%)存在脑室扩张(平均EI为0.33)。实验结果表明,非糖尿病患者中脑室扩张与未扩张者年龄相差约十年,而糖尿病患者中相差约五年;在男性糖尿病患者中相差约十年,在女性糖尿病患者中则几乎没有差异。