The role of inflammation markers in predicting the prognosis of Bell`s palsy

Authors : Bülent Ulusoy, Kazım Bozdemir, Hayati Kale, Mehmet Hakan Korkmaz

Pages : 629-635

Doi:10.18621/eurj.404778

View : 21 | Download : 9

Publication Date : 2019-07-04

Article Type : Research Paper

Abstract :Objectives: This study aimed to investigate the relationship between the neutrophil-to-lymphocyte ratio insert ignore into journalissuearticles values(NLR); and the platelet-to-lymphocyte ratio insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(MPV);, platelet distribution width insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values( p > 0.05);. NLR was significantly higher in the patient group compared with the control group insert ignore into journalissuearticles values( 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 insert ignore into journalissuearticles values(WBC); were significantly higher in the patient group than the control group insert ignore into journalissuearticles values( 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 insert ignore into journalissuearticles values(p = 0.009 and p = 0.003 respectively);. The MPV value was higher in the recovered patients, though not statistically significant insert ignore into journalissuearticles values( p = 0.063);. Based on the cut-off values determined in the receiver operator characteristic insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values( p = 0.036);. 
Keywords : Bell palsy, inflammation, mean platelet volume, prognosis, platelet activation, ROC curve, neutrophil