Oxidative Stress and Antioxidant Status in Patients with Bell’s Palsy

Summary Background: Bell’s palsy (BP) is the most common acute mononeuropathy of unilateral facial paralysis. Immune, infective and ischaemic mechanisms are potential contributors to the development of BP, but the precise cause remains unclear. Recently, oxidative stress has been proposed as a risk factor of various idiopathic diseases. The aim of this study was to investigate the possible role of oxidative stress in patients with BP. Methods: Thirty-two patients with BP and 30 healthy controls were included in this study. Serum total oxidant status (TOS), total antioxidant status (TAS) and oxidative stress index (OSI) were measured by the Erel method. Results: Serum TOS activities and OSI values were significantly higher in patients with BP compared with the control group (P <0.003 for all comparisons), whereas there was no significant difference between the groups in terms of TAS levels (P >0.05). Conclusions: The data suggest that oxidative stress is increased in BP. These results of high oxidative stress in patients with BP may be helpful to clarify the etiopathogenesis of BP and contribute to improvement in the management or prevention of the disease.

[1]  M. Saini,et al.  Evaluation of Systemic Antioxidant Level and Oxidative Stress in Relation to Lifestyle and Disease Progression in Asthmatic Patients , 2015, Journal of medical biochemistry.

[2]  T. Hadlock,et al.  Bell's palsy: aetiology, clinical features and multidisciplinary care , 2015, Journal of Neurology, Neurosurgery & Psychiatry.

[3]  M. Aslan,et al.  Determining oxidant and antioxidant status in patients with genital warts , 2015, Redox report : communications in free radical research.

[4]  G. Glass,et al.  Bell's palsy: a summary of current evidence and referral algorithm. , 2014, Family practice.

[5]  Y. Can,et al.  Evaluation of total antioxidant status, total oxidant status and oxidative stress index in patients with alopecia areata. , 2014, International journal of clinical and experimental medicine.

[6]  M. de Vincentiis,et al.  Bell's palsy and autoimmunity. , 2012, Autoimmunity reviews.

[7]  E. Uzar,et al.  Serum prolidase activity and oxidative status in patients with diabetic neuropathy , 2012, Neurological Sciences.

[8]  L. Pignataro,et al.  Unbalanced oxidative status in idiopathic sudden sensorineural hearing loss , 2012, European Archives of Oto-Rhino-Laryngology.

[9]  Dong-Hee Lee,et al.  Analysis of prognostic factors in Bell's palsy and Ramsay Hunt syndrome. , 2007, Auris, nasus, larynx.

[10]  O. Erel,et al.  A new automated colorimetric method for measuring total oxidant status. , 2005, Clinical biochemistry.

[11]  D. Bodmer,et al.  Bell's Palsy and Herpes Simplex Virus: Fact or Mystery? , 2005, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[12]  O. Erel A novel automated direct measurement method for total antioxidant capacity using a new generation, more stable ABTS radical cation. , 2003, Clinical biochemistry.

[13]  M. Picardo,et al.  Antioxidant activity, lipid peroxidation and skin diseases. What's new , 2003, Journal of the European Academy of Dermatology and Venereology : JEADV.

[14]  F. Dunne,et al.  Oxidative stress and normal pregnancy , 2002, Clinical endocrinology.

[15]  D. Mccormick,et al.  Herpes simplex virus as a cause of Bell's palsy , 2000 .

[16]  D. James Differential diagnosis of facial nerve palsy. , 1997, Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG.

[17]  A. Barnett,et al.  Antioxidant status in patients with uncomplicated insulin‐dependent and non‐insulin‐dependent diabetes mellitus , 1997, European journal of clinical investigation.

[18]  N. Hato,et al.  Bell Palsy and Herpes Simplex Virus: Identification of Viral DNA in Endoneurial Fluid and Muscle , 1996, Annals of Internal Medicine.

[19]  R. Hilsinger,et al.  Idiopathic Facial Paralysis, Pregnancy, and the Menstrual Cycle , 1975, The Annals of otology, rhinology, and laryngology.