Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1987 Nov;50(11):1449–1453. doi: 10.1136/jnnp.50.11.1449

Pathological changes in the vagus nerve in diabetes and chronic alcoholism.

Y P Guo 1, J G McLeod 1, J Baverstock 1
PMCID: PMC1032556  PMID: 3694205

Abstract

The pathological changes in the vagus nerve removed at necropsy have been studied in patients with chronic alcoholism and diabetes. Morphometric studies on myelinated fibres were performed on the nerve at mid-cervical, lung hilum and diaphragmatic levels. In two insulin-dependent diabetics the density of myelinated fibres was below the lower limit of the control range at all levels. In all the diabetic and chronic alcoholic subjects there was significant reduction in the density of myelinated fibres at the most distal level in the nerve. The degenerative changes in the nerve are consistent with the findings of abnormal vagal function in diabetics and chronic alcoholics.

Full text

PDF
1449

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Appenzeller O., Richardson E. P., Jr The sympathetic chain in patients with diabetic and alcoholic polyneuropathy. Neurology. 1966 Dec;16(12):1205–1209. doi: 10.1212/wnl.16.12.1205. [DOI] [PubMed] [Google Scholar]
  2. BIRCHFIELD R. I. POSTURAL HYPOTENSION IN WERNICKE'S DISEASE. A MANIFESTATION OF AUTONOMIC NERVOUS SYSTEM INVOLVEMENT. Am J Med. 1964 Mar;36:404–414. doi: 10.1016/0002-9343(64)90167-6. [DOI] [PubMed] [Google Scholar]
  3. Duchen L. W., Anjorin A., Watkins P. J., Mackay J. D. Pathology of autonomic neuropathy in diabetes mellitus. Ann Intern Med. 1980 Feb;92(2 Pt 2):301–303. doi: 10.7326/0003-4819-92-2-301. [DOI] [PubMed] [Google Scholar]
  4. Duncan G., Johnson R. H., Lambie D. G., Whiteside E. A. Evidence of vagal neuropathy in chronic alcoholics. Lancet. 1980 Nov 15;2(8203):1053–1057. doi: 10.1016/s0140-6736(80)92275-8. [DOI] [PubMed] [Google Scholar]
  5. GRAVALLESE M. A., Jr, VICTOR M. Circulatory studies in Wernicke's encephalopathy: with special reference to the occurrence of a state of high cardiac output and postural hypotension. Circulation. 1957 Jun;15(6):836–844. doi: 10.1161/01.cir.15.6.836. [DOI] [PubMed] [Google Scholar]
  6. Guy R. J., Dawson J. L., Garrett J. R., Laws J. W., Thomas P. K., Sharma A. K., Watkins P. J. Diabetic gastroparesis from autonomic neuropathy: surgical considerations and changes in vagus nerve morphology. J Neurol Neurosurg Psychiatry. 1984 Jul;47(7):686–691. doi: 10.1136/jnnp.47.7.686. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. HOFFMAN H. H., KUNTZ A. Vagus nerve components. Anat Rec. 1957 Mar;127(3):551–567. doi: 10.1002/ar.1091270306. [DOI] [PubMed] [Google Scholar]
  8. HOFFMAN H. H., SCHNITZLEIN H. N. The numbers of nerve fibers in the vagus nerve of man. Anat Rec. 1961 Mar;139:429–435. doi: 10.1002/ar.1091390312. [DOI] [PubMed] [Google Scholar]
  9. Kristensson K., Nordborg C., Olsson Y., Sourander P. Changes in the vagus nerve in diabetes mellitus. Acta Pathol Microbiol Scand A. 1971;79(6):684–685. doi: 10.1111/j.1699-0463.1971.tb01872.x. [DOI] [PubMed] [Google Scholar]
  10. Low P. A., Walsh J. C., Huang C. Y., McLeod J. G. The sympathetic nervous system in alcoholic neuropathy. A clinical and pathological study. Brain. 1975 Sep;98(3):357–364. doi: 10.1093/brain/98.3.357. [DOI] [PubMed] [Google Scholar]
  11. Low P. A., Walsh J. C., Huang C. Y., McLeod J. G. The sympathetic nervous system in diabetic neuropathy. A clinical and pathological study. Brain. 1975 Sep;98(3):341–356. doi: 10.1093/brain/98.3.341. [DOI] [PubMed] [Google Scholar]
  12. Novak D. J., Victor M. The vagus and sympathetic nerves in alcoholic polyneuropathy. Arch Neurol. 1974 Apr;30(4):273–284. doi: 10.1001/archneur.1974.00490340001001. [DOI] [PubMed] [Google Scholar]
  13. Post E. J., McLeod J. G. Acrylamide autonomic neuropathy in the cat. Part 1. Neurophysiological and histological studies. J Neurol Sci. 1977 Sep;33(3):353–374. doi: 10.1016/0022-510x(77)90133-2. [DOI] [PubMed] [Google Scholar]
  14. SCHEUER J. L. FIBRE SIZE FREQUENCY DISTRIBUTION IN NORMAL HUMAN LARYNGEAL NERVES. J Anat. 1964 Jan;98:99–104. [PMC free article] [PubMed] [Google Scholar]
  15. Satchell P. M., McLeod J. G., Harper B., Goodman A. H. Abnormalities in the vagus nerve in canine acrylamide neuropathy. J Neurol Neurosurg Psychiatry. 1982 Jul;45(7):609–619. doi: 10.1136/jnnp.45.7.609. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Smith B. Neuropathology of the oesophagus in diabetes mellitus. J Neurol Neurosurg Psychiatry. 1974 Oct;37(10):1151–1154. doi: 10.1136/jnnp.37.10.1151. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Tuck R. R., Pollard J. D., McLeod J. G. Autonomic neuropathy in experimental allergic neuritis: an electrophysiological and histological study. Brain. 1981 Mar;104(Pt 1):187–208. doi: 10.1093/brain/104.1.187. [DOI] [PubMed] [Google Scholar]
  18. Walsh J. C., McLeod J. G. Alcoholic neuropathy. An electrophysiological and histological study. J Neurol Sci. 1970 May;10(5):457–469. doi: 10.1016/0022-510x(70)90025-0. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES