Subclinical Abnormalities of Visual Evoked Potentials and Blink Reflex in Patients with Fibromyalgia

Aims: Previous studies on event-related evoked potentials have suggested potential abnormalities in patients with fibromyalgia. This study aimed to investigate whether patients with fibromyalgia exhibited alterations in visual evoked potentials (VEPs) and blink reflex responses. Subjects and Methods...

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Main Authors: Sidika Buyukvural Sen, Halil Can Alaydin, Halit Fidanci
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Neurological Sciences and Neurophysiology
Subjects:
Online Access:https://journals.lww.com/10.4103/nsn.nsn_22_25
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author Sidika Buyukvural Sen
Halil Can Alaydin
Halit Fidanci
author_facet Sidika Buyukvural Sen
Halil Can Alaydin
Halit Fidanci
author_sort Sidika Buyukvural Sen
collection DOAJ
description Aims: Previous studies on event-related evoked potentials have suggested potential abnormalities in patients with fibromyalgia. This study aimed to investigate whether patients with fibromyalgia exhibited alterations in visual evoked potentials (VEPs) and blink reflex responses. Subjects and Methods: This prospective study included 40 female patients with fibromyalgia and 40 healthy female controls. Participants underwent pattern VEP (PVEP), flash VEP (FVEP), and blink reflex assessments. In addition, the Fibromyalgia Impact Questionnaire (FIQ) and the Visual Analog Scale (VAS) were administered to the fibromyalgia group. Results: The results obtained from PVEP, FVEP, and blink reflex studies showed no significant differences between the healthy control group and the patients with fibromyalgia. However, 5 (12.5%) patients with fibromyalgia had at least one VEP abnormality, and 7 (17.5%) exhibited blink reflex abnormalities. Moreover, a borderline positive correlation was found between the side-to-side ipsilateral R2 latency difference and FIQ scores (P = 0.049, r = 0.313) in patients with fibromyalgia. Conclusions: Although VEP and blink reflex responses did not significantly differ between patients with fibromyalgia and healthy controls, a subset of patients exhibited subclinical abnormalities. These findings suggest that subtle neurophysiologic changes may be present in fibromyalgia.
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spelling doaj-art-ce6154a66fba4c6b8c9df62a1f32b09a2025-07-06T08:11:36ZengWolters Kluwer Medknow PublicationsNeurological Sciences and Neurophysiology2636-865X2025-04-01422566110.4103/nsn.nsn_22_25Subclinical Abnormalities of Visual Evoked Potentials and Blink Reflex in Patients with FibromyalgiaSidika Buyukvural SenHalil Can AlaydinHalit FidanciAims: Previous studies on event-related evoked potentials have suggested potential abnormalities in patients with fibromyalgia. This study aimed to investigate whether patients with fibromyalgia exhibited alterations in visual evoked potentials (VEPs) and blink reflex responses. Subjects and Methods: This prospective study included 40 female patients with fibromyalgia and 40 healthy female controls. Participants underwent pattern VEP (PVEP), flash VEP (FVEP), and blink reflex assessments. In addition, the Fibromyalgia Impact Questionnaire (FIQ) and the Visual Analog Scale (VAS) were administered to the fibromyalgia group. Results: The results obtained from PVEP, FVEP, and blink reflex studies showed no significant differences between the healthy control group and the patients with fibromyalgia. However, 5 (12.5%) patients with fibromyalgia had at least one VEP abnormality, and 7 (17.5%) exhibited blink reflex abnormalities. Moreover, a borderline positive correlation was found between the side-to-side ipsilateral R2 latency difference and FIQ scores (P = 0.049, r = 0.313) in patients with fibromyalgia. Conclusions: Although VEP and blink reflex responses did not significantly differ between patients with fibromyalgia and healthy controls, a subset of patients exhibited subclinical abnormalities. These findings suggest that subtle neurophysiologic changes may be present in fibromyalgia.https://journals.lww.com/10.4103/nsn.nsn_22_25blink reflexfibromyalgianeurophysiologic testsvisual evoked potential
spellingShingle Sidika Buyukvural Sen
Halil Can Alaydin
Halit Fidanci
Subclinical Abnormalities of Visual Evoked Potentials and Blink Reflex in Patients with Fibromyalgia
Neurological Sciences and Neurophysiology
blink reflex
fibromyalgia
neurophysiologic tests
visual evoked potential
title Subclinical Abnormalities of Visual Evoked Potentials and Blink Reflex in Patients with Fibromyalgia
title_full Subclinical Abnormalities of Visual Evoked Potentials and Blink Reflex in Patients with Fibromyalgia
title_fullStr Subclinical Abnormalities of Visual Evoked Potentials and Blink Reflex in Patients with Fibromyalgia
title_full_unstemmed Subclinical Abnormalities of Visual Evoked Potentials and Blink Reflex in Patients with Fibromyalgia
title_short Subclinical Abnormalities of Visual Evoked Potentials and Blink Reflex in Patients with Fibromyalgia
title_sort subclinical abnormalities of visual evoked potentials and blink reflex in patients with fibromyalgia
topic blink reflex
fibromyalgia
neurophysiologic tests
visual evoked potential
url https://journals.lww.com/10.4103/nsn.nsn_22_25
work_keys_str_mv AT sidikabuyukvuralsen subclinicalabnormalitiesofvisualevokedpotentialsandblinkreflexinpatientswithfibromyalgia
AT halilcanalaydin subclinicalabnormalitiesofvisualevokedpotentialsandblinkreflexinpatientswithfibromyalgia
AT halitfidanci subclinicalabnormalitiesofvisualevokedpotentialsandblinkreflexinpatientswithfibromyalgia