Research Topics
| V BrilSummaryAffiliation: University of Toronto Country: Canada Publications
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Detail Information
Publications
Long-term effects of ranirestat (AS-3201) on peripheral nerve function in patients with diabetic sensorimotor polyneuropathyVera Bril
Department of Medicine, University of Toronto, Canada
Diabetes Care 29:68-72. 2006..We aimed to determine whether ranirestat, an aldose reductase inhibitor, maintains the improved nerve function observed in patients with diabetic sensorimotor polyneuropathy (DSP) after completing a 12-week nerve biopsy study...
Diagnostic tools for diabetic sensorimotor polyneuropathyKeri A Kles
Lilly Research Laboratories, Eli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana, USA
Curr Diabetes Rev 2:353-61. 2006..Early detection of neuropathy enables clinicians to prevent long-term complications like ulcers and amputations in patients with diabetes. The focus of this review is to describe the composite of tools necessary for diagnosis of DSP...
Long-term clinical outcome after transcervical thymectomy for myasthenia gravisV Bril
Division of Neurology, The Toronto Hospital, Ontario, Canada
Ann Thorac Surg 65:1520-2. 1998....
Aldose reductase inhibition by AS-3201 in sural nerve from patients with diabetic sensorimotor polyneuropathyVera Bril
Department of Medicine, University of Toronto, Ontario, Canada
Diabetes Care 27:2369-75. 2004..An additional aim was to determine whether any changes in nerve function would manifest with AS-3201 therapy...
Electrophysiologic correlations with clinical outcomes in CIDPVera Bril
Division of Neurology, University Health Network, 5EC 309, Toronto General Hospital, 200 Elizabeth Street, Toronto, ON, M5G 2C4 Canada
Muscle Nerve 42:492-7. 2010..44; P < 0.001) and Medical Research Council sum score (r = 0.38; P < 0.001). Overall, the change in electrophysiologic measures of NC in CIDP correlated with clinical response to treatment...
Electrophysiology in chronic inflammatory demyelinating polyneuropathy with IGIVVera Bril
Department of Neurology, University Health Network, Toronto, Ontario, Canada
Muscle Nerve 39:448-55. 2009..035], and conduction block decreased significantly (treatment difference, -5.54%; 95% CI, -10.43, -0.64; P=0.027), particularly in the lower limbs. Overall, the data suggest that IGIV-C improves electrophysiologic parameters in CIDP...
Reliability and validity of the modified Toronto Clinical Neuropathy Score in diabetic sensorimotor polyneuropathyV Bril
University Health Network, University of Toronto, Toronto, ON, Canada
Diabet Med 26:240-6. 2009..We aimed to assess the reproducibility of this modified tool, the mTCNS and to determine its validity relative to the precursor TCNS...
Comparison of vibration perception thresholds obtained with the Neurothesiometer and the CASE IV and relationship to nerve conduction studiesVera Bril
Toronto General Hospital, University of Toronto, University Health Network, 200 Elizabeth Street, Toronto, Ontario, Canada M5G 2C4
Diabet Med 19:661-6. 2002..Information comparing the VPT obtained with the Neurothesiometer with that with the Vibratron is available, but not for a similar comparison with the CASE IV (computer-assisted sensory examination device)...
Ranirestat for the management of diabetic sensorimotor polyneuropathyVera Bril
University Health Network, University of Toronto, Toronto, Ontario, Canada
Diabetes Care 32:1256-60. 2009..Aldose reductase inhibitors (ARIs) are potential disease modifiers for diabetes complications. We aimed to determine whether ranirestat, an ARI, could slow or reverse the course of diabetic sensorimotor polyneuropathy (DSP)...
Validation of the Toronto Clinical Scoring System for diabetic polyneuropathyVera Bril
Toronto General Hospital, University Health Network, University of Toronto, Toronto, Canada
Diabetes Care 25:2048-52. 2002....
Sensory nerve area measurements in patients with diabetic neuropathyV Bril
University Health Network, Toronto General Hospital, Toronto, Ontario, Canada
Electromyogr Clin Neurophysiol 41:59-63. 2001..We conclude that current clinical trials do not include sufficient numbers of patients to show change in area measurements, particularly the area under the terminal segment of the curve...
Limits of the sympathetic skin response in patients with diabetic polyneuropathyV Bril
Toronto General Hospital, University of Toronto, Ontario, Canada
Muscle Nerve 23:1427-30. 2000..We conclude that current limitations inherent in SSR testing preclude its use as a reliable and consistent index of the autonomic dysfunction commonly encountered in diabetic patients...
NIS-LL: the primary measurement scale for clinical trial endpoints in diabetic peripheral neuropathyV Bril
The Toronto Hospital, Toronto, Ont, Canada
Eur Neurol 41:8-13. 1999..The use of the NIS-LL in clinical trials, together with other tests measuring nerve function, pain and risk of foot ulcer, provides the best opportunity to evaluate the efficacy of new therapeutic agents for the treatment of DPN...
Sural nerve sorbitol in patients with diabetic sensorimotor polyneuropathyVera Bril
Department of Medicine, Toronto General Hospital, Toronto, Ontario, Canada
Diabetes Care 27:1160-3. 2004..In this study, we compared the results of sorbitol assays to determine the required sensitivity of analytical methods for nerve sorbitol measurements...
Glycemic control is related to the morphological severity of diabetic sensorimotor polyneuropathyB A Perkins
Toronto General Hospital, University Health Network, University of Toronto, Canada
Diabetes Care 24:748-52. 2001..Based on the results of the present study, it might be hypothesized that improving glycemic control will lessen severity of DSP in terms of FD loss in subjects with diabetes...
Reproducibility of in vivo corneal confocal microscopy as a novel screening test for early diabetic sensorimotor polyneuropathyP Hertz
Division of Endocrinology and Metabolism Division of Neurology, University of Toronto, Toronto, ON, Canada
Diabet Med 28:1253-60. 2011....
Comparison of IVIg and PLEX in patients with myasthenia gravisD Barth
Department of Pathology, University Health Network, Toronto General Hospital, Toronto, Canada
Neurology 76:2017-23. 2011....
Short-term metabolic change is associated with improvement in measures of diabetic neuropathy: a 1-year placebo cohort analysisB A Perkins
Division of Endocrinology and Metabolism, Department of Medicine, University of Toronto, 200 Elizabeth Street, Toronto, Ontario, Canada
Diabet Med 27:1271-9. 2010..We aimed to determine the variables associated with this paradoxical nerve function improvement...
A pilot study to compare the use of the Excorim staphylococcal protein immunoadsorption system and IVIG in chronic inflammatory demyelinating polyneuropathyL H Zinman
Toronto General Hospital, University Health Network, Eaton Wing, 11-209, 200 Elizabeth Street, Toronto, ON, Canada
Transfus Apher Sci 33:317-24. 2005..IA appears to be a safe and efficacious therapy for patients with CIDP, but an appropriately powered clinical trial with stratification for disease duration is required...
Brachial plexopathy complicating Epstein-Barr virus infection in an adultD Dodig
University Health Network, Division of Neurology, University of Toronto, Toronto General Hospital UHN, 200 Elizabeth Street, Toronto, ON M5G 2C4, Canada
Acta Myol 29:357-9. 2010..We present a case of brachial plexopathy complicating prior EBV infection in a healthy adult...
Evidence-based guideline: Treatment of painful diabetic neuropathy: report of the American Academy of Neurology, the American Association of Neuromuscular and Electrodiagnostic Medicine, and the American Academy of Physical Medicine and RehabilitationV Bril
University Health Network, University of Toronto, Toronto, Canada
Neurology 76:1758-65. 2011..Effective treatments for PDN are available, but many have side effects that limit their usefulness, and few studies have sufficient information on treatment effects on function and QOL...
Status of current clinical trials in diabetic polyneuropathyV Bril
Toronto General Hospital, UHN, University of Toronto, Ontario, Canada
Can J Neurol Sci 28:191-8. 2001..A discussion of clinical trials of agents directed towards relieving painful symptoms of diabetic polyneuropathy concludes this overview...
Cooling detection thresholds in the assessment of diabetic sensory polyneuropathy: comparison of CASE IV and Medoc instrumentsLorne H Zinman
University Health Network, University of Toronto, Toronto, Ontario, Canada
Diabetes Care 27:1674-9. 2004....
Multi-site testing with a point-of-care nerve conduction device can be used in an algorithm to diagnose diabetic sensorimotor polyneuropathyBruce A Perkins
Division of Endocrinology, University Health Network, University of Toronto, Toronto, Ontario, Canada
Diabetes Care 31:522-4. 2008..We aimed to establish whether multi-nerve testing with a point-of-care nerve conduction device could be used to diagnose diabetic sensorimotor polyneuropathy...
Ranirestat (AS-3201), a potent aldose reductase inhibitor, reduces sorbitol levels and improves motor nerve conduction velocity in streptozotocin-diabetic ratsTakafumi Matsumoto
Pharmacology Research Laboratories, Dainippon Sumitomo Pharma Co, Ltd, Osaka, Japan
J Pharmacol Sci 107:231-7. 2008....
Comparison of sensory testing on different toe surfaces: implications for neuropathy screeningDimitri Dimitrakoudis
University Health Network, Toronto General Hospital, University of Toronto, Ontario, Canada
Neurology 59:611-3. 2002..These results establish the importance of standardized screening methods for diabetic sensorimotor neuropathy in the clinic and in clinical research trials...
Carpal tunnel syndrome in patients with diabetic polyneuropathyBruce A Perkins
Beth Israel Deaconness Medical Center, Harvard Medical School, Boston, Massachusetts, USA
Diabetes Care 25:565-9. 2002....
Early vascular risk factor modification in type 1 diabetesBruce A Perkins
N Engl J Med 352:408-9. 2005
Symmetry of nerve conduction studies in different stages of diabetic polyneuropathyBruce A Perkins
EN 11-209, Toronto General Hospital, University Health Network, University of Toronto, 200 Elizabeth St, Toronto, Ontario, Canada M5G 2C4
Muscle Nerve 25:212-7. 2002..Thus, unilateral evaluation of NCS in DSP is sufficient as a reference standard in clinical trials. We also conclude that great degrees of asymmetry in NCS results are reason to question inclusion of DSP patients in clinical trials...
Long-term treatment with ranirestat (AS-3201), a potent aldose reductase inhibitor, suppresses diabetic neuropathy and cataract formation in ratsTakafumi Matsumoto
Pharmacology Research Laboratories, Dainippon Sumitomo Pharma Co, Ltd, Osaka, Japan
J Pharmacol Sci 107:340-8. 2008..Ranirestat should be a promising agent for the treatment of complications associated with diabetes, especially neuropathy...
Surrogate therapeutic outcome measures in patients with myasthenia gravisLorne Zinman
Sunnybrook Health Sciences Centre, Toronto, Canada
Muscle Nerve 37:172-6. 2008....
Muscle and nerve involvement in granulomatous mycosis fungoidesLili Naz Hazrati
Department of Laboratory Medicine and Pathobiology, Banting Institute, 100 College Street, Toronto, Ontario M5G 1L5, Canada
Muscle Nerve 36:860-5. 2007..Based on a literature review and the course in our case, however, granulomatous mycosis fungoides seems to be an indicator of aggressive disease and ultimately a poor prognosis...
Validation of a novel point-of-care nerve conduction device for the detection of diabetic sensorimotor polyneuropathyBruce A Perkins
Toronto General Hospital, 200 Elizabeth St, Room EN 12 217, Toronto, Ontario, Canada M5G 2C4
Diabetes Care 29:2023-7. 2006....
Sural sensory action potential identifies diabetic peripheral neuropathy responders to therapyAaron I Vinik
Strelitz Diabetes Institutes, Eastern Virginia Medical School, Norfolk, 23510, USA
Muscle Nerve 32:619-25. 2005..004; OR = 0.896). For patients with abnormal VDT, preserved sural SNAP identifies a patient population with less severe DPN who may respond to therapeutic intervention in clinical trials...
Diabetic neuropathy: a review emphasizing diagnostic methodsBruce A Perkins
EN 11-209, TGH, University Health Network, University of Toronto, 200 Elizabeth Street, Toronto, Ontario, Canada M5G 2C4
Clin Neurophysiol 114:1167-75. 2003..Novel investigative techniques are highly promising, but their usefulness in the clinic setting remains limited at this time. This article presents an overview of diagnostic methods for DSP...
Low-intensity laser therapy for painful symptoms of diabetic sensorimotor polyneuropathy: a controlled trialLorne H Zinman
Toronto General Hospital, Toronto, Ontario, Canada
Diabetes Care 27:921-4. 2004..CONCLUSIONS: Although an encouraging trend was observed with LILT, the study results do not provide sufficient evidence to recommend this treatment for painful symptoms of DSP...
Diabetic neuropathies: a statement by the American Diabetes AssociationAndrew J M Boulton
Department of Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, U.K
Diabetes Care 28:956-62. 2005
Treatment of symptomatic diabetic peripheral neuropathy with the protein kinase C beta-inhibitor ruboxistaurin mesylate during a 1-year, randomized, placebo-controlled, double-blind clinical trialAaron I Vinik
Eastern Virginia Medical School, Norfolk, 23510, USA
Clin Ther 27:1164-80. 2005..The aim of this study was to assess the effects of ruboxistaurin (RBX) mesylate on nerve function and sensory symptoms in patients with diabetes mellitus (DM) and diabetic peripheral neuropathy (DPN)...
Development and validity testing of the neuropathy total symptom score-6: questionnaire for the study of sensory symptoms of diabetic peripheral neuropathyEdward J Bastyr
Lilly Research Laboratories, Indianapolis, Indiana, 46285, USA
Clin Ther 27:1278-94. 2005....
Diagnosis and management of diabetic neuropathyBruce A Perkins
Toronto General Hospital, University Health Network, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada
Curr Diab Rep 2:495-500. 2002..The management of DSP is centered on optimal glycemic control, diligent foot care, and pain control as a means of preventing the progression of DSP and reducing the morbidity associated with foot complications...
Sensitivity of repetitive facial-nerve stimulation in patients with myasthenia gravisLorne H Zinman
Division of Neurology, 1382-13N, Toronto General Hospital, University Health Network, 585 University Avenue, Toronto, Ontario M5G 2N2, Canada
Muscle Nerve 33:694-6. 2006..In addition, we confirmed the low sensitivity of RNS for ocular (18%) or generalized (47%) MG. The specificity of facial RNS for both muscles was 100% and, in certain circumstances, may obviate the need for further diagnostic testing...
Objective evidence for the reversibility of nerve injury in diabetic neuropathic cachexiaJaspreet Grewal
Diabetes Care 29:473-4. 2006
Prognostic significance of thymomas in patients with myasthenia gravisMarc de Perrot
Division of Thoracic Surgery, Toronto General Hospital, Ontario, Canada
Ann Thorac Surg 74:1658-62. 2002..Therefore, the presence of a thymoma should not necessarily be viewed as a negative prognostic factor regarding recovery from myasthenia gravis...
Intravenous immune globulin (10% caprylate-chromatography purified) for the treatment of chronic inflammatory demyelinating polyradiculoneuropathy (ICE study): a randomised placebo-controlled trialRichard A C Hughes
Department of Clinical Neuroscience, King s College London, Guy s Hospital, London, UK
Lancet Neurol 7:136-44. 2008..We aimed to establish whether 10% caprylate-chromatography purified immune globulin intravenous (IGIV-C) has short-term and long-term benefit in patients with CIDP...
IV immunoglobulin in patients with myasthenia gravis: a randomized controlled trialLorne Zinman
Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
Neurology 68:837-41. 2007..We aimed to determine the effectiveness of IV immunoglobulin (IVIG) in the treatment of patients with myasthenia gravis (MG) and worsening weakness in a randomized, placebo-controlled, masked study...
Neuromuscular function in survivors of the acute respiratory distress syndromeMichael J Angel
Department of Medicine, Division of Neurology, University Health Network, University of Toronto, Toronto, Ontario, Canada
Can J Neurol Sci 34:427-32. 2007..Persistent neuromuscular complications of ARDS may contribute to the functional disability observed in these patients...
