Department of Neurology, School of Medicine, Fukushima Medical University, Fukushima, Japan.
Neurol Sci. 2010 Apr;31(2):205-7. doi: 10.1007/s10072-009-0189-5.
A 41-year-old man with multiple sclerosis (MS) complained of nocturnal enuresis at the third exacerbation. Neurological examination revealed echopraxia, forced grasp reflexes and palmo-mental reflexes. The urodynamic studies showed neither spinal cord nor peripheral nerve involvements. His brain magnetic resonance images (MRIs) revealed new lesions at the bilateral medial frontal lobes. The intravenous methylprednisolone therapy improved nocturnal enuresis and made brain MRI lesions smaller and gone. In addition to frequently observed spinal cord lesions, we should consider some medial frontal lesions to be responsible for micturitional disturbance in patients with MS.
一位 41 岁的多发性硬化症（MS）患者在第三次恶化时抱怨夜间遗尿。神经系统检查显示回声模仿、强制抓握反射和手掌心理反射。尿动力学研究显示无脊髓或周围神经受累。他的脑部磁共振成像（MRI）显示双侧额内侧叶有新的病变。静脉注射甲基强的松龙治疗改善了夜间遗尿，并使脑部 MRI 病变变小和消失。除了经常观察到的脊髓病变外，我们还应考虑一些额内侧病变是导致 MS 患者排尿障碍的原因。
