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纯小脑综合征(PCS)中的膀胱括约肌功能障碍:解剖功能相关性研究的一个可能基础。

Vesico-sphincter dysfunctions in Pure Cerebellar Syndrome (PCS): a possible basis for the study of anatomo-functional correlations.

作者信息

Pea U, Zago T, Areta L, Marzorati G

出版信息

Urologia. 2008 Jan-Mar;75(1):38-41.

PMID:21086374
Abstract

The neurological polymorphism of Pure Cerebellar Syndromes (not including the heredodegenerative patterns) led the Authors to try to verify the possible correlations between neurological damages and urodynamic findings. MATERIAL AND METHODS. From 2001 to 2006 thirty patients affected by PCS were studied. They underwent several neurological and urological investigations, including videourodynamics. RESULTS. Sixteen cases (76%) showed urinary incontinence due to non-inhibited detrusor contractions, with no evidence of vesico-sphincter dyssynergia; the remaining patients showed a moderate degree of incoordination. CONCLUSIONS. The authors highlight the basic role of cerebellum in modulating the motor activities and the coordination of the bladder-sphincter structures, also in the light of the outcomes gathered in these patients, who were not suffering from other superior structure deficiencies.

摘要

纯小脑综合征(不包括遗传性退行性模式)的神经学多态性促使作者试图验证神经损伤与尿动力学检查结果之间可能存在的相关性。材料与方法。对2001年至2006年期间30例患有纯小脑综合征的患者进行了研究。他们接受了多项神经学和泌尿学检查,包括影像尿动力学检查。结果。16例(76%)患者因逼尿肌无抑制性收缩而出现尿失禁,未发现膀胱括约肌协同失调;其余患者表现出中度的共济失调。结论。作者强调了小脑在调节运动活动以及膀胱括约肌结构协调方面的基础作用,鉴于这些患者未患有其他高级结构缺陷所获得的结果。

相似文献

1
Vesico-sphincter dysfunctions in Pure Cerebellar Syndrome (PCS): a possible basis for the study of anatomo-functional correlations.纯小脑综合征(PCS)中的膀胱括约肌功能障碍:解剖功能相关性研究的一个可能基础。
Urologia. 2008 Jan-Mar;75(1):38-41.
2
Urodynamic classification of patients with symptoms of overactive bladder.膀胱过度活动症患者的尿动力学分类
J Urol. 2003 Feb;169(2):529-33; discussion 533-4. doi: 10.1097/01.ju.0000047380.23852.b8.
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The lazy bladder syndrome: a possible urodynamic evolution in patients with idiopatic detrusor and pelvic floor overactivity.惰性膀胱综合征:特发性逼尿肌和盆底过度活动患者可能的尿动力学演变。
Pediatr Med Chir. 2004 May-Jun;26(3):187-90.
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Single-institution experience in 110 patients with botulinum toxin A injection into bladder or urethra.110例患者膀胱或尿道注射A型肉毒杆菌毒素的单机构经验。
Urology. 2005 Jan;65(1):37-41. doi: 10.1016/j.urology.2004.08.016.
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[The striated sphincter of the urethra. 3: Urodynamic and physiopathologic study of the striated sphincter].[尿道横纹括约肌。3:尿道横纹括约肌的尿动力学和生理病理学研究]
J Urol (Paris). 1984;90(8-9):529-51.
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Urethral sphincter dyssynergia in spinal cord injury patients.脊髓损伤患者的尿道括约肌协同失调
Paraplegia. 1987 Feb;25(1):10-5. doi: 10.1038/sc.1987.5.
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[Vesico-sphincter dyssynergia in the central paraplegic patient. Physiopathological reflections].[中枢性截瘫患者的膀胱括约肌协同失调。病理生理学思考]
J Urol (Paris). 1986;92(3):147-52.
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Urodynamic studies in evaluating detrusor sphincter dyssynergia and their effects on the treatment.尿动力学研究在评估逼尿肌括约肌协同失调及其对治疗的影响方面的应用
Paraplegia. 1984 Jun;22(3):168-72. doi: 10.1038/sc.1984.30.
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Detrusor-external sphincter dyssynergia.逼尿肌-外括约肌协同失调
Ciba Found Symp. 1990;151:195-206; discussion 207-13.
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[The neurological organisation of vesico-sphincter function (author's transl)].膀胱括约肌功能的神经学组织(作者译)
J Urol (Paris). 1981;87(8):479-506.

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Cerebellum and micturition: what do we know? A systematic review.小脑与排尿:我们了解什么?一项系统综述。
Cerebellum Ataxias. 2020 Jul 18;7:9. doi: 10.1186/s40673-020-00119-9. eCollection 2020.
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Characteristics of neurogenic voiding dysfunction in cerebellar stroke: a cross-sectional, retrospective video urodynamic study.小脑梗死患者排尿功能障碍的特征:一项横断面、回顾性视频尿动力学研究。
Cerebellum. 2013 Oct;12(5):601-6. doi: 10.1007/s12311-013-0468-9.