Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan.
Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan.
J Stroke Cerebrovasc Dis. 2020 Apr;29(4):104620. doi: 10.1016/j.jstrokecerebrovasdis.2019.104620. Epub 2020 Feb 6.
We describe a case of a 57-year-old man who, immediately after a right parietal ischemic stroke, showed urodynamically determined bladder sensory decrement during filling and an underactive detrusor during voiding, both of which were ameliorated during the course of his treatment. The lower urinary tract symptom (LUTS) occurs in stroke in up to 60% of patients, when it involves the frontal and insular cortices. In addition, LUTS does occur in parietal stroke as seen in our patient, presumably by sensory deafferentiation within the brain that is relevant to the central regulation of the micturition reflex.
我们描述了一例 57 岁男性患者，他在右侧顶叶缺血性中风后，在充盈过程中表现出尿动力学确定的膀胱感觉减退，在排空过程中表现出活动不足的逼尿肌，这些症状在治疗过程中均有所改善。在多达 60%的中风患者中会出现下尿路症状（LUTS），当涉及额叶和脑岛皮质时尤其如此。此外，如我们的患者所见，LUTS 也会出现在顶叶中风中，可能是由于大脑内的感觉去传入，这与排尿反射的中枢调节有关。
