Pedersen E, Petersen T, Schrøder H D
J Neurol Neurosurg Psychiatry. 1986 Mar;49(3):273-7. doi: 10.1136/jnnp.49.3.273.
The time relation between flexor spasms, detrusor contractions and anal sphincter activity was recorded in a consecutive series of 111 patients with hyperreflexic bladder and flexor spasms. In 76 of the patients flexor spasms were preceded by detrusor contractions. The opposite pattern, namely detrusor contractions preceded by flexor spasms, was seen in only nine patients. The anal sphincter activity was generally increased in relation to detrusor contractions in patients with spinal lesions but decreased in patients with cerebral lesions. The treatment of flexor spasms and uninhibited detrusor contractions is discussed on the basis of this mutual relationship.
对111例患有反射亢进性膀胱和屈肌痉挛的患者进行了连续观察，记录了屈肌痉挛、逼尿肌收缩和肛门括约肌活动之间的时间关系。76例患者的逼尿肌收缩先于屈肌痉挛。相反的模式，即屈肌痉挛先于逼尿肌收缩，仅在9例患者中出现。脊髓损伤患者的肛门括约肌活动通常随逼尿肌收缩而增强，而脑损伤患者则减弱。基于这种相互关系，对屈肌痉挛和逼尿肌无抑制性收缩的治疗进行了讨论。
