Dam A M, Hebjorn S, Hald T
Acta Neurol Scand. 1976 Nov;54(5):415-22. doi: 10.1111/j.1600-0404.1976.tb04373.x.
In 152 consecutively selected patients with detrusor hyperreflexia (DH) 96 (63 per cent) had neurological disorders. Thirty-two patients did not show any primary neurological or urological cause for DH. This group was chosen to elucidate the evaluation of possible neurological symptoms in relation to the urological symptomatology. Nine had died and one failed to appear to the neurological examination. Twelve (63 per cent) of the 22 examined patients showed signs of lesions in different parts of the central nervous system, particularly cerebrovascular diseases and myeloneuropathy. Six had had neurological symptoms for years. In two the urological symptoms were first to appear. In the group with no neurological complaints the urological symptoms had existed for 2-30 years. No essential difference was found in the degree of voiding disturbance whether or not neurological signs were disclosed. It is concluded that the discovery of DH should be followed by a neurological examination to disclose further signs of lesions in CNS. Likewise, an extended urological examination with demonstration of DH might help in the evaluation of an obscure neurological disease.
在连续选取的152例逼尿肌反射亢进（DH）患者中，96例（63%）患有神经疾病。32例患者未表现出DH的任何原发性神经或泌尿系统病因。选择该组以阐明与泌尿系统症状相关的可能神经症状的评估。9例患者死亡，1例未参加神经检查。在接受检查的22例患者中，12例（63%）显示中枢神经系统不同部位有病变迹象，特别是脑血管疾病和脊髓神经病。6例有多年神经症状。2例患者泌尿系统症状首先出现。在无神经症状主诉的组中，泌尿系统症状已存在2至30年。无论是否发现神经体征，排尿障碍程度均未发现本质差异。结论是，发现DH后应进行神经检查以揭示中枢神经系统病变的进一步体征。同样，通过展示DH进行的扩展泌尿系统检查可能有助于评估不明原因的神经疾病。
