MICTURITIONAL DISTURBANCE IN HUMAN T-LYMPHOTROPIC VIRUS TYPE-1-ASSOCIATED MYELOPATHY

被引:12
作者
HATTORI, T
SAKAKIBARA, R
YAMANISHI, T
YASUDA, K
HIRAYAMA, K
机构
[1] Department of Neurology, School of Medicine, Chiba University, Chiba
[2] Department of Urology, School of Medicine, Chiba University, Chiba
来源
JOURNAL OF SPINAL DISORDERS | 1994年 / 7卷 / 03期
关键词
MICTURITIONAL DISTURBANCE; HUMAN T-LYMPHOTROPIC VIRUS TYPE-1-ASSOCIATED MYELOPATHY; TROPICAL SPASTIC PARAPARESIS;
D O I
10.1097/00002517-199407030-00010
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We reported the findings of micturitional histories and urodynamic studies in five patients with human T-lymphotropic virus type-1-associated myelopathy. Histories showed that all patients had obstructive as well as irritative micturitional symptoms, and four of their micturitional symptoms appeared from the onset of the disease. Urodynamic studies showed that four of them had residual urine (average 170 ml), all had detrusor hyperreflexia, two had detrusor-sphincter dyssynergia, and none had neurogenic changes in external urethral sphincter electromyography. Our findings of supranuclear type of voiding dysfunctions seemed to be in accordance with the known pathological lesions of this disease.
引用
收藏
页码:255 / 258
页数:4
相关论文
共 11 条
[1]  
Blaivas J.G., Sinha H.P., Zayed A.A.H., Labib K.B., Detrusor-external sphincter dvssvnergia: A detailed electromyographic study, J Urol, 125, pp. 545-548, (1981)
[2]  
Cruickshank J.K., Rudge P., Dalgleish A.G., Tropical spastic par-aparesis and human T cell lymphotropic virus type 1 in the United Kingdom, Brain, 112, pp. 1057-1090, (1989)
[3]  
Eadlev I., Fowler C.J., Nagendran K., Kirby R.S., Rudge P., The neurourology of tropical spastic paraparesis, Brj Urol, 68, pp. 598-603, (1991)
[4]  
Hattori T., Sakakibara R., Yasuda K., Murayama N., Hirayama K., Micturitional disturbance in cervical spondylotic myelopathy, J Spinal Disorders, 3, pp. 16-18, (1990)
[5]  
Iwasaki Y., Pathology of chronic myelopathy associated with HTLV-1 infection (HAM/TSP), J Neiirosci, 96, pp. 103-123, (1990)
[6]  
Komine S., Yashida K., Yamashita H., Masaki Z., Voiding dys-function in patients with human T-lymphotropic virus type-1 associated myelopathy (HAM), Paraplegia, 27, pp. 217-221, (1989)
[7]  
Osame M., Matsumoto M., Usuku K., Et al., Chronic progressive myelopathy associated with elevated antibodies to human T- lvmphotropic virus type 1 and adult T-cell leukemialike cells, Ann Neurol, 21, pp. 117-122, (1987)
[8]  
Osame M., Usuku K., Izumo S., Et al., HTLV-1 associated my-elopathy, a new clinical entity, Lancet, 1, pp. 1031-1032, (1986)
[9]  
Resnick N.M., Yalla S.V., Detrusor hyperactivity with impaired contractile function, an unrecognized but common cause of incontinence in elderly patients, JAMA, 257, pp. 3076-3081, (1987)
[10]  
Saito M., Kondo A., Kato K., Goto M., Bladder dysfunction due to human T-lvmphotropic virus type 1 associated myelopathy, Brj Urol, 68, pp. 365-368, (1991)