Urinary dysfunction and motor symptoms in untreated Parkinson's disease

被引:7
作者
Mito, Yasunori [1 ]
Yabe, Ichiro [2 ]
Yaguchi, Hiroaki [1 ]
Tajima, Yasutaka [1 ]
机构
[1] Sapporo City Gen Hosp, Dept Neurol, Chuo Ku, Kita 11 Nishi 13, Sapporo, Hokkaido 0608604, Japan
[2] Hokkaido Univ, Dept Neurol, Grad Sch Med, Sapporo, Hokkaido, Japan
关键词
Parkinson's disease; Unified Parkinson's Disease Rating Scale; Akinetic-rigid score; Tremor score; Overactive bladder symptom score; POSITRON-EMISSION-TOMOGRAPHY; VOIDING DYSFUNCTION; BRAIN ACTIVATION; BLADDER; MICTURITION; SCORE; ABNORMALITIES; STIMULATION; APOMORPHINE; PROGRESSION;
D O I
10.1016/j.jns.2016.04.031
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives: The aim of the present study was to determine the associations of motor symptoms in untreated Parkinson's disease (PD) with urinary dysfunction. We therefore examined the association between the overactive bladder symptom score (OABSS) and Unified Parlcinson's Disease Rating Scale (UPDRS). Patients and methods: Thirty-one untreated PD patients without dementia (12 men and 19 women with a mean age of 72.0 +/- 6.7 years) were included in this study. Their urinary tract dysfunctions were rated using the OABSS. The motor symptoms of all patients were also assessed using UPDRS. Results: OABSS had significant correlations with UPDRS motor score (Spearman's rho = 0.39, p = 0.03) and akinetic-rigid score (Spearman's rho = 0.47, p = 0.01). However, OABSS showed no significant correlation with tremor score, age, or duration of PD. Conclusions: Higher OABSS was consistently associated with increase in severity of motor disorders, especially akineticrigid score, in the study participants. (C) 2016 Elsevier B.V. All rights reserved.
引用
收藏
页码:147 / 150
页数:4
相关论文
共 44 条
[1]  
Alvord E C Jr, 1974, Adv Neurol, V5, P175
[2]  
ANDERSEN J T, 1985, International Urology and Nephrology, V17, P35, DOI 10.1007/BF02089401
[3]   CYSTOMETRIC, SPHINCTER AND ELECTROMYELOGRAPHIC ABNORMALITIES IN PARKINSONS-DISEASE [J].
ANDERSEN, JT ;
BRADLEY, WE .
JOURNAL OF UROLOGY, 1976, 116 (01) :75-78
[4]   Voiding dysfunction and Parkinson's disease: Urodynamic abnormalities and urinary symptoms [J].
Araki, I ;
Kitahara, M ;
Oida, T ;
Kuno, S .
JOURNAL OF UROLOGY, 2000, 164 (05) :1640-1643
[5]   EFFECTS OF APOMORPHINE AND L-DOPA ON THE PARKINSONIAN BLADDER [J].
ARANDA, B ;
CRAMER, P .
NEUROUROLOGY AND URODYNAMICS, 1993, 12 (03) :203-209
[6]   Brain responses to changes in bladder volume and urge to void in healthy men [J].
Athwal, BS ;
Berkley, KJ ;
Hussain, I ;
Brennan, A ;
Craggs, M ;
Sakakibara, R ;
Frackowiak, RSJ ;
Fowler, CJ .
BRAIN, 2001, 124 :369-377
[7]   Functional imaging and the central control of the bladder [J].
Bharat, R ;
Kavia, C ;
Dasgupta, R ;
Fowler, CJ .
JOURNAL OF COMPARATIVE NEUROLOGY, 2005, 493 (01) :27-32
[8]   Validation of the overactive bladder symptom score [J].
Blaivas, Jerry G. ;
Panagopoulos, Georgia ;
Weiss, Jeffrey P. ;
Somaroo, Chandra .
JOURNAL OF UROLOGY, 2007, 178 (02) :543-547
[9]   Brain activation during micturition in women [J].
Blok, BFM ;
Sturms, LM ;
Holstege, G .
BRAIN, 1998, 121 :2033-2042
[10]   ULTRASTRUCTURAL EVIDENCE FOR A PAUCITY OF PROJECTIONS FROM THE LUMBOSACRAL CORD TO THE PONTINE MICTURITION CENTER OR M-REGION IN THE CAT - A NEW CONCEPT FOR THE ORGANIZATION OF THE MICTURITION REFLEX WITH THE PERIAQUEDUCTAL GRAY AS CENTRAL RELAY [J].
BLOK, BFM ;
DEWEERD, H ;
HOLSTEGE, G .
JOURNAL OF COMPARATIVE NEUROLOGY, 1995, 359 (02) :300-309