Micturitional disturbance due to bilateral medial frontal lobe lesions in a patient with multiple sclerosis

被引：4
作者：
Namatame, Sachiko [1 ]
Mochizuki, Hitoshi [1 ]
Ebitani, Masahiro [1 ]
Matsuda, Nozomu [1 ]
Ugawa, Yoshikazu [1 ]
机构：
[1] Fukushima Med Univ, Sch Med, Dept Neurol, Fukushima 9601295, Japan
来源：
NEUROLOGICAL SCIENCES | 2010年 / 31卷 / 02期
关键词：
Multiple sclerosis; Incontinence; Nocturnal enuresis; Frontal lobe; Magnetic resonance image; Micturition; SITE;
D O I：
10.1007/s10072-009-0189-5
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A 41-year-old man with multiple sclerosis (MS) complained of nocturnal enuresis at the third exacerbation. Neurological examination revealed echopraxia, forced grasp reflexes and palmo-mental reflexes. The urodynamic studies showed neither spinal cord nor peripheral nerve involvements. His brain magnetic resonance images (MRIs) revealed new lesions at the bilateral medial frontal lobes. The intravenous methylprednisolone therapy improved nocturnal enuresis and made brain MRI lesions smaller and gone. In addition to frequently observed spinal cord lesions, we should consider some medial frontal lesions to be responsible for micturitional disturbance in patients with MS.
引用
收藏
页码：205 / 207
页数：3
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