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

被引：0

作者：

Sachiko Namatame

Hitoshi Mochizuki

Masahiro Ebitani

Nozomu Matsuda

Yoshikazu Ugawa

机构：

[1] Fukushima Medical University,Department of Neurology, School of Medicine

来源：

Neurological Sciences | 2010年 / 31卷

关键词：

Multiple sclerosis; Incontinence; Nocturnal enuresis; Frontal lobe; Magnetic resonance image; Micturition;

D O I：

暂无

中图分类号：

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

页码：205 / 207

页数：2

共 20 条

[1]

Araki I(2003)Relationship of bladder dysfunction to lesion site in multiple sclerosis J Urol 169 1384-1387

[2]

Matsui M(1996)Desmopressin in the management of nocturia in patients with multiple sclerosis Arch Neurol 53 1270-1275

[3]

Ozawa K(2001)Recommended diagnostic criteria for multiple sclerosis: guidelines from the international panel on the diagnosis of multiple sclerosis Ann Neurol 50 121-127

[4]

Valiquette G(1964)Lesions of the anterior frontal lobes and disturbances of micturition and defecation Brain 87 233-262

[5]

Herbert J(1996)Micturitional disturbance after acute hemispheric stroke: analysis of the lesion site by CT and MRI J Neurol Sci 137 47-56

[6]

Meade-D’Alisera P(2004)Urodynamic findings in primary progressive multiple sclerosis are associated with increased volumes of plaques and atrophy in the central nervous system Acta Neurol Scand 109 100-105

[7]

McDonald WI(2001)Brain responses to changes in bladder volume and urge to void in healthy men Brain 124 369-377

[8]

Compston A(undefined)undefined undefined undefined undefined-undefined

[9]

Edan G(undefined)undefined undefined undefined undefined-undefined

[10]

Andrew J(undefined)undefined undefined undefined undefined-undefined

← 1 2 →