URODYNAMIC DIFFERENTIATION OF PARKINSON DISEASE AND THE SHY DRAGER SYNDROME

被引：22

作者：

BERGER, Y ^{[1
]}

SALINAS, JN ^{[1
]}

BLAIVAS, JG ^{[1
]}

机构：

[1] UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,NEW BRUNSWICK,NJ 08903

来源：

NEUROUROLOGY AND URODYNAMICS | 1990年 / 9卷 / 02期

关键词：

electromyography; Parkinsonism; sphincter; urodynamics;

D O I：

10.1002/nau.1930090204

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The urodynamic findings of 29 patients with Parkinson disease (PD) and lower urinary tract symptoms were compared with those of nine patients with the Shy‐Drager syndrome (SD). All patients with PD had bladder contraction and normal filling pressures, and 90% had detrusor hyperreflexia. Among the patients with SD, 67% had detrusor areflexia, 33% had involuntary bladder contractions, and 45% had poor vesical compliance. In all patients with SD who had a voiding cystourethrogram, an open bladder neck at rest was demonstrated, but it was found only in those with PD who had prior prostatectomy. The electromyography of the external sphincter showed some form of lower motor neuron lesion in all patients with SD, but it was normal in 39% of PD patients and consistent with just involuntary sphincteric activity in 61%. A neurological evaluation of patients with typical and atypical Parkinsonism can assist in differentiating between these two entities. Copyright © 1990 Wiley‐Liss, Inc., A Wiley Company

引用

页码：117 / 121

页数：5

共 12 条

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