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KMID : 0352419930120020119
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Keimyung Medical Journal
1993 Volume.12 No. 2 p.119 ~ p.126
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Urodynamic Studies in Pateints with lisions of Central Nervous System
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Abstract
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This study was undertaken to evaluate the correlation between urodynamic findings and localization of CNS lesions in patient with voiding disturbance.
The patient group consisted of 48 patients (35 male and 13 female) with various localization of CNS lesions confirmed by CT or MRI among which were 9 cerebral cortex, 8 putamen and internal capsule, 6 thalamus and internal capsule, 7 brain stem and 18 spinal core. m and 18 spinal core.
Nineteen of the 42 patients with various CNS lesions above sacral crod showed detrusor hyperreflexia. Six of the 7 patients who had suprasacral cord lesion and detrusor hyperreflexia showed detrusor sphincter dyssynergia. In 6 patients with sacral cord lesions, 5 patients showed detrusor areflexa.
In summary, detrusor sphincter dyssynergia with detrusor hyperreflexia and detrusor areflexia seemed to be specific urodynamcic pattern of suprasacral spinal cord and sacral cord lesion, respectively. But other CNS lesion showed no consistent specific urodynamic pattern.
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KEYWORD
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