Lower urinary tract dysfunction in acute disseminated encephalomyelitis

Multiple Sclerosis : Clinical and Laboratory Research
J N PanickerD K Subbakrishna

Abstract

Lower urinary tract dysfunction (LUTD) in multiple sclerosis has been well documented. However, its occurrence and outcome in acute disseminated encephalomyelitis (ADEM) has only been variably reported. To evaluate LUTD in ADEM, correlation with other neurological deficits, and outcome. Patients with ADEM having significant LUTD were evaluated. LUTD was evaluated by symptom analysis, ultrasonography, and urodynamics. Storage symptoms were managed using antimuscarinics and significant voiding dysfunction by catheterization. Of 61 patients, 20 (33%) had LUTD. Voiding dysfunction was more common and 16 patients were in urinary retention. Cystometry demonstrated detrusor overactivity in four patients and underactivity in four patients. Incontinence was reported more often in patients with frontoparietal white matter changes in MR imaging. LUTD was found to be associated with occurrence of paraparesis or tetraparesis, though did not predict functional outcome at discharge. At 3 months follow up, five patients continued to have LUTD and urgency and hesitancy were commonest symptoms. LUTD is common in ADEM, especially in patients with lower limb pyramidal involvement and its causes multifactorial. Presence of LUTD does not influence t...Continue Reading

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Citations

Oct 12, 2010·Clinical Neurology and Neurosurgery·Kenji SakaiMasahito Yamada
Jun 8, 2012·Neurourology and Urodynamics·Ryuji SakakibaraMasashi Yano
Jun 11, 2011·Neurourology and Urodynamics·G A van KoeveringeM Oelke
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Acute Disseminated Encephalomyelitis

Acute disseminated encephalomyelitis (ADEM) is a rare inflammatory demyelinating disease of the central nervous system. Discover the latest research on acute disseminated encephalomyelitis here.

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