PMID: 9194259Jun 1, 1997Paper

Recovery of bladder function in patients with acute spinal cord injury: significance of ASIA scores and somatosensory evoked potentials

Spinal Cord
A CurtV Dietz

Abstract

The significance of the ASIA (American Spinal Injury Association) scores and SSEP (somatosensory evoked potentials) recordings in predicting the recovery of bladder function was evaluated in 70 patients with acute, traumatic spinal cord injury (SCI). The patients were examined following admission to the rehabilitation centre (mean 10 days post-trauma) both clinically by the ASIA scores and electrophysiologically by tibial and pudendal SSEP recordings. The results of the initial examinations were related to the degree of recovery of bladder function of the patients assessed by urodynamic examination at the end of the rehabilitation programme (at least 6 months post-trauma). The recovery of somatic nerve function (external urethral sphincter function) involved in bladder function was correlated to both the initial ASIA scores and SSEP recordings (Spearman correlation, P < 0.001). The latter parameters, however, were not related to the outcome of autonomic nerve function (eg detrusor vesicae function) (Spearman correlation, P = 0.1). Therefore, the initial clinical and electrophysiological examinations are of value in assessment of the degree to which the patient will recover somatic nervous control of bladder function. However, t...Continue Reading

Citations

Aug 19, 2005·Journal of Neurology, Neurosurgery, and Psychiatry·A KuppuswamyN J Davey
Oct 16, 1999·Journal of Neurology, Neurosurgery, and Psychiatry·E IseliA Curt
Jun 20, 2008·Muscle & Nerve·Margaret M Roberts
Sep 19, 2012·Journal of Neurosurgery. Spine·Maxwell BoakyeAndrea C Skelly
Jun 4, 2020·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·F A Bushkov, M A Bzhilyansky
Dec 22, 2019·The Spine Journal : Official Journal of the North American Spine Society·Masahito OshinaHirohiko Inanami
May 11, 2021·American Journal of Physiology. Renal Physiology·Tetsuichi SaitoNaoki Yoshimura

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