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Related Experiment Videos

Bladder tone in patients in post-traumatic vegetative state.

B Z Krimchansky1, L Sazbon, L Heller

  • 1I.C.U. for Comatose Patients, Loewenstein Rehabilitation Hospital, Raanańa, Israel. sazbon@post.tau.ac.il

Brain Injury
|December 1, 1999
PubMed
Summary

Vegetative patients with neurogenic bladder, hypertonic type, showed severe spasticity. Early prophylactic treatment with anticholinergic agents is recommended for trauma-induced vegetative states to manage bladder dysfunction.

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Area of Science:

  • Urology
  • Neurology
  • Rehabilitation Medicine

Background:

  • Vegetative state (VS) following trauma can lead to significant secondary complications.
  • Bladder dysfunction is a common concern in patients with neurological injuries.
  • Understanding bladder tone is crucial for effective patient management and care.

Purpose of the Study:

  • To investigate bladder tone in patients with a post-traumatic vegetative state.
  • To characterize the urodynamic findings in this specific patient population.
  • To identify potential therapeutic strategies for managing neurogenic bladder in vegetative patients.

Main Methods:

  • Urodynamic testing, specifically cystometry, was performed.
  • The study included 17 patients in a post-traumatic vegetative state (1-6 months post-injury).

Related Experiment Videos

  • Data on bladder tone, spasticity, and detrusor-sphincter function were collected.
  • Main Results:

    • All patients (100%) exhibited neurogenic bladder, hypertonic type.
    • Severe spasticity was observed in 88% of patients, with mild spasticity in 12%.
    • No cases of detrusor-sphincter dyssynergia or unstable bladder were detected.

    Conclusions:

    • Trauma-induced vegetative states frequently result in hypertonic neurogenic bladders with significant spasticity.
    • Prophylactic treatment with anticholinergic agents should be considered starting from the second week post-injury.
    • Early intervention may help prevent complications associated with bladder hypertonicity in vegetative patients.