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Voiding disorders in patients with cerebrovascular disease
M G Arena1, A E Di Rosa, L Arcudi
1Institute of Neurological and Neurosurgical Sciences, 1st Department of Neurology, University of Messina, Italy.
Functional Neurology
|January 1, 1992
Summary
Patients with ischemic cerebrovascular disease (ICVD) often experience bladder issues like urgency and incontinence. These urinary symptoms are more common in patients with multiple brain infarcts and bilateral lesions.
Area of Science:
- Neurology
- Urology
Background:
- Ischemic cerebrovascular disease (ICVD) can affect various neurological functions.
- Urinary bladder dysfunction is a potential complication of cerebrovascular events.
Purpose of the Study:
- To investigate the prevalence and characteristics of urinary bladder symptomatology in patients with stable ischemic cerebrovascular disease.
- To identify potential correlations between brain injury patterns and micturition abnormalities.
Main Methods:
- Eighty patients with stable ICVD were assessed.
- Brain CT scans were performed to evaluate the site and extent of brain injury.
- Urodynamic tests were conducted in 30 patients presenting with urinary bladder symptoms.
Main Results:
- Urinary retention was observed in 4 patients.
- Urgency and urge incontinence were reported by 26 patients.
- Micturition abnormalities were more frequent in patients with multiple infarcts, cerebral atrophy, and bilateral brain lesions.
Conclusions:
- Urinary bladder dysfunction is a significant issue in patients with ICVD.
- The pattern of brain injury, including lesion multiplicity, atrophy, and bilaterality, appears to influence the occurrence of micturition abnormalities.