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Developmental history and neurological findings in enuretic children
1Department of Paediatrics, University Central Hospital, Oulu, Finland.
Insights
Enuretic children often show motor and perceptual issues. Those with daytime wetting may have neurological damage, while night-time wetting might indicate delayed bladder control maturation.
Area of Science:
- Neurology
- Pediatrics
- Developmental Psychology
Background:
- Enuresis, or involuntary urination, affects many children and can be linked to various factors.
- Understanding the underlying causes is crucial for effective intervention and management.
Purpose of the Study:
- To investigate neurological abnormalities and dissimilarities between enuretic children and controls.
- To identify risk factors associated with different types of enuresis.
Main Methods:
- Examined 156 enuretic and 170 control children.
- Reviewed developmental and perinatal histories.
- Administered the Test of Motor Impairment.
Main Results:
- Enuretic children exhibited greater fine/gross motor clumsiness and perceptual dysfunction.
- Perinatal risk factors (e.g., small for gestational age, neonatal asphyxia) increased the risk of daytime or day-and-night enuresis.
- Children with night-time enuresis only, without significant perinatal risks, showed the slowest growth rates.
Conclusions:
- Suggests at least two enuretic groups: one with daytime/day-and-night enuresis linked to neurological damage, and another with night-time enuresis due to delayed central nervous bladder control maturation.
Abstract:
One hundred and fifty-six enuretic and 170 control children were examined to identify neurological abnormalities and group dissimilarities. Developmental and perinatal histories were checked and the Test of Motor Impairment administered. The enuretic group had greater fine and gross motor clumsiness and perceptual dysfunction than the control group. Children who had been small for gestational age, who had suffered asphyxia or shown neurological symptoms during the neonatal period had a higher risk of developing daytime or day- and night-time enuresis at a later stage. With the exception of toxaemia, perinatal risk signs were not seen in the children with night-time enuresis only, but they had the slowest growth rate. It is suggested that there are at least two different groups of enuretic children: those with daytime or day- and night-time enuresis, whose condition is associated with neurological damage; and those with an obvious delay in maturation of central nervous bladder control, who have night-time enuresis only.