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[Vesical neuropathy in systemic vasculitis: 3 cases].

P Amarenco1, G Amarenco, L Guillevin

  • 1Service de Neurologie, Hôpital Saint-Antoine, Paris.

Annales De Medecine Interne
|January 1, 1988
PubMed
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Systemic vasculitis can cause bladder neuropathy, leading to urinary retention. Corticosteroid treatment effectively resolved symptoms and urodynamic abnormalities in affected patients.

Area of Science:

  • Urology
  • Neurology
  • Rheumatology

Background:

  • Systemic vasculitis, including temporal arteritis and polyarteritis nodosa, can affect various organs.
  • Neurological complications of vasculitis are increasingly recognized.
  • Bladder dysfunction may be an underdiagnosed manifestation of systemic vasculitis.

Observation:

  • Three patients with systemic vasculitis presented with bladder neuropathy.
  • Clinical symptoms included dysuria, reduced bladder sensation, and urinary retention.
  • Urodynamic studies revealed detrusor hypotonia, increased compliance, and bladder hyposensitivity.

Findings:

  • Needle electrode examination indicated denervation of periurethral muscles.
  • Sacral evoked potentials showed increased latencies, suggesting pudendal nerve involvement.

Related Experiment Videos

  • These neurological and urodynamic abnormalities resolved with corticosteroid therapy.

    • Implications:

    • Bladder neuropathy is a potential complication of necrotizing vasculitis.
    • Early diagnosis and treatment with corticosteroids are crucial for managing bladder dysfunction in these patients.
    • This highlights the importance of considering neurological involvement in systemic vasculitis.