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Published on: May 21, 2010
Female Urinary Retention Progressing to Possible Multiple System Atrophy-cerebellar Form after 12 Years
Ryuji Sakakibara1, Yuki Sekiguchi2, Jalesh N Panicker3
1Neurology, Internal Medicine, Sakura Medical Center, Toho University, Japan.
Abstract:
We herein report a 73-year-old Japanese woman with possible multiple system atrophy-cerebellar form (MSA-C) who suffered from urinary retention (sacral autonomic disorder) for 12 years before exhibiting cerebellar ataxia. A peculiar combination of findings on urodynamics and sphincter electromyography (EMG), e.g. detrusor hyperactivity with impaired contraction (DHIC), detrusor-sphincter dyssynergia (DSD) and neurogenic sphincter EMG (upper and lower neuron-type autonomic dysfunction), seems to have been predictive of future development of MSA.
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