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[The epileptic variant of enuresis in children]

V M Troshin, T M Radaeva, O V Khaletskaia

    Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
    |January 1, 1994
    PubMed

    Insights

    This study links minimal brain dysfunction (MBD) in children to brain abnormalities in frontal regions and the lower stem. These abnormalities can cause epileptic enuresis by creating excitement foci in the deep frontal areas.

    Area of Science:

    • Neurology
    • Pediatrics
    • Neuroscience

    Background:

    • Enuresis in children is a common concern.
    • Minimal brain dysfunction (MBD) is prevalent in children with enuresis.
    • The neurological underpinnings of MBD-related enuresis require further elucidation.

    Purpose of the Study:

    • To investigate the neuroanatomical correlates of enuresis in children with MBD.
    • To identify specific brain regions involved in the pathophysiology of epileptic enuresis.

    Main Methods:

    • Clinical examinations of 5-7-year-old children with enuresis.
    • Neuropsychological assessments.
    • Instrumental examinations to evaluate brain structure and function.

    Main Results:

    • Children with MBD exhibited involvement of mediobasal frontal regions and lower brain stem.
    • This involvement was associated with the formation of congestive excitement foci in deep frontal regions.
    • These foci are implicated in the onset of paroxysms, including epileptic enuresis.

    Conclusions:

    • Minimal brain dysfunction (MBD) plays a significant role in the etiology of epileptic enuresis.
    • Specific frontal and brain stem abnormalities in MBD contribute to the development of seizure-like activity leading to enuresis.
    • Understanding these mechanisms can inform targeted therapeutic strategies for MBD-associated enuresis.

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