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[Neurosomatic parallels in children with neurogenic bladder dysfunction]
Urologiia I Nefrologiia
|December 31, 1997
Summary
Natal trauma sequelae are linked to bladder dysfunction in children. Neurological symptoms, particularly from cervical trauma, indicate a connection to hyperreflex bladder, suggesting neurological therapy is vital.
Area of Science:
- Pediatric Neurology
- Urology
Background:
- Hyperreflex bladder dysfunction is a common issue in children.
- Natal trauma can lead to long-term neurological deficits.
Purpose of the Study:
- To investigate the relationship between natal trauma and hyperreflex bladder in children.
- To explore the role of neurological symptoms in the development of bladder dysfunction.
Main Methods:
- Clinical examinations
- Urodynamic assessments
- Neurological examinations of 30 children
Main Results:
- 23 out of 30 children showed clinical signs of natal trauma sequelae.
- Children with neurological symptoms had higher rates of polyvisceral dysfunction and chronic urinary diseases.
- A significant association was found between natal subclinical cervical trauma and hyperreflex bladder.
Conclusions:
- Neurological symptoms in children with hyperreflex bladder suggest a link to natal cervical trauma.
- Cerebral hemodynamic changes and venous outflow impairment may lead to hypothalamo-hypophyseal hypoxia, causing vegetovascular dystonia and neurogenic bladder dysfunction.
- Pathogenetic neurological therapy is effective for coordinating bladder function regulation.