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Neurological disorders and detrusor hyperreflexia

A M Dam, S Hebjorn, T Hald

    Acta Neurologica Scandinavica
    |November 1, 1976
    PubMed
    Summary

    Detrusor hyperreflexia (DH) often indicates underlying neurological disorders. Further neurological examination is crucial when DH is detected, aiding diagnosis of central nervous system lesions.

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    Area of Science:

    • Neurology
    • Urology
    • Internal Medicine

    Background:

    • Detrusor hyperreflexia (DH) is a common urological condition.
    • A significant proportion of DH cases are associated with neurological disorders.
    • The relationship between DH and underlying neurological conditions requires further elucidation, especially in cases without obvious primary causes.

    Purpose of the Study:

    • To investigate the prevalence of neurological disorders in patients with detrusor hyperreflexia.
    • To evaluate potential neurological symptoms in patients with unexplained detrusor hyperreflexia.
    • To explore the diagnostic utility of urological and neurological examinations in identifying associated conditions.

    Main Methods:

    • Consecutive selection of 152 patients diagnosed with detrusor hyperreflexia.
    • Neurological assessment of patients, particularly those without a clear primary cause for DH.
    • Analysis of urological and neurological symptoms and diagnostic findings.

    Main Results:

    • 63% of patients with DH had diagnosed neurological disorders.
    • In a subgroup of 32 patients with no primary neurological or urological cause, 63% of those examined (12 out of 22) showed signs of central nervous system lesions, including cerebrovascular diseases and myeloneuropathy.
    • The severity of voiding disturbances did not significantly differ between patients with and without disclosed neurological signs.

    Conclusions:

    • The presence of detrusor hyperreflexia warrants a thorough neurological examination to identify potential central nervous system lesions.
    • Urological evaluation, including the demonstration of DH, can be valuable in diagnosing obscure neurological diseases.

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