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Neurogenic vesico-urethral dysfunction in children with cerebral palsy

The Italian Journal of Neurological Sciences volume 9, pages 151–154 (1988)Cite this article

Abstract

20 children with severe cerebral palsy and history of urinary incontinence and recurrent urinary infection underwent radio- and neuro-urologic evaluation. Vesico-ureteral reflux was found in 7 patients. In 9, who had presented episodes of urine sub-retention, a urodynamic study demonstrated detrusor muscle hyperreflexia in all, deficit of vesicourethral sensation in 5 and detrusor-sphincter dyssynergia in 2. These functional findings are compatible with an upper motor neuron lesion, and may be the cause of episodes of altered bladder emptying, and consequently, urinary infection.

Sommario

Allo scopo di valutare la presenza di disfunzione vescico-uretrale nei bambini affetti da grave paralisi cerebrale infantile, nella cui anamnesi sono documentate incontinenza urinaria e infezione urinaria recidivante, 20 pazienti sono stati sottoposti ad una valutazione radio e neuro-urologica.

Reflusso vescico-ureterale era presente in 7 pazienti. In 9, che avevano presentato episodi di subritenzione urinaria, è stato eseguito uno studio urodinamico che ha evidenziato iperreflessia detrusoriale in tutti, deficit delle sensibilità vescico-uretrale in 5 e dissinergia sfintero-detrusoriale in 2.

Tali reperti funzionali sono compatibili con un danno a livello del 1° motoneurone e possono essere causa degli episodi di alterato svuotamento vescicale e quindi di infezione urinaria.

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Affiliations

  1. Dipartimento di Pediatria, Università di Padova, Via Giustiniani, 3-35128, Padova, Italy

    Drigo P., Seren F., Laverda A. M., Battistella P. A. & Zacchello G.

  2. Istituto di Urologia, Università di Padova, Padova, Italy

    Artibani W.

Authors
  1. Drigo P.
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  2. Seren F.
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  3. Artibani W.
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  4. Laverda A. M.
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  5. Battistella P. A.
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  6. Zacchello G.
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Drigo, P., Seren, F., Artibani, W. et al. Neurogenic vesico-urethral dysfunction in children with cerebral palsy. Ital J Neuro Sci 9, 151–154 (1988). https://doi.org/10.1007/BF02337462

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  • DOI: https://doi.org/10.1007/BF02337462

Key-Words

  • Cerebral palsy
  • neurogenic bladder