| Cold perception of the bladder during ice water test. Study on 120 patients. | |
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MedLine Citation:
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PMID: 20884313 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: If the pathophysiology of bladder cooling reflex (BCR) elicited during an ice water test (IWT) is well-known (triggered by activation of cold receptors within the bladder wall supplied by unmyelinated C fiber afferents) and is widely used for the diagnosis of upper motor neurological lesions, the significance of having a perception of cold in the bladder (PCB) during IWT has not been properly defined yet. PATIENT AND METHODS: Hundred and twenty patients undergoing IWT were analyzed and separated into four groups: group 1 (G1): patients with idiopathic overactive bladder syndrome (OAB); group 2 (G2): patients with functional dysuria (difficult urination due to bladder-neck obstruction, or congenital large bladder); group 3 (G3): patients with multiple sclerosis (MS) and group 4 (G4): patients with cauda equina syndrome (CES). All patients had a cystometry and IWT. After performing IWT, the patients were asked specific questions regarding the various sensations experienced during the cystometry and IWT, especially for detecting the presence or not of a cold sensation when their bladder was filling up. RESULTS: Patients with idiopathic OAB had more frequently a PCB than patients with MS (P<0.02). Patients with bladder-neck obstruction were more likely to retain a PCB than patients with CES (P<0.01). Lack of PCB is more frequent in patients with neurological diseases (P<0.001), with a sensitivity of 66% and specificity of 65%. CONCLUSION: Patients without neurological disease have a heightened PCB during the IWT than patients with neurological diseases. The lack of PCB may reflect an alteration of the afferent pathways or spinal reflex pathways or central neural pathways. |
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Authors:
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S Deffontaines Rufin; M Jousse; D Verollet; A Guinet; S S Ismael; G Amarenco |
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Publication Detail:
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Type: Journal Article Date: 2010-09-17 |
Journal Detail:
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Title: Annals of physical and rehabilitation medicine Volume: 53 ISSN: 1877-0665 ISO Abbreviation: Ann Phys Rehabil Med Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-11-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101502773 Medline TA: Ann Phys Rehabil Med Country: Netherlands |
Other Details:
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Languages: eng Pagination: 559-67 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Masson SAS. All rights reserved. |
Affiliation:
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Service de rééducation neurologique et d'explorations périnéales, Er6 UMPC, hôpital Rothschild, AP-HP, université Paris 6-Pierre-et-Marie-Curie, 33 boulevard de Picpus, Paris 12(e), France. Stephanie.deffontaines@psl.aphp.fr |
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