| Voiding dysfunction in patients with human T-lymphotropic virus type-1-associated myelopathy (HAM). | |
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MedLine Citation:
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PMID: 2762009 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Voiding dysfunction was evaluated in 16 of 17 patients with human T-lymphotropic virus type-1 associated myelopathy (HAM). Among 16 patients 11 had both frequency and difficulty in voiding and 12 had urge incontinence of urine. Sensation of vesical filling and voiding remained either intact or only slightly suppressed in all patients. Residual urine ranging from 50 to 320 ml was observed in 14 patients. Urodynamic studies showed in every patient an overactive bladder with involuntary detrusor contraction. Only 2 patients had detrusor sphincter synergia, 6 patients had complete detrusor sphincter dyssynergia and 8 patients had incomplete detrusor sphincter dyssynergia. An overactive bladder associated with detrusor sphincter dyssynergia and less affected vesical sensation seems to be a characteristic urodynamic finding in HAM. These results combined with other neurological findings suggest that in patients with HAM lateral columns of the spinal cord between sacral and ponsmesencephalic micturition centre are mainly affected and that the posterior columns of the spinal cord are relatively less affected. |
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Authors:
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S Komine; K Yoshida; H Yamashita; Z Masaki |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Paraplegia Volume: 27 ISSN: 0031-1758 ISO Abbreviation: Paraplegia Publication Date: 1989 Jun |
Date Detail:
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Created Date: 1989-09-11 Completed Date: 1989-09-11 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 2985038R Medline TA: Paraplegia Country: SCOTLAND |
Other Details:
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Languages: eng Pagination: 217-21 Citation Subset: IM; X |
Affiliation:
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Department of Surgery, Saga Medical School, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female HTLV-I Infections / complications*, physiopathology Humans Male Middle Aged Muscle Contraction Spinal Cord Diseases / etiology*, physiopathology Urethra / physiopathology Urinary Bladder / physiopathology Urination Disorders / etiology*, physiopathology Urodynamics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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