Document Detail

The value of urethral sphincter electromyography in the differential diagnosis of parkinsonism.
MedLine Citation:
PMID:  2819386     Owner:  NLM     Status:  MEDLINE    
A series of 54 patients presenting with parkinsonism underwent clinical assessment and urethral sphincter electromyography (EMG). After clinical assessment, 26 were thought to be suffering from probable multiple system atrophy (MSA), 15 were thought to have possible MSA and 13 were diagnosed as having probable idiopathic Parkinson's disease (IPD). Of those with probable MSA, 16 were found to have an abnormal urethral sphincter EMG. In the group with possible MSA, only 5 patients had an abnormal EMG while in the group with probable IPD, only 1 patient had an abnormal EMG. It was concluded that urethral sphincter electromyography provides a useful method of distinguishing between idiopathic Parkinson's disease and multiple system atrophy. It also provides a means of identifying those patients with parkinsonism whose incontinence may well be worsened, or in whom incontinence may develop following lower urinary tract surgery.
I Eardley; N P Quinn; C J Fowler; R S Kirby; H F Parkhouse; C D Marsden; R Bannister
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British journal of urology     Volume:  64     ISSN:  0007-1331     ISO Abbreviation:  Br J Urol     Publication Date:  1989 Oct 
Date Detail:
Created Date:  1989-12-22     Completed Date:  1989-12-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  15740090R     Medline TA:  Br J Urol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  360-2     Citation Subset:  IM    
Department of Urology, St Bartholomew's Hospital, London.
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MeSH Terms
Diagnosis, Differential
Middle Aged
Parkinson Disease / diagnosis*,  physiopathology
Urethra / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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