Female Urinary Retention Progressing to Possible Multiple System Atrophy-cerebellar Form after 12 Years

We herein report a 73-year-old Japanese woman with possible multiple system atrophy-cerebellar form (MSA-C) who suffered from urinary retention (sacral autonomic disorder) for 12 years before exhibiting cerebellar ataxia. A peculiar combination of findings on urodynamics and sphincter electromyograp...

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Detalles Bibliográficos
Autores principales: Sakakibara, Ryuji, Sekiguchi, Yuki, N. Panicker, Jalesh, Sekido, Noritoshi, Sugimoto, Hideki, Sugisaki, Yuuka, Shimizu, Ayami, Takahashi, Osamu, Ogata, Tsuyoshi, Sawai, Setsu, Tateno, Fuyuki, Aiba, Yosuke, Simeoni, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790793/
https://www.ncbi.nlm.nih.gov/pubmed/35569977
http://dx.doi.org/10.2169/internalmedicine.8724-21
Descripción
Sumario:We herein report a 73-year-old Japanese woman with possible multiple system atrophy-cerebellar form (MSA-C) who suffered from urinary retention (sacral autonomic disorder) for 12 years before exhibiting cerebellar ataxia. A peculiar combination of findings on urodynamics and sphincter electromyography (EMG), e.g. detrusor hyperactivity with impaired contraction (DHIC), detrusor-sphincter dyssynergia (DSD) and neurogenic sphincter EMG (upper and lower neuron-type autonomic dysfunction), seems to have been predictive of future development of MSA.

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