Korean J Urol.  1999 Sep;40(9):1169-1173.

Correlation of Voiding Dysfunction with the Lesion Site of Cerebrovascular Accident

• Woo WH
• Lee CH

Abstract

PURPOSE: Cerebrovascular accident is a serious neurological event, it can have temporary or permanent effects on survivors, including memory, cognition and volitional control of voiding. However, the correlation between the brain lesion site and type of voiding dysfunction is less well understood. This study was performed to evaluate the type of voiding dysfunction on the anatomic lesion of brain in patients with urinary symptoms after a cerebrovascular accident.
MATERIALS AND METHODS
Urodynamic evaluation was undertaken in 74 patients who had suffered from voiding dysfunction. Computerized tomography(CT) and magnetic resonance imaging(MRI) were performed to localize the lesion in central nervous system.
RESULTS
Damage to basal ganglia and/or internal capsule(6 of the 11 patients) and cerebral cortex(12 of the 21 patients) showed frequent detrusor hyperreflexia, while multiple lesion(21 of the 39) exhibited frequent detrusor areflexia. Uninhibited relaxation of sphincter in detrusor hyperreflexia was only observed in cerebral cortex lesion.
CONCLUSIONS
Correlation of bladder dysfunction with the anatomical lesion of cerebrovascular accident was not conclusive, but was suggestive of directions to be taken in the future studies for the improvement of the life quality and preservation of renal function

Keyword

Cerebrovascular accident; Urodynamic study; Neurogenic bladder

MeSH Terms

Basal Ganglia
Brain
Central Nervous System
Cerebral Cortex
Cognition
Humans
Memory
Quality of Life
Reflex, Abnormal
Relaxation
Stroke*
Survivors
Urinary Bladder
Urinary Bladder, Neurogenic
Urodynamics