Effects of apomorphine and L-dopa on the parkinsonian bladder.
Identifieur interne : 001706 ( PubMed/Curation ); précédent : 001705; suivant : 001707Effects of apomorphine and L-dopa on the parkinsonian bladder.
Auteurs : B. Aranda [France] ; P. CramerSource :
- Neurourology and urodynamics [ 0733-2467 ] ; 1993.
English descriptors
- KwdEn :
- MESH :
- chemical , pharmacology : Apomorphine.
- chemical , therapeutic use : Levodopa.
- drug effects : Reflex, Abnormal, Urinary Bladder.
- drug therapy : Parkinson Disease.
- physiopathology : Parkinson Disease, Urinary Bladder.
- Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged.
Abstract
Neurogenic bladder frequently occurs in Parkinson's disease. Detrusor hyperreflexia is a consequence of nigrostriatal dopamine depletion, whereas the cause of hyporeflexia remains unclear. We compared the results of cystometry and urethral profilometry with and without apomorphine (and L dopa) in 12 idiopathic parkinsonians with urinary disorders free of dopaminergic treatment. Whereas hyperreflexic patients improved with apomorphine, and to a lesser extent with L dopa, these drugs had no effect on hyporeflexic patients. These results confirm the role of dopaminergic lesions in the occurrence of bladder hyperreflexia and the possible implication of nondopaminergic lesions in the occurrence of hyporeflexia.
PubMed: 8330043
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pubmed:8330043Le document en format XML
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<author><name sortKey="Aranda, B" sort="Aranda, B" uniqKey="Aranda B" first="B" last="Aranda">B. Aranda</name>
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<term>Aged, 80 and over</term>
<term>Apomorphine (pharmacology)</term>
<term>Female</term>
<term>Humans</term>
<term>Levodopa (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Reflex, Abnormal (drug effects)</term>
<term>Urinary Bladder (drug effects)</term>
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<keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Reflex, Abnormal</term>
<term>Urinary Bladder</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term>
<term>Urinary Bladder</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
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<front><div type="abstract" xml:lang="en">Neurogenic bladder frequently occurs in Parkinson's disease. Detrusor hyperreflexia is a consequence of nigrostriatal dopamine depletion, whereas the cause of hyporeflexia remains unclear. We compared the results of cystometry and urethral profilometry with and without apomorphine (and L dopa) in 12 idiopathic parkinsonians with urinary disorders free of dopaminergic treatment. Whereas hyperreflexic patients improved with apomorphine, and to a lesser extent with L dopa, these drugs had no effect on hyporeflexic patients. These results confirm the role of dopaminergic lesions in the occurrence of bladder hyperreflexia and the possible implication of nondopaminergic lesions in the occurrence of hyporeflexia.</div>
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<Abstract><AbstractText>Neurogenic bladder frequently occurs in Parkinson's disease. Detrusor hyperreflexia is a consequence of nigrostriatal dopamine depletion, whereas the cause of hyporeflexia remains unclear. We compared the results of cystometry and urethral profilometry with and without apomorphine (and L dopa) in 12 idiopathic parkinsonians with urinary disorders free of dopaminergic treatment. Whereas hyperreflexic patients improved with apomorphine, and to a lesser extent with L dopa, these drugs had no effect on hyporeflexic patients. These results confirm the role of dopaminergic lesions in the occurrence of bladder hyperreflexia and the possible implication of nondopaminergic lesions in the occurrence of hyporeflexia.</AbstractText>
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