Urinary disturbances in striatonigral degeneration and parkinson's disease: Clinical and urodynamic aspects
Identifieur interne : 002E00 ( Main/Corpus ); précédent : 002D99; suivant : 002E01Urinary disturbances in striatonigral degeneration and parkinson's disease: Clinical and urodynamic aspects
Auteurs : Bonnet ; J. Pichon ; M. Vidailhet ; N. Gouider-Khouja ; G. Robain ; M. Perrigot ; Y. AgidSource :
- Movement Disorders [ 0885-3185 ] ; 1997-07.
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- KwdEn :
Abstract
Although urinary disturbances are more frequent in multiple system atrophy (MSA) than in Parkinson's disease (PD), the striatonigral degeneration (SND) type of MSA is difficult to distinguish from PD, especially when the latter is associated with orthostatic hypotension or urinary symptoms. The pattern of urinary symptoms and urodynamic dysfunction was analyzed in 15 SND and 35 PD patients with urinary complaints. In SND, dysuria with or without chronic retention, frequently associated with a hypoactive detrusor and low urethral pressure, permitted early and reliable diagnosis. In PD, urgency to void, with or without difficulty voiding, but without chronic retention, associated with detrusor hyperreflexia and normal urethral sphincter function, predominated. In clinical practice, the study of urinary symptoms and bladder function may help to distinguish SND from PD in patients with urinary disturbances.
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DOI: 10.1002/mds.870120406
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<keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">Parkinson's disease</keyword>
<keyword xml:id="kwd2">Multiple system atrophy</keyword>
<keyword xml:id="kwd3">Striatonigral degeneration</keyword>
<keyword xml:id="kwd4">Urinary disturbances</keyword>
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<p>Although urinary disturbances are more frequent in multiple system atrophy (MSA) than in Parkinson's disease (PD), the striatonigral degeneration (SND) type of MSA is difficult to distinguish from PD, especially when the latter is associated with orthostatic hypotension or urinary symptoms. The pattern of urinary symptoms and urodynamic dysfunction was analyzed in 15 SND and 35 PD patients with urinary complaints. In SND, dysuria with or without chronic retention, frequently associated with a hypoactive detrusor and low urethral pressure, permitted early and reliable diagnosis. In PD, urgency to void, with or without difficulty voiding, but without chronic retention, associated with detrusor hyperreflexia and normal urethral sphincter function, predominated. In clinical practice, the study of urinary symptoms and bladder function may help to distinguish SND from PD in patients with urinary disturbances.</p>
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<mods version="3.6"><titleInfo lang="en"><title>Urinary disturbances in striatonigral degeneration and parkinson's disease: Clinical and urodynamic aspects</title>
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<titleInfo type="abbreviated" lang="en"><title>URINARY DISTURBANCES IN STRMTONIGRAL DEGENERATION</title>
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<titleInfo type="alternative" contentType="CDATA" lang="en"><title>Urinary disturbances in striatonigral degeneration and parkinson's disease: Clinical and urodynamic aspects</title>
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<namePart type="family">Bonnet</namePart>
<affiliation>INSERM U 289 and Fééaration de Neurologie, Hôpital de la Salpétriére, Paris, France</affiliation>
<description>Correspondence: INSERM U 289, Hôpital de la Salpêtriĝre, 47 Boulevard de l'Hôpital, 75651 Paris cedex 13, France</description>
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<name type="personal"><namePart type="given">J.</namePart>
<namePart type="family">Pichon</namePart>
<affiliation>Service de Rééducation Fonctionnelle Neurologique, Hôpital de la Salpêtriére, Paris, France</affiliation>
<role><roleTerm type="text">author</roleTerm>
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</name>
<name type="personal"><namePart type="given">M.</namePart>
<namePart type="family">Vidailhet</namePart>
<affiliation>INSERM U 289 and Fééaration de Neurologie, Hôpital de la Salpétriére, Paris, France</affiliation>
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<name type="personal"><namePart type="given">N.</namePart>
<namePart type="family">Gouider‐Khouja</namePart>
<affiliation>INSERM U 289 and Fééaration de Neurologie, Hôpital de la Salpétriére, Paris, France</affiliation>
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<name type="personal"><namePart type="given">G.</namePart>
<namePart type="family">Robain</namePart>
<affiliation>Service de Rééducation Fonctionnelle Neurologique, Hôpital de la Salpêtriére, Paris, France</affiliation>
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</name>
<name type="personal"><namePart type="given">M.</namePart>
<namePart type="family">Perrigot</namePart>
<affiliation>Service de Rééducation Fonctionnelle Neurologique, Hôpital de la Salpêtriére, Paris, France</affiliation>
<role><roleTerm type="text">author</roleTerm>
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<name type="personal"><namePart type="given">Y.</namePart>
<namePart type="family">Agid</namePart>
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<dateIssued encoding="w3cdtf">1997-07</dateIssued>
<dateCaptured encoding="w3cdtf">1996-05-15</dateCaptured>
<dateValid encoding="w3cdtf">1996-11-08</dateValid>
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<abstract lang="en">Although urinary disturbances are more frequent in multiple system atrophy (MSA) than in Parkinson's disease (PD), the striatonigral degeneration (SND) type of MSA is difficult to distinguish from PD, especially when the latter is associated with orthostatic hypotension or urinary symptoms. The pattern of urinary symptoms and urodynamic dysfunction was analyzed in 15 SND and 35 PD patients with urinary complaints. In SND, dysuria with or without chronic retention, frequently associated with a hypoactive detrusor and low urethral pressure, permitted early and reliable diagnosis. In PD, urgency to void, with or without difficulty voiding, but without chronic retention, associated with detrusor hyperreflexia and normal urethral sphincter function, predominated. In clinical practice, the study of urinary symptoms and bladder function may help to distinguish SND from PD in patients with urinary disturbances.</abstract>
<subject lang="en"><genre>Keywords</genre>
<topic>Parkinson's disease</topic>
<topic>Multiple system atrophy</topic>
<topic>Striatonigral degeneration</topic>
<topic>Urinary disturbances</topic>
</subject>
<relatedItem type="host"><titleInfo><title>Movement Disorders</title>
<subTitle>Official Journal of the Movement Disorder Society</subTitle>
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<titleInfo type="abbreviated"><title>Mov. Disord.</title>
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<topic>Article</topic>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part><date>1997</date>
<detail type="volume"><caption>vol.</caption>
<number>12</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>4</number>
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<extent unit="pages"><start>509</start>
<end>513</end>
<total>5</total>
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<identifier type="DOI">10.1002/mds.870120406</identifier>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 1997 Movement Disorder Society</accessCondition>
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