• Internal medicine · Dec 2022

    Case Reports

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

    • Ryuji Sakakibara, Yuki Sekiguchi, N PanickerJaleshJDepartment of Uro-Neurology, The National Hospital for Neurology and Neurosurgery, UK., Noritoshi Sekido, Hideki Sugimoto, Yuuka Sugisaki, Ayami Shimizu, Osamu Takahashi, Tsuyoshi Ogata, Setsu Sawai, Fuyuki Tateno, Yosuke Aiba, and Sara Simeoni.
    • Neurology, Internal Medicine, Sakura Medical Center, Toho University, Japan.
    • Intern. Med. 2022 Dec 1; 61 (23): 359936043599-3604.

    AbstractWe 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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