• 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, ... more Osamu Takahashi, Tsuyoshi Ogata, Setsu Sawai, Fuyuki Tateno, Yosuke Aiba, and Sara Simeoni. less
• 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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