The Value of Sympathetic Skin Response Recordings in the Assessment of the Vesicourethral Autonomic Nervous Dysfunction in Spinal Cord Injured Patients
| Autor: | Armin Curt, Alain B. Rossier, B. Schurch |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
medicine.medical_specialty
integumentary system business.industry Pudendal nerve Urology Neurological disorder Hyperreflexia medicine.disease Spinal cord Pathophysiology Surgery Central nervous system disease Lesion Neck of urinary bladder medicine.anatomical_structure Anesthesia Medicine medicine.symptom business |
| Zdroj: | The Journal of Urology. :2230-2233 |
| ISSN: | 0022-5347 |
| Popis: | Purpose: We assessed the degree of sparing of the descending sympathetic spinal tract and correlated these findings with bladder neck function in spinal cord injured patients.Materials and Methods: Sympathetic skin responses of the right hand and foot were recorded and compared to the urodynamic findings in 27 spinal cord injured patients.Results: All tetraplegic and paraplegic patients with a lesion above the T6 level who presented with bladder neck dyssynergia associated with autonomic hyperreflexia had abnormal sympathetic skin responses in the right hand and foot. All patients with a lesion below the T6 and above the T12 levels with an abnormal sympathetic skin response in the right foot also had bladder neck dyssynergia.Conclusions: Evidence is presented that the integrity of the descending sympathetic spinal tract is necessary for a synergic function of the vesicourethral complex and that sympathetic skin responses are of value in the diagnosis of bladder neck dyssynergia. For lesions below ... |
| Databáze: | OpenAIRE |
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