Evaluation of vesico-urethral and sweating function in disorders presenting with parkinsonism
| Autor: | Domenico Mele, Giulio Baffigo, Antonio Carbone, Guido Argenta, Milena De Marinis, Alessandro Agnoli |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 1993 |
| Předmět: |
Male
medicine.medical_specialty Parkinson's disease Neurology media_common.quotation_subject Urinary Bladder Shy-Drager Syndrome Sweating Electromyography Urination Urethra Diabetes mellitus Medicine Humans media_common Aged Denervation medicine.diagnostic_test Endocrine and Autonomic Systems business.industry Parkinsonism Urethral sphincter Parkinson Disease Middle Aged medicine.disease nervous system diseases Urodynamics Anesthesia Female Neurology (clinical) business |
| Popis: | Investigation of vesico-urethral and sweating function was performed in twelve patients with classical idiopathic Parkinson's disease and ten patients with parkinsonism associated with features suggestive of more extensive involvement of the nervous system, as in the Shy—Drager syndrome. The urodynamic studies revealed detrusor hyperreflexia with reduction of maximal cystometric capacity in only one patient with Parkinson's disease (8%), but in nine patients with parkinsonism associated with other features (90%). Urethral sphincter electromyography did not indicate denervation in any patient of either group. Delayed or incomplete relaxation of the urethral sphincter during micturition was observed in seven patients with Parkinson's disease (58%) and in two patients of the other group (20%). Decreased sweating responses were found in both groups of patients when compared with control subjects. Hypohidrosis was more pronounced in parkinsonism associated with other features than in Parkinson's disease. Differences in sweating between the two sides of the body were observed in both groups of patients. Although there are differences in vesico-urethral and sweating function, they do not precisely differentiate between patients with classical Parkinson's disease and those with parkinsonism associated with features suggestive of more extensive involvement of the nervous system. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|