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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 205 - 210 (6page)
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초록· 키워드
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Purpose: The brainstem plays an important role in the control of micturition, and brainstem strokes are known to present with micturition dysfunction. Micturition dysfunction in cases of lateral medullary infarction (LMI) is uncommon, but often manifests as urinary retention. In this study, we investigated the neuro-anatomical correlates of urinary retention in patients with LMI. Methods: This was a hospital-based retrospective study conducted in the neurology unit of a quaternary-level teaching hospital. Inpatient records from January 2008 to May 2018 were searched using a computerized database. Cases of isolated LMI were identified and those with micturition dysfunction were reviewed. MRI brain images of all patients were viewed, and individual lesions were mapped onto the Montreal Neurological Institute (MNI) space manually using MRIcron. Nonparametric mapping toolbox software was used for voxel-based lesion-symptom analysis. The Liebermeister test was used for statistical analysis, and the resultant statistical map was displayed on the MNI template using MRIcron. Results: During the study period, 31 patients with isolated LMI were identified. Their mean age was 48 years and 28 (90%) were male. Six of these patients (19%) developed micturition dysfunction. All 6 patients had urinary retention and 1 patient each had urge incontinence and overflow incontinence. In patients with LMI, the lateral tegmentum of the medulla showed a significant association with urinary retention. Conclusions: In patients with isolated LMI, we postulate that disruption of the descending pathway from the pontine micturition centre to the sacral spinal cord at the level of the lateral tegmentum results in urinary retention.
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참고문헌 (20)
참고문헌 신청
Burney TL / 1996 / Acute cerebrovascular accident and lower urinary tract dysfunction : a prospective correlation of the site of brain injury with urodynamic findings / J Urol 156:1748~1750
Umemura T / 2016 / Urinary retention associated with stroke / J UOEH 38:263~269
Yum KS / 2013 / Pattern of voiding dysfunction after acute brainstem infarction / Eur Neurol 70:291~296
Lee HS / 2017 / Urological disturbance and its neuroanatomical correlate in patients with chronic brainstem stroke / Neurourol Urodyn 36:136~141
Loewy AD / 1979 / Descending projections from the pontine micturition center / Brain Res 172:533~538
Umemura T / 2016 / Urinary retention associated with stroke / J UOEH 38:263~269
Yum KS / 2013 / Pattern of voiding dysfunction after acute brainstem infarction / Eur Neurol 70:291~296
Lee HS / 2017 / Urological disturbance and its neuroanatomical correlate in patients with chronic brainstem stroke / Neurourol Urodyn 36:136~141
Loewy AD / 1979 / Descending projections from the pontine micturition center / Brain Res 172:533~538
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