TITLE

Lower urinary tract function in dementia of Lewy body type

AUTHOR(S)
Sokakibara, R.; Ito, T.; Uchiyama, T.; Asahina, M.; Liu, Z.; Yamamoto, T.; Yamanaka, Y.; Hattori, T.
PUB. DATE
May 2005
SOURCE
Journal of Neurology, Neurosurgery & Psychiatry;May2005, Vol. 76 Issue 5, p729
SOURCE TYPE
Academic Journal
DOC. TYPE
Report
ABSTRACT
Objective: Dementia of Lewy body (DLB) type is the second commonest degenerative cause of dementia and autonomic dysfunction has been recognised in DLB. Lower urinary tract investigated LUT function in DLB by evaluting clincal and urodynamic data Methods: We examined 11 patients (eight men, three women; age range 65-81; disease duration 2-14 years) with probable DLB. Urodynamic studies consisted of: measurement of postvoidresidual in all patients, uroflowmetry in fice, and electromyogrophy (EMG) cystometry in seven. Results: All patients had symptoms of LUT: ruinary inconfinence (urgency type/functional type due to dementia and immobility/both urgency and stress type in 7/2/1 patients, respectively); night-time frequency; urgency; and daytime frequency and voiding difficulty. Seven had postvoid residuals, and three had residual urine voluem <100 ml. Decreased urinary flow was seen in all fice and detrusor overactivity in 5/7 patients who underwent flowmetry and EMG cystometry, respectively. Low compliance detrusor (storage phase, n=2, with bethanechol supersensitivity), an underactive detrusor (n=4), an underactive detrusor (n=1), and detrvsor-sphincler dyssynergia (voiding phase) (n=1) were also seen; 2/3 patients who underwent motor unit potential analysis had neurogenic changes. Conclusion: LUT dysunction is a common feature in DLB, not only due to dementia and immobility, but also to central and peripheral types of somato-autonomic dysfunction.
ACCESSION #
17052453

 

Related Articles

  • Dementia in Malta: new prevalence estimates and projected trends. Scerri, Anthony; Scerri, Charles // Malta Medical Journal;2012, Vol. 24 Issue 3, p21 

    Previous estimates have indicated that in 2005, there were 4,072 individuals with dementia (IWD) in the Maltese islands and that this number would almost double by the year 2050. These figures were based on the EURODEM project that analysed the results of a population-based systematic review of...

  • Lipid Peroxidation and Antioxidant Enzyme Activities in Vascular and Alzheimer Dementias. Ãngela Casado; Mª Encarnación López-Fernández; Mª Concepción Casado; Rosario de La Torre // Neurochemical Research;Mar2008, Vol. 33 Issue 3, p450 

    Abstract  It has been reported that oxidative stress may play a role in the pathogenesis of dementia of the Alzheimer type (AD) and the cerebral ischemia which causes vascular dementia (VD). We measured malondialdehyde (MDA) levels and superoxide dismutase (SOD), catalase (CAT),...

  • The Ekman 60 Faces Test as a diagnostic instrument in frontotemporal dementia. Diehl-Schmid, Janine; Pohl, Corina; Ruprecht, Carolin; Wagenpfeil, Stefan; Foerstl, Hans; Kurz, Alexander // Archives of Clinical Neuropsychology;May2007, Vol. 22 Issue 4, p459 

    Abstract: Frontotemporal dementia (FTD) is characterized by dramatic changes of personality and behaviour. Impaired ability of emotional processing could contribute to these symptoms, as it may lead to misinterpretation of emotional cues that would normally guide behaviour. The aim of the...

  • Normal urodynamic parameters in women. Mahfouz, Wally; Afraa, Tala; Campeau, Lysanne; Corcos, Jacques // International Urogynecology Journal;Mar2012, Vol. 23 Issue 3, p269 

    Introduction and hypothesis: This literature review, providing reference ranges of normal variability in urodynamic parameters, is the second part of a two-part article. The first part addresses non-invasive urodynamics (UDS), while the second part addresses invasive techniques. Methods: Data...

  • Techniki badaÅ„ urodynamicznych: puÅ‚apki techniczne i trudnoÅ›ci interpretacyjne wyników -- część I. Prajsner, Andrzej // Polish Journal of Urology / Urologia Polska;2008, Vol. 61 Issue 3, p183 

    Urodynamic study is a valuable diagnostic tool for evaluation of functional state of the lower urinary tract. The references from English PubMed and Mediline data and our own experiences are used. The paper presents technique of urodynamic studies. The most common technical problems are...

  • Progression of Mild Cognitive Impairment to Alzheimer's or Vascular Dementia Versus Normative Aging Among Elderly Chinese. Juebin Huang; Meyer, John Stirling; Zhenxin Zhang; Jing Wei; Xia Hong; Jianmin Wang; Hongbo Wen; Wenjie Wu; Jixing Wu; Chowdhury, Munir H. // Current Alzheimer Research;Dec2005, Vol. 2 Issue 5, p571 

    To compare differences in evolutionary progressions from Mild Cognitive Impairment (MCI) to dementia of Alzheimer's type (DAT) or to vascular dementia (VaD) versus normal aging, subjects identified as MCI or as cognitively normal (CN) during standard cognitive evaluations among a large...

  • Psychosocial Factors That Shape Patient and Carer Experiences of Dementia Diagnosis and Treatment: A Systematic Review of Qualitative Studies. Bunn, Frances; Goodman, Claire; Sworn, Katie; Rait, Greta; Brayne, Carol; Robinson, Louise; McNeilly, Elaine; Iliffe, Steve // PLoS Medicine;Oct2012, Vol. 9 Issue 10, p1 

    Background: Early diagnosis and intervention for people with dementia is increasingly considered a priority, but practitioners are concerned with the effects of earlier diagnosis and interventions on patients and caregivers. This systematic review evaluates the qualitative evidence about how...

  • Diagnosing dementia with confidence by GPs. Hein PJ van Hout; Myrra J Vernooij-Dassen; Wim AB Stalman // Family Practice;Dec2007, Vol. 24 Issue 6, p616 

    Background. Earlier reports suggest limited clinical reasoning and substantial uncertainty of GPs in assessing patients suspected of dementia. Objective. To explore the predictors of GPs to decide on the presence and absence of dementia as well as the predictors of diagnostic confidence of GPs....

  • Outcome in subgroups of mild cognitive impairment (MCI) is highly predictable using a simple algorithm. Mitchell, Joanna; Arnold, Robert; Dawson, Kate; Nestor, Peter J.; Hodges, John R. // Journal of Neurology;Sep2009, Vol. 256 Issue 9, p1500 

    Although it is well recognized that MCI represents a risk state for subsequent dementia, estimates of conversion vary widely according to the diagnostic criteria employed. There are currently no simple cognitive predictors of high and low risk of progression. We followed 107 non-demented...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics