A young man with herpes simplex encephalitis: Andrew and Nathan type urodynamic abnormality
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Keywords
brain disease, urodynamics, frontal lobe, micturition reflex, bladder sensation
Abstract
We described a case of a young man who, after recovery from herpes simplex encephalitis with lesions in the frontal and insular cortices, developed ‘unwitting’ urinary incontinence. A urodynamics revealed 1) markedly-decreased bladder sensation and 2) a biphasic bladder disorder, e.g., before the bladder volume reaches that to provoke detrusor overactivity (DO), without bladder sensation, he is unable to contract his bladder; after provoking DO, he leaks without post-void residual. After starting clean, intermittent self-catheterization, his bladder disorder ameliorated spontaneously. This might be one form of classical ‘Andrew and Nathan type’ frontal urodynamic abnormality.
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References
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Fuyuki Tateno, Neurology, Internal Medicine, Sakura Medical Center, Toho University
Assistent professor
Ryuji Sakakibara, Neurology, Internal Medicine, Sakura Medical Center, Toho University
Associate Professor and ChairMasashi Yano, Urology, Sakura Medical Center, Toho University
Assistent professorOsamu Takahashi, Clinical Physiology Unit, Sakura Medical Center, Toho University
BScMegumi Sugiyama, Clinical Physiology Unit, Sakura Medical Center, Toho University
BSciMasahiko Kishi, Neurology, Internal Medicine, Sakura Medical Center, Toho University
LecturerYohei Tsuyusaki, Neurology, Internal Medicine, Sakura Medical Center, Toho University
Assistent professorAkihiko Tateno, Pediatrics, Sakura Medical Center, Toho University
ProfessorHiroyoshi Suzuki, Urology, Sakura Medical Center, Toho University
ProfessorYosuke Aiba, Neurology, Internal Medicine, Sakura Medical Center, Toho University
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