SKIN POTENTIAL RECORDINGS DURING CYSTOMETRY IN SPINAL-CORD INJURED PATIENTS

被引：20

作者：

PREVINAIRE, JG ^{[1
]}

SOLER, JM ^{[1
]}

HANSON, P ^{[1
]}

机构：

[1] UNIV HOSP MONT GODINNE,DEPT PHYS MED & REHAB,B-5530 YVOIR,BELGIUM

来源：

PARAPLEGIA | 1993年 / 31卷 / 01期

关键词：

SKIN POTENTIALS; SPINAL CORD INJURY; BLADDER HYPERREFLEXIA; AUTONOMIC NERVOUS SYSTEM; BLADDER NECK DYSFUNCTION;

D O I：

10.1038/sc.1993.3

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

In order to investigate autonomic mechanisms associated with bladder filling and bladder contraction, skin potentials from the hands and the feet of 32 spinal cord injured patients were recorded during cystometry. All had a complete clinical loss of motor and sensory function below the lesion, but in 3 patients. the autonomic lesion was electrophysiologically assessed as incomplete. In patients with a complete autonomic lesion, any rise in intravesical pressure associated with bladder hyperreflexia induced SP responses below the level of the lesion. SP responses were never obtained during bladder filling, as the intravesical pressure remained low. These results tend to confirm those of Guttmann and Whitteridge, but differ in so far as SP responses at the foot were a regular finding in all paraplegic and in most tetraplegic patients. Furthermore, bladder contraction failed to elicit SP responses below the level of the lesion in patients with an incomplete autonomic lesion. This study emphasises the importance of assessing the integrity of the autonomic nervous pathways when dealing with autonomic mechanisms in spinal cord injured patients. The possible relation between SP responses and bladder neck dysfunction is further discussed.

引用

页码：13 / 21

页数：9

共 39 条

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