Colonometry, Cystometry, and Evoked Potentials in Multiple Sclerosis

Haldeman, Scott; Glick, Michael; Bhatia, Narender N.; Bradley, William E.; Johnson, Bonnie

doi:10.1001/archneur.1982.00510230024008

Cited by 42 publications

(37 citation statements)

References 16 publications

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“…In Trojaborg and Petersen's study, the common peroneal response was abnormal in 82'x of subjects, compared with 62% for the median nerve. There are few reports of the somatosensory response to pudendal nerve stimulation in multiple sclerosis, although Haldeman et al (1982) found that in 3 patients with multiple sclerosis and bladder dysfunction the pudendal nerve SSEP w,as invariably abnormal. Tackmann et al (1988) found that 5 of 7 impotent men with multiple sclerosis had delayed or absent pudendal nerve SSEPs.…”

Section: Discussionmentioning

confidence: 99%

Neurophysiology of the Striated Urethral Sphincter in Multiple Sclerosis

Eardley

Nagendran²,

Lecky³

et al. 1991

British Journal of Urology

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Urethrovesical dysfunction is common in patients with multiple sclerosis. We present the results of urodynamic and neurophysiological studies in a series of 24 patients with multiple sclerosis associated with urinary symptoms. Urethral sphincter electromyography showed only minor abnormalities but studies of central conduction demonstrated abnormal sensory conduction in 88% and abnormal motor conduction in 80% of the patients studied. These abnormalities of central conduction correlated well with the urodynamic findings.

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Section: Discussionmentioning

confidence: 99%

Neurophysiology of the Striated Urethral Sphincter in Multiple Sclerosis

Eardley

Nagendran²,

Lecky³

et al. 1991

British Journal of Urology

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“…Most studies have shown that the anal resting pressure (28–30), the anal squeeze pressure (28–31) and the anorectal sensibility (31) are reduced among patients with multiple sclerosis. The rectal wall is hyperirritable (32, 33) with reduced compliance (31, 33). All this may result in faecal incontinence.…”

Section: Colorectal Symptoms In Neurological Disease Patientsmentioning

confidence: 99%

Colorectal symptoms in patients with neurological diseases

Krogh

Christensen

Laurberg

2001

Acta Neurologica Scandinavica

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Several neurological diseases cause constipation or faecal incontinence restricting social activities and influencing quality of life. As several new treatment modalities have become available within the last few years, doctors treating patients with neurological diseases should be aware of the symptoms and have a basic knowledge of relevant treatment options. Constipation and faecal incontinence are common symptoms in patients with traumatic spinal cord injuries, spina bifida, multiple sclerosis, diabetic polyneuropathy, Parkinson's disease, stroke, and cerebral palsy. New treatment modalities are: prokinetic agents, enemas administered through the enema continence catheter or through an appendicostomy, and biofeed-back. Sacral nerve stimulation is still mostly at an experimental level and colostomy should be restricted to the few patients with most severe problems resistant to other therapy.

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“…In MS, dysfunction of the autonomic nervous system (ANS) may occur (3,4). This includes abnormalities of bladder (5,6) and bowel function (6,7), sexual function (8,9), sweating (10), blood pressure maintenance (11), cardiac function (12,13), and temperature regulation (14). The sympathetic division of the ANS controls temperature regulation (15,16).…”

mentioning

confidence: 99%

Multiple Sclerosis Patients with Fatigue: Relationship Among Temperature Regulation, Autonomic Dysfunction, and Exercise Capacity

Cohen

Hossack

Franklin

1989

Neurorehabilitation and Neural Repair

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nervous system (ANS) testing. It was postulated that defective temperature regulation, as the result of ANS dysfunction, would limit exercise capacity. When MS patients were compared to a control group, ANS dysfunction of both the sympathetic and parasympathetic components was present. However, in MS patients, there was no evidence of excessive heat accumulation during exercise. An Expanded Disability Scale Score of greater than 2.5 predicted patients with markedly impaired exercise capacity. This study suggests that ANS influence on exercise capacity in MS patients is more complex than simple temperature regulation.

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Colonometry, Cystometry, and Evoked Potentials in Multiple Sclerosis

Cited by 42 publications

References 16 publications

Neurophysiology of the Striated Urethral Sphincter in Multiple Sclerosis

Neurophysiology of the Striated Urethral Sphincter in Multiple Sclerosis

Colorectal symptoms in patients with neurological diseases

Multiple Sclerosis Patients with Fatigue: Relationship Among Temperature Regulation, Autonomic Dysfunction, and Exercise Capacity

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