Dysautonomie et troubles urinaires au cours de la sclérose en plaques. Étude clinique, urodynamique et cardiovasculaire

Amarenco, G.; Raibaut, P.; Hubeaux, K.; Jousse, M.; Ismaël, Samer Sheikh; Lapeyre, É.

doi:10.1016/j.purol.2013.06.010

Cited by 12 publications

(1 citation statement)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Treatment recommendations also vary among these guidelines, especially with respect to the requested degree of specialization of the treating physician. However, a consensus appears to be present on the recommendation that initial treatment of MS patients with NLUTD can be provided by a general practitioner/neurologist and a reasonable non-invasive evaluation including a detailed history, physical examination, complete urine analysis, serum creatinine level, voiding diary, urinary system ultrasonography, urine flow rate and importantly PVR urine measurement [ 28 , 29 ]. In cases of initial conservative treatment failure and/or upper urinary tract deterioration, invasive urodynamic tests should be applied.…”

Section: Neurogenic Lower Urinary Tract Dysfunctionmentioning

confidence: 99%

Autonomic Dysregulation in Multiple Sclerosis

Pintér

Cseh

Sárközi

et al. 2015

IJMS

View full text Add to dashboard Cite

Multiple sclerosis (MS) is a chronic, progressive central neurological disease characterized by inflammation and demyelination. In patients with MS, dysregulation of the autonomic nervous system may present with various clinical symptoms including sweating abnormalities, urinary dysfunction, orthostatic dysregulation, gastrointestinal symptoms, and sexual dysfunction. These autonomic disturbances reduce the quality of life of affected patients and constitute a clinical challenge to the physician due to variability of clinical presentation and inconsistent data on diagnosis and treatment. Early diagnosis and initiation of individualized interdisciplinary and multimodal strategies is beneficial in the management of autonomic dysfunction in MS. This review summarizes the current literature on the most prevalent aspects of autonomic dysfunction in MS and provides reference to underlying pathophysiological mechanisms as well as means of diagnosis and treatment.

show abstract

Section: Neurogenic Lower Urinary Tract Dysfunctionmentioning

confidence: 99%