Enuresis and Dreaming

Pierce, Chester M.; Whitman, Roy M.; Maas, James W.

doi:10.1001/archpsyc.1961.01710080062010

Cited by 53 publications

(9 citation statements)

References 2 publications

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“…When these patients entered into a deep sleep In many past studies, there have been conflicts because the pathogenesis of enuresis has been explained by only one theory in each study. For example, the theory that enuresis occurred in deep sleep [8] was contradictory to the theory that enuresis occurred in light sleep [9]. How ever, according to our classification system, both theories are reasonable, because enuresis type Ha and lib occur in deep sleep and type I occurs in light sleep.…”

Section: Introductionmentioning

confidence: 78%

Treatment System for Nocturnal Enuresis according to an Original Classification System

et al. 1994

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Section: Introductionmentioning

confidence: 78%

Treatment System for Nocturnal Enuresis according to an Original Classification System

et al. 1994

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“…Some have claimed that the bladder is usually voided during the early hours of sleep (22,25,30) whereas others have found the micturition to be evenly dispersed during the night (20,(23)(24). Likewise, it has been found that micturition is linked either to non-REM sleep (12,23,26,31) or to no specific sleep stage at all (20)(21)(22). This controversy, like most controversies in the field of enuresis research, probably stems from not recognizing the heterogeneity of the disorder.…”

Section: Polysomnographic Studiesmentioning

confidence: 99%

The role of sleep and arousal in nocturnal enuresis

Nevéus¹

2003

Acta Paediatrica

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“…Indirect support for the hypothesis has been provided by investigators who recorded sleep EEG of enuretic children and found the bladder voiding to be temporally linked to nonREM sleep, especially delta sleep (368,(370)(371)(372)(373)(374). A pioneer in this field is Broughton, who saw the bladder voiding as an event occurring during the incomplete arousal from delta sleep, and coined the expression "disorder of arousal" to describe enuresis, sleepwalking and night terrors (287).…”

Section: Pathogenesis Of Enuresis: Impaired Arousal Mechanismsmentioning

confidence: 99%

Enuresis - Background and Treatment

Nevéus

Läckgren

Tuvemo

et al. 2000

Scandinavian Journal of Urology and Nephrology

116

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Nocturnal urinary continence is dependent on 3 factors: 1) nocturnal urine production, 2) nocturnal bladder function and 3) sleep and arousal mechanisms. Any child will suffer from nocturnal enuresis if more urine is produced than can be contained in the bladder or if the detrusor is hyperactive, provided that he or she is not awakened by the imminent bladder contraction.Urine production is regulated by fluid intake and several interrelated renal, hormonal and neural factors, foremost of which are vasopressin, renin, angiotensin and the sympathetic nervous system. Detrusor function is governed by the autonomic nervous system which under ideal conditions is under central nervous control. Arousal from sleep is dependent on the reticular activating system, a diffuse neural network that translates sensory input into arousal stimuli via brain stem noradrenergic neurons.Disturbances in nocturnal urine production, bladder function and arousal mechanisms have all been firmly implicated as pathogenetic factors in nocturnal enuresis. The group of enuretic children are, however, pathogenetically heterogeneous, and two main types can be discerned: 1) Diuresis-dependent enuresis -these children void because of excessive nocturnal urine production and impaired arousal mechanisms. 2) Detrusor-dependent enuresis -these children void because of nocturnal detrusor hyperactivity and impaired arousal mechanisms. The main clinical difference between the two groups is that desmopressin is usually effective in the former but not in the latter.There are two first-line therapies in nocturnal enuresis: the enuresis alarm and desmopressin medication. Promising secondline treatments include anticholinergic drugs, urotherapy and treatment of occult constipation. Scand J Urol Nephrol Suppl 206 Scand J Urol Nephrol Downloaded from informahealthcare.com by Monash University on 04/12/15 For personal use only. T. Nevéus et al. Scand J Urol Nephrol Downloaded from informahealthcare.com by Monash University on 04/12/15 For personal use only. centre, LC = locus coeruleus, v III = third ventricle, PVN = paraventricular nucleus, SON = supraoptic nucleus, OVLT, organum vasculosum of the lamina terminalis, SFO = subfornical organ, NH = neurohypophysis, OC = optic chiasm. Scand J Urol Nephrol Suppl 206 Enuresis -Background and Treatment 3 Scand J Urol Nephrol Downloaded from informahealthcare.com by Monash University on 04/12/15 For personal use only. T. Nevéus et al. Scand J Urol Nephrol Downloaded from informahealthcare.com by Monash University on 04/12/15 For personal use only. Scand J Urol Nephrol Suppl 206 Enuresis -Background and Treatment 5 Scand J Urol Nephrol Downloaded from informahealthcare.com by Monash University on 04/12/15 For personal use only. Possible/minor influences Possible/minor influences Upright body position Atrial natriuretic peptide Bladder distention? Drinking? Parasympathetic suppression? Sleep? Pharmacological substances Pharmacological substances Lithium Ethanol, carbamazepine, opioids Clonidine Scand J Urol Nephrol Suppl ...

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Enuresis and Dreaming

Cited by 53 publications

References 2 publications

Treatment System for Nocturnal Enuresis according to an Original Classification System

Treatment System for Nocturnal Enuresis according to an Original Classification System

The role of sleep and arousal in nocturnal enuresis

Enuresis - Background and Treatment

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