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Lower urinary tract dysfunction in Parkinsonian syndromes.
Neurol Sci. 2021 Oct; 42(10):4045-4054.NS

Abstract

PURPOSE OF REVIEW

The aim of this review is to outline the clinical presentation, pathophysiology and evaluation of lower urinary tract (LUT) dysfunction in Parkinson's disease and other parkinsonian syndromes including multiple system atrophy, dementia with Lewy bodies, progressive supranuclear palsy and corticobasal degeneration.

RECENT FINDINGS

LUT dysfunction commonly occurs in neurological disorders, including patients with parkinsonian syndromes. The pattern of LUT dysfunction and its severity are variable, depending upon the site of lesion within the neural pathways. Parkinsonian syndromes are broadly divided into Parkinson's disease (PD) and a typical parkinsonian syndromes such as multiple system atrophy (MSA), dementia with Lewy bodies (DLB), progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD). Different parkinsonian syndromes have distinct clinical features (e.g. dysautonomia, early dementia, supranuclear gaze palsy, higher cortical signs), and the pattern of LUT dysfunction and its severity can differ.

CONCLUSIONS

LUT dysfunction is a common feature in patients with parkinsonian syndromes. Recognising the pattern of LUT dysfunction during the assessment of these patients can help management and possibly facilitate an earlier diagnosis.

Authors+Show Affiliations

Department of Uro‑Neurology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK. Autonomic Unit, National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.Department of Uro‑Neurology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK. Sorbonne Université, GRC 01, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, 4 rue de la Chine, 75020, Paris, France.Faculty of Brain Sciences, UCL Queen Square Institute of Neurology, University College London, London, UK.Department of Uro‑Neurology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK. Faculty of Brain Sciences, UCL Queen Square Institute of Neurology, University College London, London, UK.Autonomic Unit, National Hospital for Neurology and Neurosurgery, Queen Square, London, UK. Faculty of Brain Sciences, UCL Queen Square Institute of Neurology, University College London, London, UK.Department of Uro‑Neurology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK. j.panicker@ucl.ac.uk. Faculty of Brain Sciences, UCL Queen Square Institute of Neurology, University College London, London, UK. j.panicker@ucl.ac.uk.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

34318363

Citation

Vichayanrat, Ekawat, et al. "Lower Urinary Tract Dysfunction in Parkinsonian Syndromes." Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, vol. 42, no. 10, 2021, pp. 4045-4054.
Vichayanrat E, Hentzen C, Batla A, et al. Lower urinary tract dysfunction in Parkinsonian syndromes. Neurol Sci. 2021;42(10):4045-4054.
Vichayanrat, E., Hentzen, C., Batla, A., Simeoni, S., Iodice, V., & Panicker, J. N. (2021). Lower urinary tract dysfunction in Parkinsonian syndromes. Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 42(10), 4045-4054. https://doi.org/10.1007/s10072-021-05411-y
Vichayanrat E, et al. Lower Urinary Tract Dysfunction in Parkinsonian Syndromes. Neurol Sci. 2021;42(10):4045-4054. PubMed PMID: 34318363.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lower urinary tract dysfunction in Parkinsonian syndromes. AU - Vichayanrat,Ekawat, AU - Hentzen,Claire, AU - Batla,Amit, AU - Simeoni,Sara, AU - Iodice,Valeria, AU - Panicker,Jalesh N, Y1 - 2021/07/28/ PY - 2021/05/28/received PY - 2021/06/14/accepted PY - 2021/7/29/pubmed PY - 2021/9/18/medline PY - 2021/7/28/entrez KW - Atypical Parkinsonian disorders KW - Bladder dysfunction KW - Multiple system atrophy KW - Overactive bladder KW - Parkinsonian syndromes KW - Parkinson’s disease SP - 4045 EP - 4054 JF - Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology JO - Neurol Sci VL - 42 IS - 10 N2 - PURPOSE OF REVIEW: The aim of this review is to outline the clinical presentation, pathophysiology and evaluation of lower urinary tract (LUT) dysfunction in Parkinson's disease and other parkinsonian syndromes including multiple system atrophy, dementia with Lewy bodies, progressive supranuclear palsy and corticobasal degeneration. RECENT FINDINGS: LUT dysfunction commonly occurs in neurological disorders, including patients with parkinsonian syndromes. The pattern of LUT dysfunction and its severity are variable, depending upon the site of lesion within the neural pathways. Parkinsonian syndromes are broadly divided into Parkinson's disease (PD) and a typical parkinsonian syndromes such as multiple system atrophy (MSA), dementia with Lewy bodies (DLB), progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD). Different parkinsonian syndromes have distinct clinical features (e.g. dysautonomia, early dementia, supranuclear gaze palsy, higher cortical signs), and the pattern of LUT dysfunction and its severity can differ. CONCLUSIONS: LUT dysfunction is a common feature in patients with parkinsonian syndromes. Recognising the pattern of LUT dysfunction during the assessment of these patients can help management and possibly facilitate an earlier diagnosis. SN - 1590-3478 UR - https://www.unboundmedicine.com/medline/citation/34318363/Lower_urinary_tract_dysfunction_in_Parkinsonian_syndromes_ L2 - https://link.springer.com/10.1007/s10072-021-05411-y DB - PRIME DP - Unbound Medicine ER -