Avtor/Urednik		Podnar, Simon
Naslov		Neurophysiologic testing in neurogenic bladder dysfunction: practical or academic?
Tip		članek
Vir		Curr Bladder Dysfunction Rep
Vol. in št.		Letnik 5, št. 2
Leto izdaje		2010
Obseg		str. 79-86
Jezik		eng
Abstrakt		For the diagnosis of neurogenic bladder, in addition to clinical assessment, neurophysiologic testing may be useful. Neurophysiologic tests are more useful in patients with sacral compared with suprasacral disorders. Anal sphincter electromyography (EMG) is the most useful diagnostic test, particularly for focal sacral lesions and atypical parkinsonism. Another clinically useful method that tests the sacral segments and complements EMG is the sacral (penilo/clitoro-cavernosus) reflex. Kinesiologic EMG is useful to demonstrate detrusor sphincter dyssynergia. Somatosensory-evoked potential and motor-evoked potential studies may be useful to diagnose clinically silent central lesions. The utility of cortical somatosensoryevoked potential in bladder/urethra stimulation is limited by technical difficulties that can be partially overcome by the concomitant recording of a palmar sympathetic skin response. Sympathetic skin response recorded from the saddle region is also useful for testing the lumbosacral sympathetic system. A clinically useful neurophysiologic test for evaluating the sacral parasympathetic system is still lacking.
Deskriptorji		BLADDER, NEUROGENIC NEUROPSYCHOLOGICAL TESTS ELECTROMYOGRAPHY EVOKED POTENTIALS, SOMATOSENSORY EVOKED POTENTIALS, MOTOR LUMBOSACRAL PLEXUS REFLEX SYMPATHETIC NERVOUS SYSTEM