[Vesical neuropathy in systemic vasculitis: 3 cases].
Bladder neuropathy was diagnosed in 3 patients with systemic vasculitis (temporal arteritis: 1 case; periarteritis nodosa: 2 cases). Clinical characteristics were: dysuria, diminished or abolished bladder sensation leading to indolent bladder retention. Urodynamic investigation showed hypotonic and underactive detrusor, increased detrusor compliance, hyposensitive bladder, and/or overactive urethral closure. Needle electrode examination showed signs of denervation of periurethral muscles; sacral evoked latencies were increased, favouring pudenal nerve alterations. Symptoms and urodynamic abnormalities resolved following corticosteroid therapy. Clinical and therapeutic implications of bladder neuropathy in necrotizing vasculitis are emphasized.
Amarenco
P
P
Service de Neurologie, Hôpital Saint-Antoine, Paris.
Amarenco
G
G
Guillevin
L
L
Roullet
E
E
Sobann
M
M
Baudrimont
M
M
Marteau
R
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004594:Electrophysiology; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications*; D006801:Humans; D008297:Male; D010488:Polyarteritis Nodosa / Q000150:complications*; D001750:Urinary Bladder, Neurogenic / Q000209:etiology* / Q000503:physiopathology; D014563:Urodynamics
Neuropathie vésicale au cours de vascularites systémiques: trois observations.