title: Acute cerebrovascular accident and lower urinary tract dysfunction: a prospective correlation of the site of brain injury with urodynamic findings.
abstract: OBJECTIVE
  We evaluated the effects of an acute cerebrovascular accident on the lower urinary tract and correlated the site of cerebrovascular accident with findings on urodynamic study.
  
  
  METHODS
  A total of 45 men and 15 women underwent a complete urodynamic study with electromyography within 72 hours of a cerebrovascular accident. Patients were divided into 5 different groups based on urodynamic findings.
  
  
  RESULTS
  The majority of cortical and internal capsule lesions resulted in detrusor hyperreflexia. A total of 28 patients (47%) had urinary retention, mainly due to detrusor areflexia (75%). Of 20 patients with hemorrhagic infarcts 17 (85%) had areflexia, compared to only 4 of 40 (10%) with ischemic infarcts. All 6 patients with cerebellar infarction had detrusor areflexia.
  
  
  CONCLUSIONS
  Our results confirm many previously reported findings. In addition, there was a specific correlation of cerebellar and hemorrhagic infarctions with detrusor areflexia.
authors.affiliation: Department of Urology, Long Island Jewish Medical Center, New Hyde Park, New York, USA.
authors.forename: T L
authors.initials: TL
authors.lastname: Burney
authors.forename: M
authors.initials: M
authors.lastname: Senapati
authors.forename: S
authors.initials: S
authors.lastname: Desai
authors.forename: S T
authors.initials: ST
authors.lastname: Choudhary
authors.forename: G H
authors.initials: GH
authors.lastname: Badlani
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002561:Cerebrovascular Disorders / Q000150:complications* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014555:Urination Disorders / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D014563:Urodynamics