Chronic subdural hematoma associated with voiding dysfunction.
We report the case of a 73-year-old male who presented with a chronic subdural hematoma that compressed the frontal lobe, an area known to be active in detrusor control, and caused contralateral hemiparesis and urgency incontinence. Urodynamically, he had a small bladder capacity and high amplitude overactive detrusor contractions with an intact sphincteric response. We concluded that the effect of intracranial lesions on voiding depends upon the site rather than the type of the pathology. Further in-depth studies are needed to clarify the effect of intracranial lesions, and accordingly the function of different brain regions and their influence on voiding.
Abdel Hafez
A A R
AA
Department of Urology, Sohag University, Sohag, Egypt. abdelhafez @ mailcity.com
Badawi
A A
AA
Rohrmann
D
D
Jakse
G
G
D000368:Aged; D001921:Brain / Q000473:pathology; D004576:Electromyography / Q000379:methods; D005471:Fluoroscopy / Q000379:methods; D020200:Hematoma, Subdural, Chronic / Q000150:complications*; D006801:Humans; D008297:Male; D010291:Paresis; D014057:Tomography, X-Ray Computed / Q000379:methods; D001743:Urinary Bladder / Q000473:pathology; D014555:Urination Disorders / Q000150:complications*; D014563:Urodynamics