Urinary dysfunction with detrusor hyperactivity in women with Parkinson's disease cannot be blamed as a factor of worsening motor performance

Introduction Detrusor hyperactivity is the leading cause of urinary dysfunction in Parkinson's disease (PD). There are few studies correlating PD clinical aspects with this autonomic feature. Methods A cohort of 63 women with PD were prospectively examined for assessment of clinical aspects a...

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Main Authors: Raimundo Nonato Campos-Sousa, Elizabeth Maria Aparecida Barasnevicius Quagliato, Kelson James Almeida, Inacio Augusto Dias de Castro, Viriato Campelo
Format: Article
Language:English
Published: Thieme Revinter Publicações 2013-09-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013000900591&lng=en&tlng=en
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author Raimundo Nonato Campos-Sousa
Elizabeth Maria Aparecida Barasnevicius Quagliato
Kelson James Almeida
Inacio Augusto Dias de Castro
Viriato Campelo
author_facet Raimundo Nonato Campos-Sousa
Elizabeth Maria Aparecida Barasnevicius Quagliato
Kelson James Almeida
Inacio Augusto Dias de Castro
Viriato Campelo
author_sort Raimundo Nonato Campos-Sousa
collection DOAJ
description Introduction Detrusor hyperactivity is the leading cause of urinary dysfunction in Parkinson's disease (PD). There are few studies correlating PD clinical aspects with this autonomic feature. Methods A cohort of 63 women with PD were prospectively examined for assessment of clinical aspects and disease severity using unified Parkinson's disease rating scale and Hoehn-Yahr scale, respectively. The urologic function was evaluated by the urodynamic study. Two groups were categorized at this time - groups with and without detrusor hyperactivity. After seven years, the same parameters were re-evaluated. Results Progression of the disease on mental scores was found in the group with detrusor hyperactivity. On follow-up, clinical symptoms and severity did not show significant worsening between the groups. Conclusion Detrusor hyperactivity is a frequent urodynamic finding in PD, and even though it is associated with dopaminergic dysfunction, it cannot be blamed as a factor of worsening motor performance, but is probably associated with poor cognitive and mental prognosis.
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spelling doaj-art-a1ed9b4309674a058d2d83f7cb44e68c2025-08-20T01:59:48ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272013-09-01719A59159510.1590/0004-282X20130101S0004-282X2013000900591Urinary dysfunction with detrusor hyperactivity in women with Parkinson's disease cannot be blamed as a factor of worsening motor performanceRaimundo Nonato Campos-SousaElizabeth Maria Aparecida Barasnevicius QuagliatoKelson James AlmeidaInacio Augusto Dias de CastroViriato CampeloIntroduction Detrusor hyperactivity is the leading cause of urinary dysfunction in Parkinson's disease (PD). There are few studies correlating PD clinical aspects with this autonomic feature. Methods A cohort of 63 women with PD were prospectively examined for assessment of clinical aspects and disease severity using unified Parkinson's disease rating scale and Hoehn-Yahr scale, respectively. The urologic function was evaluated by the urodynamic study. Two groups were categorized at this time - groups with and without detrusor hyperactivity. After seven years, the same parameters were re-evaluated. Results Progression of the disease on mental scores was found in the group with detrusor hyperactivity. On follow-up, clinical symptoms and severity did not show significant worsening between the groups. Conclusion Detrusor hyperactivity is a frequent urodynamic finding in PD, and even though it is associated with dopaminergic dysfunction, it cannot be blamed as a factor of worsening motor performance, but is probably associated with poor cognitive and mental prognosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013000900591&lng=en&tlng=enhiperatividade detrusorahiperreflexia detrusoradoenca de Parkinsonsintomas urinarios
spellingShingle Raimundo Nonato Campos-Sousa
Elizabeth Maria Aparecida Barasnevicius Quagliato
Kelson James Almeida
Inacio Augusto Dias de Castro
Viriato Campelo
Urinary dysfunction with detrusor hyperactivity in women with Parkinson's disease cannot be blamed as a factor of worsening motor performance
Arquivos de Neuro-Psiquiatria
hiperatividade detrusora
hiperreflexia detrusora
doenca de Parkinson
sintomas urinarios
title Urinary dysfunction with detrusor hyperactivity in women with Parkinson's disease cannot be blamed as a factor of worsening motor performance
title_full Urinary dysfunction with detrusor hyperactivity in women with Parkinson's disease cannot be blamed as a factor of worsening motor performance
title_fullStr Urinary dysfunction with detrusor hyperactivity in women with Parkinson's disease cannot be blamed as a factor of worsening motor performance
title_full_unstemmed Urinary dysfunction with detrusor hyperactivity in women with Parkinson's disease cannot be blamed as a factor of worsening motor performance
title_short Urinary dysfunction with detrusor hyperactivity in women with Parkinson's disease cannot be blamed as a factor of worsening motor performance
title_sort urinary dysfunction with detrusor hyperactivity in women with parkinson s disease cannot be blamed as a factor of worsening motor performance
topic hiperatividade detrusora
hiperreflexia detrusora
doenca de Parkinson
sintomas urinarios
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013000900591&lng=en&tlng=en
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