Female Urinary Retention Progressing to Possible Multiple System Atrophy-cerebellar Form after 12 Years

Ryuji Sakakibara; Yuki Sekiguchi; Jalesh N. Panicker; Noritoshi Sekido; Hideki Sugimoto; Yuuka Sugisaki; Ayami Shimizu; Osamu Takahashi; Tsuyoshi Ogata; Setsu Sawai; Fuyuki Tateno; Yosuke Aiba; Sara Simeoni

doi:10.2169/internalmedicine.8724-21

CASE REPORTS

Female Urinary Retention Progressing to Possible Multiple System Atrophy-cerebellar Form after 12 Years

Ryuji Sakakibara, Yuki Sekiguchi, Jalesh N. Panicker, Noritoshi Sekido, Hideki Sugimoto, Yuuka Sugisaki, Ayami Shimizu, Osamu Takahashi, Tsuyoshi Ogata, Setsu Sawai, Fuyuki Tateno, Yosuke Aiba, Sara Simeoni

Author information

Ryuji Sakakibara
Neurology, Internal Medicine, Sakura Medical Center, Toho University, Japan
Yuki Sekiguchi
Uro-gynecology, Female Medical Clinic 'Next Stage', Japan
Jalesh N. Panicker
Department of Uro-Neurology, The National Hospital for Neurology and Neurosurgery, UK
Noritoshi Sekido
Urology, Ohashi Medical Center, Toho University, Japan
Hideki Sugimoto
Neurology, Ohashi Medical Center, Toho University, Japan
Yuuka Sugisaki
Urology, Sakura Medical Center, Toho University, Japan
Ayami Shimizu
Clinical Physiology Unit, Sakura Medical Center, Toho University, Japan
Osamu Takahashi
Clinical Physiology Unit, Sakura Medical Center, Toho University, Japan
Tsuyoshi Ogata
Neurology, Internal Medicine, Sakura Medical Center, Toho University, Japan
Setsu Sawai
Neurology, Internal Medicine, Sakura Medical Center, Toho University, Japan
Fuyuki Tateno
Neurology, Internal Medicine, Sakura Medical Center, Toho University, Japan
Yosuke Aiba
Neurology, Internal Medicine, Sakura Medical Center, Toho University, Japan
Sara Simeoni
Department of Uro-Neurology, The National Hospital for Neurology and Neurosurgery, UK

Keywords: multiple system atrophy, sacral autonomic disorder, urinary retention, sphincter electromyography, magnetic resonance imaging

JOURNAL OPEN ACCESS

2022 Volume 61 Issue 23 Pages 3599-3604

DOI https://doi.org/10.2169/internalmedicine.8724-21

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Details

Abstract

We herein report a 73-year-old Japanese woman with possible multiple system atrophy-cerebellar form (MSA-C) who suffered from urinary retention (sacral autonomic disorder) for 12 years before exhibiting cerebellar ataxia. A peculiar combination of findings on urodynamics and sphincter electromyography (EMG), e.g. detrusor hyperactivity with impaired contraction (DHIC), detrusor-sphincter dyssynergia (DSD) and neurogenic sphincter EMG (upper and lower neuron-type autonomic dysfunction), seems to have been predictive of future development of MSA.

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