Article

AIM: To determine the prevalence of symptomatic neurogenic bladder (SNB) and
social and functional variables in a large sample of people with cerebral palsy
(CP). METHOD: The medical records of 214 individuals (96 females, 118 males) with
CP between the years 1990 and 2000 were retrospectively reviewed. Individuals
with frequency, urgency, or incontinence were assigned Gross Motor Function
Classification System levels and underwent cystometrogram/electromyelogram
studies. Neurogenic bladders were classified according to the nomenclature of the
International Continence Society. RESULTS: Fifty-two patients had hemiplegia, 42
diplegia, 117 quadriplegia, and three dyskinesia. Educational levels ranged from
full special education to those with graduate degrees. Thirty-five individuals in
our group aged 5 to 66 years had SNB with a prevalence of 16.4%. The median age
for the entire population was 9 years 7 months and for those with SNB 12 years 4
months (range 5-57y). Over 80% of individuals who underwent investigation were
found to have spastic hyper-reflexic type bladders. Ninety-one percent obtained
total continence or major improvement with conservative care. SNB was documented
across the lifespan, educational spectrum, and functional level. Upper urinary
tract pathology was infrequent. INTERPRETATION: SNB is a common finding in
individuals with CP. In most patients it is readily diagnosed and treated with
conservative interventions.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2012 Mac Keith
Press.

Langue : ANGLAIS