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Neurological Conditions and Bladder Dysfunction

Panelist discusses how neurogenic bladder in neurological conditions manifests distinctly based on lesion location. Patients with multiple sclerosis typically experience detrusor overactivity and sphincter dyssynergia, leading to urgency and retention. Parkinson disease commonly presents with overactive bladder symptoms and nocturia due to impaired basal ganglia control. Cauda equina syndrome and lumbar disc herniation often result in detrusor areflexia and decreased sensation, causing retention and overflow incontinence.

Video content above is prompted by the following:

  • Please discuss how neurogenic bladder can manifest in patients with neurologic conditions.
    • Multiple sclerosis
    • Parkinson disease
    • Cauda equina syndrome and herniated lumbar discs
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Crystal Proud, MD  (Credit: Children’s Hospital of the King’s Daughters)
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