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Turkish Journal of Neurology Indexed By
  Does Pons Plaque Affect Urination and Urodynamic Functions in Multiple Sclerosis? [Turk J Neurol]
Turk J Neurol. 2006; 12(4): 279-283

Does Pons Plaque Affect Urination and Urodynamic Functions in Multiple Sclerosis?

Ural Hamurcu1, Nalan Soyder Kuş2, Yaşar Zorlu2, Ferruh Zorlu1, Oğuz Mertoğlu1

OBJECTIVE: More than %80 of Multiple Sclerosis (MS)
patients are observed to have urinary system dysfunctions during the
course of their ilnesses. Neuronal control of the bladder is highly
complicated. Autonomic and somatic nerve systems have to function in
coordination. It is known that bladder functions are controlled by medial
frontal lobe in the cerebral hemispheres and by pontine reticular
formation in the brainstem.
A i m: In MS, the relationship between the localization of the plaque and
bladder dysfunction is not clear. The aim of this study was to identify the
effects of the plaque in pons on the clinical and urodynamic findings by
comparing the patients having periventricular and pontine plaques and
the ones having only periventricular plaque
METHODS: Between May 2001 to June 2003,25 MS patients
of whom 15 were females and 10 males studied. The mean age of the
patients was 44, while the mean disease duration was 57.2 month. Mean
EDSS was 1.82(0-3). The patients were divied into two groupes. Group I
(12 cases) consisted of those having periventricular and pons plaque,
whereas Group II (13 cases) consisted of those having only periventricular
plaque. All patients who had spinal cord plaque excluded. Urodynamic
evaluation were done.
RESULTS: Comparing the plaque localization and the urodynamic results
did not reveal any statistical difference between the groups (p=0.841).
The symptoms observed in the groups were studied with respect to their
relation with the urdynamic findings. All the symptomatic cases in Group
I and half of the symptomatic cases in Group II had abnormal urodynamic
findings. Among the asymptomatic cases, %71.4 of Group I and %40 of
Group II had normal urodynamic findings.
CONCLUSION: As a result, existance of pontine plaque in those having
periventricular plaque does not affect the urologic symptoms and
urodynamic functions.

Keywords: multiple sclerosis, urodynamic function, pons, urologic symptoms

Ural Hamurcu, Nalan Soyder Kuş, Yaşar Zorlu, Ferruh Zorlu, Oğuz Mertoğlu. Does Pons Plaque Affect Urination and Urodynamic Functions in Multiple Sclerosis?. Turk J Neurol. 2006; 12(4): 279-283

Corresponding Author: Ural Hamurcu, Türkiye

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