Recovery of bladder function in patients with acute spinal cord injury: significance of ASIA scores and somatosensory evoked potentials.

Details

Serval ID
serval:BIB_FCD2B97853C8
Type
Article: article from journal or magazin.
Collection
Publications
Title
Recovery of bladder function in patients with acute spinal cord injury: significance of ASIA scores and somatosensory evoked potentials.
Journal
Spinal Cord
Author(s)
Curt A., Rodic B., Schurch B., Dietz V.
ISSN
1362-4393 (Print)
ISSN-L
1362-4393
Publication state
Published
Issued date
1997
Volume
35
Number
6
Pages
368-373
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't Publication Status: ppublish
Abstract
The significance of the ASIA (American Spinal Injury Association) scores and SSEP (somatosensory evoked potentials) recordings in predicting the recovery of bladder function was evaluated in 70 patients with acute, traumatic spinal cord injury (SCI). The patients were examined following admission to the rehabilitation centre (mean 10 days post-trauma) both clinically by the ASIA scores and electrophysiologically by tibial and pudendal SSEP recordings. The results of the initial examinations were related to the degree of recovery of bladder function of the patients assessed by urodynamic examination at the end of the rehabilitation programme (at least 6 months post-trauma). The recovery of somatic nerve function (external urethral sphincter function) involved in bladder function was correlated to both the initial ASIA scores and SSEP recordings (Spearman correlation, P < 0.001). The latter parameters, however, were not related to the outcome of autonomic nerve function (eg detrusor vesicae function) (Spearman correlation, P = 0.1). Therefore, the initial clinical and electrophysiological examinations are of value in assessment of the degree to which the patient will recover somatic nervous control of bladder function. However, these examinations are not indicative of urodynamic impairment. Therefore, urodynamic examination should be mandatory for the diagnostic assessment and therapeutical approach of bladder dysfunction in patients with acute SCI.
Keywords
Adult, Clinical Protocols, Evoked Potentials, Somatosensory, Female, Humans, Male, Middle Aged, Neurologic Examination, Paraplegia/physiopathology, Prognosis, Quadriplegia/physiopathology, Spinal Cord Injuries/physiopathology, Urinary Bladder/physiology, Urinary Bladder/physiopathology, Urinary Bladder, Neurogenic/etiology, Urodynamics
Pubmed
Web of science
Create date
05/11/2014 12:13
Last modification date
20/08/2019 16:27
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