Detrusor Arreflexia as an End Stage of Neurogenic Bladder in HAM/TSP?

The HTLV-1 virus is a known agent involved in the development of HAM/TSP. Past studies have typically observed patients with autonomic dysfunction consisting of detrusor overactivity and detrusor-sphincter dyssynergia, with the occasional observation of underactive detrusor or detrusor arreflexia....

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Main Authors: Matheus Tannus, Davi Tanajura, Michael A. Sundberg, Paulo Oliveira, Neviton Castro, André Muniz Santos
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2011/289389
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author Matheus Tannus
Davi Tanajura
Michael A. Sundberg
Paulo Oliveira
Neviton Castro
André Muniz Santos
author_facet Matheus Tannus
Davi Tanajura
Michael A. Sundberg
Paulo Oliveira
Neviton Castro
André Muniz Santos
author_sort Matheus Tannus
collection DOAJ
description The HTLV-1 virus is a known agent involved in the development of HAM/TSP. Past studies have typically observed patients with autonomic dysfunction consisting of detrusor overactivity and detrusor-sphincter dyssynergia, with the occasional observation of underactive detrusor or detrusor arreflexia. However, studies have not yet evaluated the progression of neurogenic bladder over time. In this paper, we describe a HAM/TSP patient with the initial development of overactive detrusor, and subsequent development of detrusor arreflexia. Given a paucity of studies characterizing the effects of HTLV-1 on the autonomic nervous system, particularly aspects controlling continence, this patient's clinical course may represent one type of end point for patients with HAM/TSP and neurogenic bladder. Further cohort or case-series studies, with particular emphasis on the progression of neurogenic bladder, are needed to evaluate the significance of this described case in relation to typical disease progression patterns.
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series Case Reports in Medicine
spelling doaj-art-0d9049f795584023b5f30299b3ab0cbc2025-02-03T06:08:14ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/289389289389Detrusor Arreflexia as an End Stage of Neurogenic Bladder in HAM/TSP?Matheus Tannus0Davi Tanajura1Michael A. Sundberg2Paulo Oliveira3Neviton Castro4André Muniz Santos5Serviço de Imunologia, Hospital Universitário Proffessor Edgard Santos, 5 Andar, Rua João das Botas S/N, Canela, Salvador CEP 40110-160, BA, BrazilServiço de Imunologia, Hospital Universitário Proffessor Edgard Santos, 5 Andar, Rua João das Botas S/N, Canela, Salvador CEP 40110-160, BA, BrazilServiço de Imunologia, Hospital Universitário Proffessor Edgard Santos, 5 Andar, Rua João das Botas S/N, Canela, Salvador CEP 40110-160, BA, BrazilServiço de Imunologia, Hospital Universitário Proffessor Edgard Santos, 5 Andar, Rua João das Botas S/N, Canela, Salvador CEP 40110-160, BA, BrazilServiço de Imunologia, Hospital Universitário Proffessor Edgard Santos, 5 Andar, Rua João das Botas S/N, Canela, Salvador CEP 40110-160, BA, BrazilServiço de Imunologia, Hospital Universitário Proffessor Edgard Santos, 5 Andar, Rua João das Botas S/N, Canela, Salvador CEP 40110-160, BA, BrazilThe HTLV-1 virus is a known agent involved in the development of HAM/TSP. Past studies have typically observed patients with autonomic dysfunction consisting of detrusor overactivity and detrusor-sphincter dyssynergia, with the occasional observation of underactive detrusor or detrusor arreflexia. However, studies have not yet evaluated the progression of neurogenic bladder over time. In this paper, we describe a HAM/TSP patient with the initial development of overactive detrusor, and subsequent development of detrusor arreflexia. Given a paucity of studies characterizing the effects of HTLV-1 on the autonomic nervous system, particularly aspects controlling continence, this patient's clinical course may represent one type of end point for patients with HAM/TSP and neurogenic bladder. Further cohort or case-series studies, with particular emphasis on the progression of neurogenic bladder, are needed to evaluate the significance of this described case in relation to typical disease progression patterns.http://dx.doi.org/10.1155/2011/289389
spellingShingle Matheus Tannus
Davi Tanajura
Michael A. Sundberg
Paulo Oliveira
Neviton Castro
André Muniz Santos
Detrusor Arreflexia as an End Stage of Neurogenic Bladder in HAM/TSP?
Case Reports in Medicine
title Detrusor Arreflexia as an End Stage of Neurogenic Bladder in HAM/TSP?
title_full Detrusor Arreflexia as an End Stage of Neurogenic Bladder in HAM/TSP?
title_fullStr Detrusor Arreflexia as an End Stage of Neurogenic Bladder in HAM/TSP?
title_full_unstemmed Detrusor Arreflexia as an End Stage of Neurogenic Bladder in HAM/TSP?
title_short Detrusor Arreflexia as an End Stage of Neurogenic Bladder in HAM/TSP?
title_sort detrusor arreflexia as an end stage of neurogenic bladder in ham tsp
url http://dx.doi.org/10.1155/2011/289389
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