Extrapyramidal inhibition of the urinary bladder |
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| Authors: | R J Lewin G V Dillard R W Porter |
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| Affiliation: | 1. Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA;2. Dartmouth-Hitchcock Medical Center, Section of Neurosurgery, Lebanon, New Hampshire, USA;3. University of Vermont Medical Center, Section of Neurosurgery, Burlington, Vermont, USA;1. University College London, 11-43 Bath Street, London, EC1V 9EL, UK;1. Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina;2. Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina;1. Division of Emergency and Transport Medicine, Children''s Hospital Los Angeles, CA, USA;2. Southern California Clinical and Translational Science Institute, Children''s Hospital Los Angeles and University of Southern California, Los Angeles, CA, USA;3. Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA;1. Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands |
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| Abstract: | Inhibition of spontaneous (‘reflex’, ‘micturition’) contractions of the urinary bladder by electrical stimulation of anterior brain stem structures functionally related to the extrapyramidal system has been described. Areas in and around the nucleus ruber, the substantia nigra and adjacent tegmental fields and the subthalamus were found to be even more effective in this respect than the pallidum and the anterior and central portions of the nucleus ventralis lateralis of the thalamus. The possible relationship of this inhibitory system to the finding of bladder dysfunction in patients with extrapyramidal disease is suggested. |
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