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Analysis of computed X-ray tomography of the brain in incontinence patients with senile dementia

Journal Article:

Abstract

To evaluate the condition of incontinence in patients with senile dementia, we performed computed tomography X-rays to the brain and analyzed the relationship among the circulatory defect of the brain, the brain atrophy and the degree of incontinence. There were 92 patients subjected to this study who were hospitalised due to senile dementia; 74 patients had vascular dementia, 10 patients had senile dementia of Alzheimer type, and 8 patients had the mixed type. (age range: 54-95 years; mean: 80.3 years). The degree of incontinence in these patients varied as follows: 18 patients with continence, 16 patients with moderate incontinence, 58 patients with total incontinence. The diagnosis of circulatory defect of the brain was based on computed tomography observation of periventricular lucency (P.V.L.), and the degree of brain atrophy was evaluated based on 4 criteria: the Lateral body ratio, the Huckman number, the Evans ratio, and the enlargement of the subarachnoid space. Among the 92 patients, P.V.L. was present in 31 patients, among them 27 patients suffered from incontinence. There was a significant correlation between P.V.L. and incontinence (p<0.001). As the incontinence progressively worsened (Continence, Moderate incontinence, Total incontinence), the lateral body ratio increased to 24.8, 27.8, 28.6, (p<0.05). The Huckman  More>>
Authors:
Suzuki, Yasuyuki; Machida, Toyohei; Oishi, Yukihiko; [1]  Kamachi, Chikahumi; Okabe, Tsutomu; Akazawa, Kouhei; Takasaka, Satoshi
  1. Jikei Univ., Tokyo (Japan). School of Medicine
Publication Date:
Feb 01, 1994
Product Type:
Journal Article
Reference Number:
JPN-94-004423; EDB-94-084135
Resource Relation:
Journal Name: Nippon Hinyokika Gakkai Zasshi (Japanese Journal of Urology); (Japan); Journal Volume: 85:2
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CEREBRUM; CAT SCANNING; ATROPHY; BLOOD FLOW; ELDERLY PEOPLE; MENTAL DISORDERS; URINE; ADULTS; AGE GROUPS; AGED ADULTS; BIOLOGICAL MATERIALS; BIOLOGICAL WASTES; BODY; BODY FLUIDS; BRAIN; CENTRAL NERVOUS SYSTEM; COMPUTERIZED TOMOGRAPHY; DIAGNOSTIC TECHNIQUES; HUMAN POPULATIONS; MATERIALS; MINORITY GROUPS; NERVOUS SYSTEM; ORGANS; PATHOLOGICAL CHANGES; POPULATIONS; TOMOGRAPHY; WASTES; 550602* - Medicine- External Radiation in Diagnostics- (1980-)
OSTI ID:
7272558
Country of Origin:
Japan
Language:
Japanese
Other Identifying Numbers:
Journal ID: ISSN 0021-5287; CODEN: NGKZA6
Submitting Site:
JPN
Size:
Pages: 333-338
Announcement Date:

Journal Article:

Citation Formats

Suzuki, Yasuyuki, Machida, Toyohei, Oishi, Yukihiko, Kamachi, Chikahumi, Okabe, Tsutomu, Akazawa, Kouhei, and Takasaka, Satoshi. Analysis of computed X-ray tomography of the brain in incontinence patients with senile dementia. Japan: N. p., 1994. Web.
Suzuki, Yasuyuki, Machida, Toyohei, Oishi, Yukihiko, Kamachi, Chikahumi, Okabe, Tsutomu, Akazawa, Kouhei, & Takasaka, Satoshi. Analysis of computed X-ray tomography of the brain in incontinence patients with senile dementia. Japan.
Suzuki, Yasuyuki, Machida, Toyohei, Oishi, Yukihiko, Kamachi, Chikahumi, Okabe, Tsutomu, Akazawa, Kouhei, and Takasaka, Satoshi. 1994. "Analysis of computed X-ray tomography of the brain in incontinence patients with senile dementia." Japan.
@misc{etde_7272558,
title = {Analysis of computed X-ray tomography of the brain in incontinence patients with senile dementia}
author = {Suzuki, Yasuyuki, Machida, Toyohei, Oishi, Yukihiko, Kamachi, Chikahumi, Okabe, Tsutomu, Akazawa, Kouhei, and Takasaka, Satoshi}
abstractNote = {To evaluate the condition of incontinence in patients with senile dementia, we performed computed tomography X-rays to the brain and analyzed the relationship among the circulatory defect of the brain, the brain atrophy and the degree of incontinence. There were 92 patients subjected to this study who were hospitalised due to senile dementia; 74 patients had vascular dementia, 10 patients had senile dementia of Alzheimer type, and 8 patients had the mixed type. (age range: 54-95 years; mean: 80.3 years). The degree of incontinence in these patients varied as follows: 18 patients with continence, 16 patients with moderate incontinence, 58 patients with total incontinence. The diagnosis of circulatory defect of the brain was based on computed tomography observation of periventricular lucency (P.V.L.), and the degree of brain atrophy was evaluated based on 4 criteria: the Lateral body ratio, the Huckman number, the Evans ratio, and the enlargement of the subarachnoid space. Among the 92 patients, P.V.L. was present in 31 patients, among them 27 patients suffered from incontinence. There was a significant correlation between P.V.L. and incontinence (p<0.001). As the incontinence progressively worsened (Continence, Moderate incontinence, Total incontinence), the lateral body ratio increased to 24.8, 27.8, 28.6, (p<0.05). The Huckman number also increased to 18.3, 19.3, 21.3, (p<0.01), and the evans ratio likewise 29.9, 32.3, 33.7 (p<0.01). The enlargement of the subarachnoid space was also correlated with the severity of incontinence. We conclude that urinary incontinence originating from senile dememtia is connected to brain atrophy and is strongly influenced by the circulatory disorders of the brain. (author).}
journal = {Nippon Hinyokika Gakkai Zasshi (Japanese Journal of Urology); (Japan)}
volume = {85:2}
journal type = {AC}
place = {Japan}
year = {1994}
month = {Feb}
}