Annals of Clinical and Experimental NeurologyAnnals of Clinical and Experimental Neurology2075-54732409-2533Research Center of Neurology16210.17816/psaic162UnknownA case of urination apraxia: phenomenology of the syndrome and differential diagnosis with other forms of post-stroke cortical dysuriaDomashenkoM. A.ncnmaximova@mail.ruShvartsP. G.ncnmaximova@mail.ruPopovS. V.ncnmaximova@mail.ruBorodulinaI. V.ncnmaximova@mail.ruShvedkovV. V.ncnmaximova@mail.ruMaksimovaMarina Yu.ncnmaximova@mail.ruKadykovAlbert S.<p>D. Sci. (Med.), Professor, senior researcher, 3rd Neurological department</p>ncnmaximova@mail.ruhttps://orcid.org/0000-0001-7491-7215Research Center of Neurology0912201484535901022017Copyright © 2014, Domashenko, M.A., Shvarts P.G., Popov S.V., Borodulina I.V., Shvedkov V.V., Maximova M.Y., Kadykov A.S.2014<p>We described the clinical features of urination apraxia as oneof post-stroke cortical neurogenic disturbances of bladderfunction. Neurological and urological symptoms and the dataof urodynamic and neurophysiological studies in a patient withurination apraxia resulting from the right-hemispheric lesionin the projection of cingulate gyrus are demonstrated. Thedifferential diagnosis was carried out with the case of motordetrusor atony after stroke in the right temporal lobe and theinsula, and with the case of imperative urination after stroke inthe left frontal lobe in the projection of cingulate gyrus.</p>urination apraxiastrokepost-stroke cortical neurogenic dysuriaапраксия мочеиспусканияинсультпостинсультные корковые расстройства мочеиспускания[Бехтерев В.М., Миславский Н.А. Центры движения мочевого пузыря в головном мозгу. Арх. Психиатр. 1888; XII: 12–16.][Меер Х.Х., Готлиб Р. Эксперим. Фармакол. 1925; 2: 34–56.][Мулач А.Н. Нейрогенные нарушения мочеиспускания в восстановительном и резидуальном периодах ишемического инсульта. Автореф. дис. канд. мед. наук. М., 2012.][Шварц П.Г. Нейрогенные нарушения мочеиспускания у больных с острыми и хроническими сосудистыми заболеваниями головного мозга (клиника, диагностика и лечение) Автореф. дис. докт. мед. наук. М., 2013.][Andersen J.T., Bradley W.E. Abnormalities of bladder innervation in diabetes mellitus. Urology 1976; 7: 442–448.][Barrington F.J.F. The relation of the hind-brain to micturition. Brain 1921; 44: 23–53.][Barrington F.J.F. The effect of lesions of the hind- and mid-brain on micturition in the cat. Q. J. Exp. Physiol. 1925; 15: 81–102.][Blok B.F., Holstege G. Direct projections from the periaqueductal gray to the pontine micturition center M-region. Neurosci. Lett. 1994; 166: 93–96.][Blok B.F., Willemsen A.T., Holstege G. A PET study on the brain control of micturition in humans. Brain 1997; 20: 111–121.][Blok B.F., Holstege G. Ultrastructural evidence for a direct pathway from the pontine micturition center to the parasympathetic preganglionic motoneurons of the bladder of the cat. Neurosci. Lett. 1997; 222: 195–198.][De Groat W.C. Integrative control of the lower urinary tract: preclinical perspective. Br. J. Pharmacol. 2006; 147 (Suppl. 2): 25–40.][De Groat W.C. Nervous control of the urinary bladder of the cat. Brain Res, 1975; 87: 201–211.][Griffiths D.J. The pontine micturition centres. Scand. J. Urol. Nephrol. 2002; 210: 21–26.][Holstege G., Griffiths D., deWall H., Dalm E. Anatomical and physiological observations on supraspinal control of bladder and urethral sphincter muscles in cats. J. Comp. Neurol. 1986; 250: 449–461.][Holstege G., Kuypers H.G., Boer R.C. Anatomical evidence for direct brain stem projections to the somatic motoneuronal cell groups and autonomic preganglionic cell groups in cat spinal cord. Brain Res. 1979; 171: 329–333.][Liu R.P.C. Laminar origins of spinal projection neurons to the periaqueductal gray of the rat. Brain Res. 1983; 264: 118–122.][Loewy A.D., Saper C.B., Baker R.P. Descending projections from the pontine micturition center. Brain Res. 1979; 172: 533–538.][Mahony D., Laferte R.O., Blais D.J. Integral storage and voiding reflexes. Neurophysiologic concept of continence and micturition. Urology 1977; 9: 95–106.][Morrison J., Fowler C., Birder L. et al. Neural control of the bladder. In: Incontinence (ed. P.Abrams, L.Cardozo, S.Khoury, A.Wein). Paris: Health Publications Ltd, 2005: 363–422.][Roppolo J.R., Nadelhaft I., de Groat W.C. The organization of pudendal motoneurons and primary afferent projections in the spinal cord of the rhesus monkey revealed by horseradish peroxidase. J. Comp.Neurol. 1985; 234: 475–488.][Shefchyk S.J. Sacral spinal interneurones and the control of urinary bladder and urethral striated sphincter muscle function. J. Physiol. 2001; 533: 57–63.]