ABSTRACT

Cerebrovascular accidents and intracranial tumors are common pathologic processes that alter higher cortical function and normal urologic function. Therefore, these disease entities and their subsequent urologic consequences are clinically important to urologists. Approximately 1 million Cerebrovascular accident occur in the United States each year. With the population as a whole increasing in age, the cumulative number of post-CVA patients is expected to greatly increase in the future. There are two broad categories of Cerebrovascular accidents: occlusive lesions, either embolic or thrombotic, and hemorrhagic lesions, from trauma or vascular malformation. Sustained intracranial pressure greater than 200 mmH2O can result in life-threatening herniation of the brain. Urinary retention may be the first urologic event to occur after a Cerebrovascular accidents.