ABSTRACT
Although urinary disturbance is well recognized in many of the conditions discussed, in others such as neuromuscular disorders cases are rare and reports are largely anecdotal. The combination of mental, neurologic, and physical handicap results in urinary symptoms and incontinence being commoner in patients with cerebral palsy. Over a 7-month period, D. M. McNeal et al. interviewed 50 patients (between 8 and 29 years old) with cerebral palsy who attended outpatient clinics and actively sought out symptoms of urinary dysfunction. In cerebellar ataxia, the cerebellum and/or the pathways connecting the cerebellum with other parts of the nervous system undergo progressive, premature neuronal death and atrophy. In patients with spinocerebellar ataxia (SCA), urinary symptoms most commonly manifest as incontinence and urgency. A case report of a patient with cerebellar ataxia and prominent urge incontinence was initially diagnosed as multiple system atrophy-C but was subsequently found to have SCA17.
