Inhibitory control task is decreased in vascular i

Authors: Hiroyuki Haruta Ryuji Sakakibara Tsuyoshi Ogata Jalesh Panicker Clare J Fowler Fuyuki Tateno Masahiko Kishi Yohei Tsuyusaki Tomoyuki Uchiyama Tatsuya Yamamoto

Publish Date: 2013/01/19

Volume: 23, Issue: 2, Pages: 85-89

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Abstract

‘Vascular incontinence’ is a part of elderly incontinence due to cerebral white matter change WMC We studied the relationship between performance on several cognitive tasks and urodynamic detrusor overactivity DO in patients with vascular incontinenceWe recruited 40 patients with lower urinary tract symptoms due to WMC 20 male 20 female mean age 77 years 60–89 years Other neurologic urologic and systemic causes of LUT dysfunction were excluded All patients underwent urodynamics tests and two sets of cognitive tasks ie the MiniMental State Examination MMSE general cognitive tasks and the Frontal Assessment Battery FAB frontal lobe tasksThe most common urinary symptom was urinary urgency 27 patients followed by urinary incontinence 26 and nocturnal urinary frequency 25 The urodynamic testing revealed DO in 22 patients The cognitive testing revealed that the patients’ mean MMSE score was 258 range 15–30 and their mean FAB score was 136 4–18 There was no relationship between DO and the total MMSE or FAB score but our analysis of the relationship between DO and the six subdomains of the FAB conceptualization mental flexibility programming sensitivity to interference inhibitory control and environmental autonomy revealed a significant relationship between DO and the inhibitory control task p  0005

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