A rare case of the multiple subten torial glioblas tomas of the brainstem, accompanie d by severe dysfunction of the pelvic organs (case report and review of the litera ture )
Abstract
A neurogenic dysfunction of the pelvic organs is one of the signs that may be in a patient with lesions of the brainstem at the entry of the superior cerebellar peduncle, and the upper parts of the pons Varolii. However, these disorders as one of the first symptoms of the disease are extremely rare, and their nature is determined localization of the neoplasm. In case of damage of the brainstem, in particular the pons Varolii, obstructive dysfunctions of the pelvic organs can be noted, and very rarely – irritative. The article presents a rare clinical case of primary multiple subtentorial glioblastomas in a patient with severe obstructive dysfunction of the pelvic organs.
About the Authors
N. E. VoinovRussian Federation
St. Petersburg
B. Bakhtiyor
Russian Federation
St. Petersburg
A. Yu. Ulitin
Russian Federation
St. Petersburg
V. Ya. Kalmens
Russian Federation
St. Petersburg
A. A. Oleynik
Russian Federation
St. Petersburg
O. M. Vorobeva
Russian Federation
St. Petersburg
V. E. Olyushin
Russian Federation
St. Petersburg
N. E. Ivanova
Russian Federation
St. Petersburg
L. N. Maslova
Russian Federation
St. Petersburg
M. A. Voinova
Russian Federation
St. Petersburg
V. E. Trofimov
Russian Federation
St. Petersburg
P. V. Lavrovsky
Russian Federation
St. Petersburg
References
1. 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. – P. 81–102.
2. Griffiths D.J. / The pontine micturition centres. // Scand J Urol Nephrol.– 2002. – Suppl 210. – P. 21–26.
3. L oewy A.D., Saper C. B., Baker R . P. / Descending projections from the pontine micturition center. // Brain Res.– 1979.– № 172. – P. 533–538.
4. Holstege G., Blok B. F. / Ultrastructural evidence for a direct pathway fromthe pontine micturition center to the parasympathetic preganglionic motoneurons of the bladder of the cat. // Neurosci Lett.– 1997.– № 222. – P. 195–198.
5. Blok B.F., Sturms L . M ., Holstege G. / Brain activation during micturition in women. // Brain.– 1998.– № 121 (Pt 11). – P. 2033–2042.
6. Blok B.F., van Maarseveen J. T., Holstege G. / Electrical stimulation of the sacral dorsal gray commissure evokes relaxation of the external urethral sphincter in the cat. // Neurosci Lett.– 1998.– № 249. – P. 68–70.
7. De Groat W. C. / Integrative control of the lower urinary tract: preclinical perspective. // Br J Pharmacol.– 2006.– № 147 Suppl 2. – P. 25–40.
8. M orrison J., Fowler C., Birder L., Craggs M., de Groat W., Downie J, Drake M., Thor K. / Neural control of the bladder. // Health Publications Ltd. – Paris. –2005. – P. 363–422.
9. Шварц П.Г. / Феноменология нейрогенных нарушений мочеиспускания. // Русский медицинский журнал.– 2012.– № 18. – C. 912.
10. Andrew J., Nathan P. W., Spanos N. C. / Disturbances of micturition and defecation due to aneurysms of anterior communicating or anterior cerebral arteries. // J. Neurosurg.– 1966. – Vol. 24 – P. 1–10.
11. Andrew J., Nathan P. W. / Lesions of the anterior frontal lobes and disturbances of micturition and defecation. // Brain. –1964. – Vol. 87– P. 233–262.
12. Ueki K. / Hemispherectomy in the human with special reference to the preservation of function. // Prog Brain Res.– 1966. –21. – P. 285–338.
13. Maurice-Williams R.S. / Micturition symptoms in frontal tumors. // J Neurol. Neurosurg. Psychiat.– 1974. – Vol. 37– P. 431–436.
14. Sakakibara R., Hattori T. et al. / Micturitional disturbance in patients with Guillain-Barré syndrome. // J Neurol Neurosurg Psychiatry.– 1997. – Nov. –63(5). – P. 649–53
15. Воинов Н.Е., Улитин А. Ю., Лавровский П. В., Нечаева А. С., Потемкина Е. Г., Олюшин В. Е., Бахтиёр Б. / Первично-множественные церебральные опухоли различной гистологической структуры (описание клинических случаев). // Российский нейрохирургический журнал им. профессора А. Л. Поленова.– 2020. – Т. 12.– № 1. – С. 55–63.
16. Улитин А.Ю., Мацко М. В., Мацко Д. Е., Воробьева О. М., Имянитов Е. Н., Мельченко С. А. / Молекулярно-генетическое исследование пациентов с множественными церебральными глиомами. // Трансляционная медицина.– 2015. – S 2. – С. 111.
17. Распопова О.М., Иевлева А. Г., Мельченко С. А. / Клиническая, морфологическая, молекулярно-генетическая характеристика первично-множественных злокачественных глиом головного мозга. // Фундаментальная наука и клиническая медицина – человек и его здоровье. XVIII международная медико-биологическая конференция молодых исследователей, посвященная двадцатилетию Медицинского факультета СПбГУ. – СПб.– 2015.
Review
For citations:
Voinov N.E., Bakhtiyor B., Ulitin A.Yu., Kalmens V.Ya., Oleynik A.A., Vorobeva O.M., Olyushin V.E., Ivanova N.E., Maslova L.N., Voinova M.A., Trofimov V.E., Lavrovsky P.V. A rare case of the multiple subten torial glioblas tomas of the brainstem, accompanie d by severe dysfunction of the pelvic organs (case report and review of the litera ture ). Russian Neurosurgical Journal named after Professor A. L. Polenov. 2021;13(2):84-90. (In Russ.)