VESICAL ABNORMALITIES ASSOCIATED WITH THE PARKINSONIAN SYNDROME

It has been my plan to study disturbances of micturition after injury of different anatomic structures in the central nervous system. The present report deals with extrapyramidal influences from the region of the forebrain. The experimental side of the problem was approached by section of the tegmentum of the midbrain, the cerebral peduncles being left intact. This operation produced changes in the vesical function of cats, which have been described (Levin and Langworthy 1 ). Clinically, patients with the parkinsonian syndrome were chosen to show abnormalities of micturition produced by injury of the basal ganglia or their projection fibers. From the anatomic point of view the observations were unsatisfactory, as the lesions were not circumscribed. There are frequent references, particularly in the German literature, to disturbances of micturition associated with disease of the corpus striatum or with the parkinsonian syndrome (Czylharz and Marburg 2 ). Unfortunately, these papers give little specific information.