Central Regulation of Micturition and Its Association With Epilepsy

Micturition is a complex process involving the bladder, spinal cord, and the brain. Highly sophisticated central neural program controls bladder function by utilizing multiple brain regions, including pons and suprapontine structures. Periaqueductal grey, insula, anterior cingulate cortex, and media...

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Main Authors: Hyun-Jong Jang, Min Jung Kwon, Kyung-Ok Cho
Format: Article
Language:English
Published: Korean Continence Society 2018-03-01
Series:International Neurourology Journal
Subjects:
Online Access:http://www.einj.org/upload/pdf/inj-1836040-020.pdf
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author Hyun-Jong Jang
Min Jung Kwon
Kyung-Ok Cho
author_facet Hyun-Jong Jang
Min Jung Kwon
Kyung-Ok Cho
author_sort Hyun-Jong Jang
collection DOAJ
description Micturition is a complex process involving the bladder, spinal cord, and the brain. Highly sophisticated central neural program controls bladder function by utilizing multiple brain regions, including pons and suprapontine structures. Periaqueductal grey, insula, anterior cingulate cortex, and medial prefrontal cortex are components of suprapontine micturition centers. Under pathologic conditions such as epilepsy, urinary dysfunction is a frequent symptom and it seems to be associated with increased suprapontine cortical activity. Interestingly, micturition can also trigger seizures known as reflex epilepsy. During voiding behavior, frontotemporal cortical activation has been reported and it may induce reflex seizures. As current researches are only limited to present clinical cases, more rigorous investigations are needed to elucidate biological mechanisms of micturition to advance our knowledge on the process of micturition in physiology and pathology.
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spelling doaj.art-c27c759da02745ac95ddf8ebc5cc3f1d2022-12-22T02:03:53ZengKorean Continence SocietyInternational Neurourology Journal2093-47772093-69312018-03-012212810.5213/inj.1836040.020720Central Regulation of Micturition and Its Association With EpilepsyHyun-Jong Jang0Min Jung Kwon1Kyung-Ok Cho2 Department of Physiology, The Catholic Neuroscience Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Pharmacology, The Catholic Neuroscience Institute, College of Medicine, The Catholic University of Korea, Seoul, KoreaMicturition is a complex process involving the bladder, spinal cord, and the brain. Highly sophisticated central neural program controls bladder function by utilizing multiple brain regions, including pons and suprapontine structures. Periaqueductal grey, insula, anterior cingulate cortex, and medial prefrontal cortex are components of suprapontine micturition centers. Under pathologic conditions such as epilepsy, urinary dysfunction is a frequent symptom and it seems to be associated with increased suprapontine cortical activity. Interestingly, micturition can also trigger seizures known as reflex epilepsy. During voiding behavior, frontotemporal cortical activation has been reported and it may induce reflex seizures. As current researches are only limited to present clinical cases, more rigorous investigations are needed to elucidate biological mechanisms of micturition to advance our knowledge on the process of micturition in physiology and pathology.http://www.einj.org/upload/pdf/inj-1836040-020.pdfMicturitionCentral regulationEpilepsyReflex epilepsyUrinary dysfunction
spellingShingle Hyun-Jong Jang
Min Jung Kwon
Kyung-Ok Cho
Central Regulation of Micturition and Its Association With Epilepsy
International Neurourology Journal
Micturition
Central regulation
Epilepsy
Reflex epilepsy
Urinary dysfunction
title Central Regulation of Micturition and Its Association With Epilepsy
title_full Central Regulation of Micturition and Its Association With Epilepsy
title_fullStr Central Regulation of Micturition and Its Association With Epilepsy
title_full_unstemmed Central Regulation of Micturition and Its Association With Epilepsy
title_short Central Regulation of Micturition and Its Association With Epilepsy
title_sort central regulation of micturition and its association with epilepsy
topic Micturition
Central regulation
Epilepsy
Reflex epilepsy
Urinary dysfunction
url http://www.einj.org/upload/pdf/inj-1836040-020.pdf
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