Reduced genital sensitivity in female patients with multiple system atrophy of parkinsonian type

  title={Reduced genital sensitivity in female patients with multiple system atrophy of parkinsonian type},
  author={Wolfgang Hermann Oertel and Tobias W{\"a}chter and Niall P. Quinn and Gudrun Ulm and Dirk Brandst{\"a}dter},
  journal={Movement Disorders},
According to the consensus statement on the diagnosis of multiple system atrophy (MSA), erectile dysfunction is required for male patients to fulfil the urinary incontinence criterion. However, there is no equivalent item for female patients. We questioned 19 female patients with MSA of the parkinsonian type (MSA‐P), 28 female patients with Parkinson's disease (PD), and 27 healthy controls on their genital sensitivity. A total of 47% of the MSA patients but only 4% of the PD patients and 4% of… 
Female sexual dysfunction in multiple system atrophy: a prospective cohort study
Sexual dysfunction is highly prevalent in women with multiple system atrophy and screening for disturbances in specific sexual domains should be implemented in the clinical evaluation of women with suggestive motor symptoms.
Urinary and erectile dysfunction in multiple system atrophy (MSA)
The phenotypic range and therapeutic approaches for common storage and voiding urological symptoms and ED, in patients with MSA are presented.
Female sexual dysfunction in multiple system atrophy: does it matter?
Investigation of the pattern of sexual dysfunction in women with MSA by means of a female-specific instrument shows severe sexual dysfunction, which is well described that, in men, erectile dysfunction is a feature of prodromal MSA, predating the onset of parkinsonian or cerebellar motor dysfunction by several years.
Various Motor and Non-Motor Symptoms in Early Multiple System Atrophy
Evaluating the frequency of various motor and non-motor symptoms including so-called “red flags” in patients with early MSA found that the diagnostic accuracy can be improved if these features are appropriately reflected in the new diagnostic criteria for MSA.
Orthostatic Hypotension Is Differentially Associated with the Cerebellar Versus the Parkinsonian Variant of Multiple System Atrophy: a Comparative Study
A simple standing test should be obligatory in the work-up of patients with sporadic late-onset ataxias and differences in brainstem pathology are likely to account for the tight association of MSA-C and OH.
Update on the neurology of Parkinson's disease
  • C. Fowler
  • Medicine, Psychology
    Neurourology and urodynamics
  • 2007
The differential diagnosis of a patient with apparent Parkinson's Disease and bladder symptoms is considered and the bladder dysfunction of Multiple System Atrophy is reviewed and possible management options are considered.
Nonmotor Features in Atypical Parkinsonism.
Multiple system atrophy.
  • R. Pfeiffer
  • Medicine, Biology
    Handbook of clinical neurology
  • 2007
First symptoms in multiple system atrophy
The first symptoms of MSA are frequently autonomic and may predate recognition of motor manifestations, and Orthostatic hypotension and erectile failure are among the first symptoms that, when evaluated in the context of associated clinical findings, may facilitate accurate and earlier diagnosis.
Multiple System Atrophy
Autonomie and urogenital features of MSA should be identified early on because they can be treated effectively in many instances and pharmacological treatment of motor features is often disappointing, except for a minority of patients with MSA-P who derive transient benefit from levodopa treatment.