RESUMEN

Neurogenic bladder leading to urinary incontinence has been described in patients of stroke, dementia, Parkinson's disease, and some schizophrenia cases with cognitive impairment possibly due to impaired cortical inhibition of the urinary bladder. The underlying brain abnormalities for urinary incontinence are similar in such cases. We report here such a case of neurogenic bladder responding to treatment with clozapine. The possible mechanism of action and clinical implications are described.

Asunto(s)

Antipsicóticos/uso terapéutico , Clozapina/uso terapéutico , Vejiga Urinaria Neurogénica/tratamiento farmacológico , Adulto , Humanos , Masculino , Cintigrafía , Esquizofrenia/complicaciones , Esquizofrenia/tratamiento farmacológico , Psicología del Esquizofrénico , Vejiga Urinaria Neurogénica/diagnóstico por imagen , Incontinencia Urinaria de Urgencia/complicaciones , Incontinencia Urinaria de Urgencia/diagnóstico por imagen , Incontinencia Urinaria de Urgencia/tratamiento farmacológico , Urodinámica