CLINICAL STUDY ON NOCTURNAL ENURESIS

In the patients with nocturnal enuresis, the autonomic nervous function was examined by means of Aschner's phenomenon, pharmacological test, Manoiloff's reaction, and additionally, by applying an electrocardiotachography, which had been regarded as a new autonomic nervous function test connected with emotional factor. Adding the roentgenological measurement of Sella turcica to the above procedures, the collective findings on the autonomic nervous function were obtained and summarized as follows.1) On Manoiloff's reaction, 18 (64.4%) out of 28 cases showed a parasympathicotonic reaction, whereas 50% of 28 normal persons showed the same reaction. This suggested no efficient difference in Manoiloff's reaction between nocturnal enuresis patient and control normal person.2) On an electrocardiotachography, 9 out of 16 cases with nocturnal enuresis showed abnormal type (III and IV type) suggesting the dysfunction of autonomic nervous system, and in contrast to this, normal type (I and II type) was seen in 12 out of 13 normal subjects.3) On roentgenological measurement of Sella turcica in 13 patients, no remarkable differences in the average values of diameters and area of Sella turcica between those patients and the control persons. Nevertheless, a patient aged 11 showed abnormal smaller Sella turcica, arytenoid shaped, and epileptic disorder on E. E. G., abnormal type III on electrocardiotachogram and parasympathicotonic Manoiloff's reaction, and this patient was hardly improved with various treatments.4) In view of the above mentioned findings, it might be concluded that, an electrocardiotachography should be remarked as an useful test for autonomic nervous function in nocturnal enuresis patient.