JAMA. 1917;LXIX(16):1323-1327. doi:10.1001/jama.1917.02590430017006.
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The occurrence of bladder disturbances as the early or predominant symptoms of certain rather unusual nerve lesions was called to my attention by two cases, one of syringomyelia and one of multiple sclerosis. Unless the possibility of such an etiology is borne in mind, the urologist may fail to find the reason for the persistence of certain abnormal conditions in the bladder.

Search through the literature of the past four years failed to reveal more than three papers on the subject written from the urologic point of view.1 Caulk and Greditzer2 call attention to the relaxation of the vesical sphincter in tabes dorsalis, dementia paralytica, tumor or gumma of the spinal cord, postapoplectic conditions, exophthalmic goiter, paralysis agitans, lead poisoning, and the continuous retention catheter.

Koll3 and Greenberg4 have both written about the diagnosis of nerve lesions by the use of the cystoscope, but nowhere in


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