{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T20:15:44Z","timestamp":1780431344048,"version":"3.54.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2006,9,12]],"date-time":"2006-09-12T00:00:00Z","timestamp":1158019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2007,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 62\u2010year\u2010old woman with axonal Guillain\u2013Barr\u00e9 syndrome developed weakness and urinary retention simultaneously. The retention failed to recover for 10 months even after she regained the ability to walk. The patient exhibited no postural hypotension. Videourodynamics showed that the retention was caused not by the bladder paralysis but rather by internal (sympathetic) sphincter obstruction, which is extremely uncommon in peripheral neuropathies. We started the patient on an alpha\u2010adrenergic antagonist, urapidil, at 30 mg\/day, and this led to successful relaxation of the urethra and reduced the postvoid residual from 200 ml to less than 30 ml. The underlying mechanisms of urinary retention in our patient appeared to involve hyperactive lumbosacral sympathetic nerves. Urinary retention and sympathetic sphincter obstruction can thus be features of axonal Guillain\u2013Barr\u00e9 syndrome. Muscle Nerve, 2006<\/jats:p>","DOI":"10.1002\/mus.20639","type":"journal-article","created":{"date-parts":[[2006,9,12]],"date-time":"2006-09-12T20:54:11Z","timestamp":1158094451000},"page":"111-115","source":"Crossref","is-referenced-by-count":18,"title":["Urinary retention and sympathetic sphincter obstruction in axonal Guillain\u2013Barr\u00e9 syndrome"],"prefix":"10.1002","volume":"35","author":[{"given":"Ryuji","family":"Sakakibara","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoyuki","family":"Uchiyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriko","family":"Tamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Kuwabara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masato","family":"Asahina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takamichi","family":"Hattori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,12,14]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10052"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0404.2002.00099.x"},{"key":"e_1_2_6_4_2","first-page":"531","volume-title":"Autonomic failure","author":"Bannister R","year":"1992"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)54147-6"},{"key":"e_1_2_6_6_2","first-page":"267","article-title":"International Union of Pharmacology X: recommendation for nomenclature of alpha 1\u2010adrenoceptors, consensus update","volume":"47","author":"Hieble JP","year":"1995","journal-title":"Pharmacol Rev"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/118.3.597"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/114.3.1245"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2006.01224.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005392-199502000-00013"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-817719"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2006.06009.x"},{"key":"e_1_2_6_13_2","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1016\/S0022-5347(17)54668-6","article-title":"Urinary retention secondary to Landry\u2013Guillain\u2013Barr\u00e9 syndrome","volume":"126","author":"Kogan BA","year":"1981","journal-title":"J Urol"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-510X(02)00088-6"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.2165\/00003495-200464060-00003"},{"key":"e_1_2_6_16_2","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1016\/S0022-5347(01)62836-2","article-title":"Alpha 1\u2010adrenergic receptor subtypes in human detrusor","volume":"160","author":"Malloy BJ","year":"1998","journal-title":"J Urol"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00401-003-0768-0"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.1930150203"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-1838(99)00078-8"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.63.5.649"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10286-003-0034-5"},{"key":"e_1_2_6_22_2","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/S0094-0143(21)00968-X","article-title":"Principles and clinical application of advanced urodynamic analysis of voiding dysfunction","volume":"17","author":"Sch\u00e4fer W","year":"1990","journal-title":"Urol Clin North Am"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)50709-0"},{"key":"e_1_2_6_24_2","first-page":"425","article-title":"The urodynamic evaluation of surgical outcome in patients with urinary retention due to central lumbar disc prolapse","volume":"21","author":"Yamanishi T","year":"2002","journal-title":"Neurourol Urodynam"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.880171004"}],"container-title":["Muscle &amp; 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