{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T21:20:23Z","timestamp":1782940823080,"version":"3.54.5"},"reference-count":10,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,8,15]],"date-time":"2017-08-15T00:00:00Z","timestamp":1502755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Multiple system atrophy is a neurodegenerative disease that affects autonomic and motor systems. Patients with <jats:styled-content style=\"fixed-case\">multiple system atrophy<\/jats:styled-content> usually experience lower urinary tract symptoms, which sometimes appear as an initial symptom before the emergence of the generalized symptoms. An open bladder neck during the filling phase on video urodynamic study is one characteristic imaging finding after the diagnosis of <jats:styled-content style=\"fixed-case\">multiple system atrophy<\/jats:styled-content>, but has not previously been reported at an early phase of the disease. We report a case in which an open bladder neck was observed on several imaging modalities before generalized symptoms emerged. Because occult neurogenic bladder might exist in patients whose <jats:styled-content style=\"fixed-case\">lower urinary tract symptoms<\/jats:styled-content> are resistant to pharmacotherapy, we report this case to raise awareness of the importance of sufficient imaging evaluations. An open bladder neck might be an important imaging finding for diagnosing <jats:styled-content style=\"fixed-case\">multiple system atrophy<\/jats:styled-content>, irrespective of the presence of generalized symptoms. This finding could help avoid false diagnosis and unnecessary treatment.<\/jats:p>","DOI":"10.1111\/iju.13432","type":"journal-article","created":{"date-parts":[[2017,8,15]],"date-time":"2017-08-15T06:12:37Z","timestamp":1502777557000},"page":"816-819","source":"Crossref","is-referenced-by-count":4,"title":["Case of possible multiple system atrophy with a characteristic imaging finding of open bladder neck during storage phase as an initial sign"],"prefix":"10.1111","volume":"24","author":[{"given":"Lu","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Urology Fukushima Medical University School of Medicine Fukushima Japan"},{"name":"Department of Urology Renmin Hospital of Wuhan University Wuhan University Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuhiro","family":"Haga","sequence":"additional","affiliation":[{"name":"Department of Urology Fukushima Medical University School of Medicine Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soichiro","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Department of Urology Fukushima Medical University School of Medicine Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanako","family":"Matsuoka","sequence":"additional","affiliation":[{"name":"Department of Urology Fukushima Medical University School of Medicine Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoyuki","family":"Koguchi","sequence":"additional","affiliation":[{"name":"Department of Urology Fukushima Medical University School of Medicine Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidenori","family":"Akaihata","sequence":"additional","affiliation":[{"name":"Department of Urology Fukushima Medical University School of Medicine Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junya","family":"Hata","sequence":"additional","affiliation":[{"name":"Department of Urology Fukushima Medical University School of Medicine Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masao","family":"Kataoka","sequence":"additional","affiliation":[{"name":"Department of Urology Fukushima Medical University School of Medicine Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Ishibashi","sequence":"additional","affiliation":[{"name":"Department of Urology Fukushima Medical University School of Medicine Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyuki","family":"Kojima","sequence":"additional","affiliation":[{"name":"Department of Urology Fukushima Medical University School of Medicine Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,8,15]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.46.6450"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.68.1.65"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/117.4.835"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)35246-1"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2007.01862.x"},{"key":"e_1_2_6_7_1","first-page":"591","article-title":"Micturitional disturbance in multiple system atrophy","volume":"47","author":"Sakakibara R","year":"1993","journal-title":"Jpn. 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