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Medline ® Abstract for Reference 27

of 'Nocturnal enuresis in children: Etiology and evaluation'

Neuromotor development in nocturnal enuresis.
von Gontard A, Freitag CM, Seifen S, Pukrop R, Röhling D
Dev Med Child Neurol. 2006;48(9):744.
In children with nocturnal enuresis, a higher rate of minor neurological dysfunction has been found. The aim of this study was to assess timed performance (a measure of motor performance speed) and associated movements using a standardized and reliable instrument. The motor function of 37 children with nocturnal enuresis (27 males, 10 females; mean age 10y 7mo [SD 1y 10mo]; age range 8y-14y 8mo) and 40 comparison children without enuresis (17 males, 23 females; mean age 10y 7mo [SD 1y 6mo]; age range 8y-14y 8mo) was assessed using the Zurich Neuromotor Assessment. Children with nocturnal enuresis showed a slower motor performance than comparison children, particularly for repetitive hand and finger movements. This study provides evidence for a maturational deficit in motor performance in children with nocturnal enuresis. In addition to a maturational deficit of the brainstem, it is proposed that there is a possible maturational deficit of the motor cortex circuitry and related cortical areas in children with nocturnal enuresis.
Department of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg (Saar), Germany. alexander.von.gontard@uniklinikum-saarland.de