Case Report: Effect of rTMS on urinary incontinence in major vascular neurocognitive disorder

Abstract

Background: Many efforts had been made to combat the symptoms of incontinence over the past decades, yet difficulties still remain. To stimulate the cortical urination center might theoretically be useful for regulating urination process. In this case of urinary incontinence with major vascular neurocognitive disorder, repetitive transcranial magnetic stimulation (rTMS) on the bilateral paracentral lobule was applied and therapeutic effect was obvious. Case report: A 67-year-old female farmer suffered from urinary incontinence over two weeks. She was diagnosed with major vascular neurocognitive disorder. The patient received rTMS on the bilateral paracentral lobule. Stimulation was administered at 20 Hz with 25 stimulation trains of 30 stimuli each with a 30-second intertrain interval. After a 5-day course of rTMS intervention, the patient reported full awareness of her urination, but her neurocognitive decline had not improved at all. Conclusions: rTMS on bilateral paracentral lobule could be used for treating urinary incontinence in major vascular neurocognitive disorder patients.