It has frequently been stated that in epileptic individuals, albumin with casts is at times found in the urine voided immediately after attacks. Its presence is accounted for by several observers as probably due to admixture of semen liberated into the urine by pressure on the seminal vesicles during the convulsive movements. By others it is attributed to muscular contractions. In the first instance the condition would fall in the class of accidental albuminuria, in the second it might come under the heading of physiologic albuminuria. Textbooks on clinical pathology and diagnosis discuss the condition under neurotic albuminuria.
As to the frequency of abnormalities in postseizure urine in epileptics, Simon1 states: "in a number of cases in which I had occasion to examine urine voided after an attack (epileptic), albumin was usually absent." In another place the same author states that the cases referred to were those exhibiting the
NOVICK N. THE FREQUENCY OF ALBUMINURIA WITH CASTS IN EPILEPTICS FOLLOWING CONVULSIVE SEIZURES. Arch NeurPsych. 1920;4(5):546–551. doi:10.1001/archneurpsyc.1920.02180230071007
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