Incoördinations of the Nervous System
The incoördinations of the nervous system in which there may be nocturnal enuresis are those commonly found in extremely neurotic children, and children who are under-nourished and anemic. Chorea, neurasthenia and hysteria are examples of conditions in which nocturnal enuresis is very common. Nervous children are easily disturbed during sleep and are prone to dream, at such times the innate interpretation of the vibrations produced by the urine in the bladder reaches the educated mind and there is not sufficient reasoning of the conscious mind to enable the child to realize where he is or to prevent the following of the natural desire to urinate.
The inability of the child to control the bladder during acute illness must not be mistaken for habitual nocturnal enuresis; for this will be only temporary, and will disappear when the child recovers from the acute attack.