Micturition Disturbance: A Predominant Feature of Acute Disseminated Encephalomyelitis

Author:

Kini Sandesh1,Bhat Ramesh Y.1,Karegowda Lakshmikanth Halegubbi2

Affiliation:

1. Department of Paediatrics, Kasturba Medical College, Manipal Academy of Higher Education University, Manipal, Karnataka, India

2. Department of Radiodiagnosis and Imaging, Kasturba Medical College, Manipal Academy of Higher Education University, Manipal, Karnataka, India

Abstract

AbstractUrinary retention in children can have varied etiology ranging from anatomic to functional causes. Functional causes include neuropathies, including rare central nervous system (CNS) involvement, such as acute disseminated encephalomyelitis (ADEM). ADEM is usually preceded by acute viral infection and commonly presents with multifocal neurological deficits. The ADEM diagnosis is mainly based on the clinical presentation and its correlation with characteristic CNS findings on magnetic resonance imaging (MRI). Here, we report an adolescent boy who presented with acute urinary retention preceded by an acute febrile illness. The patient was worked up thoroughly, including an MRI of the brain and spine, which revealed ADEM's characteristic features. The bladder function was evaluated periodically. The voiding dysfunction persisted for a long time. Treatment with steroids and other supportive therapy ultimately lead to a complete recovery over 6 months.

Publisher

Georg Thieme Verlag KG

Subject

Neurology (clinical),Pediatrics, Perinatology and Child Health

Reference14 articles.

1. Pediatric urinary retention in the emergency department: a concerning symptom with etiology outside the bladder;M J Burla;J Emerg Med,2016

2. Acquired demyelinating disorders of central nervous system: a pediatric cohort;S Gulati;Ann Indian Acad Neurol,2015

3. Urinary retention in children;A Nevo;Urology,2014

4. Acute urinary retention in children;S A Asgari;Urol J,2005

5. Acute urinary retention caused by acute disseminated encephalomyelitis: a case report;S Fukui;Hinyokika Kiyo,2018

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3