2012
DOI: 10.3402/jchimp.v2i1.15761
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Meningitis retention syndrome

Abstract: A 50-year-old Caucasian woman presented with signs and symptoms of meningitis preceded by a 3 day history of flu-like symptoms and progressive difficulty with urination. Cerebrospinal Fluid (CSF) analysis was consistent with aseptic meningitis. She was found to have a significant urinary retention secondary to atonic bladder. MRI of the brain and spine were normal and CSF-PCR (polymerase chain reaction) was positive for HSV-2. Urinary retention in the context of meningitis and CSF pleocytosis is known as Menin… Show more

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Cited by 14 publications
(4 citation statements)
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“…15 Symptoms usually remit within several weeks, although antiviral treatment may shorten the symptomatic period. 16 Recurrence of symptoms has been reported. 17 Varicella-zoster virus.…”
Section: Herpes Virusesmentioning
confidence: 96%
“…15 Symptoms usually remit within several weeks, although antiviral treatment may shorten the symptomatic period. 16 Recurrence of symptoms has been reported. 17 Varicella-zoster virus.…”
Section: Herpes Virusesmentioning
confidence: 96%
“…Given the concurrent urinary voiding difficulty and aseptic meningitis, a definite diagnosis of MRS is made. CSF adenosine deaminase (ADA) levels in non-infectious neurological diseases do not commonly increase, as seen in our case [6]. The absence of leg numbness and paresthesias also aids in distinguishing MRS from polyneuropathies, Guillain-Barre syndrome, and disorders affecting the lower motor neurons [4].…”
Section: Discussionmentioning
confidence: 52%
“…To the best of our knowledge, only one previous case of VZV meningitis without a rash that led to MRS has been reported [5]. The mechanism of MRS is presumed to include spinal shock owing to meningeal irritation, inflammation of upper motor neurons of the spinal cord, direct viral entry, and onset of acute disseminated encephalomyelitis after viral infection [13].…”
Section: Discussionmentioning
confidence: 99%