Meningitis-Retention Syndrome as a Presentation of West Nile Virus Meningitis

Mankongpaisarnrung, Charoen; Laengvejkal, Pavis; Argueta, Erwin; Limsuwat, Chok; Sutamtewagul, Grerk; Nugent, Kenneth

doi:10.1155/2013/984345

Cited by 6 publications

(2 citation statements)

References 14 publications

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“…When a pathogen has been isolated, it has always been a Herpesvirus except for a case of West Nile MRS [11]. These data confirmed the correlation between MRS and Elsberg syndrome and the possible clinical and microbiological overlap.…”

Section: Discussionsupporting

confidence: 56%

Meningitis-retention syndrome: a review and update of an unrecognized clinical condition

et al. 2023

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Objectives We summarized the clinical and radiological characteristics of meningitis-retention syndrome (MRS), its therapeutic options, and urological outcome, to better understand the pathogenesis of this syndrome and to evaluate the effectiveness of corticosteroids in reducing the period of urinary retention. Methods We reported a new case of MRS in a male adolescent. We also reviewed the previously 28 reported cases of MRS, collected from inception up to September 2022. Results MRS is characterized by aseptic meningitis and urinary retention. The mean length of the interval between the onset of the neurological signs and the urinary retention was 6.4 days. In most cases, no pathogens were isolated in cerebrospinal fluid, except for 6 cases in which Herpesviruses were detected. The urodynamic study resulted in a detrusor underactivity, with a mean period for urination recovery of 4.5 weeks, regardless of therapies. Discussion Neurophysiological studies and electromyographic examination are not pathological, distinguishing MRS from polyneuropathies. Although there are no encephalitic symptoms or signs, and the magnetic resonance is often normal, MRS may represent a mild form of acute disseminated encephalomyelitis, without radiological detectable medullary involvement, due to the prompt use of steroids. It is believed that MRS is a self-limited disease, and no evidence suggests the effectiveness of steroids, antibiotics, and antiviral treatment in its clinical course.

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Section: Discussionsupporting

confidence: 56%

Meningitis-retention syndrome: a review and update of an unrecognized clinical condition

et al. 2023

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show abstract

“…When a pathogen has been isolated, it has always been a Herpesvirus except for a case of West Nile MRS [11]. These data con rmed the correlation between MRS and Elsberg syndrome and the possible clinical and microbiological overlap.…”

Section: Discussionmentioning

confidence: 67%

Meningitis-Retention Syndrome: a review and update of an unrecognized clinical condition

Pellegrino

Pruccoli

Silvestro

et al. 2023

Preprint

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Objectives: We summarized the clinical and radiological characteristics of Meningitis-Retention Syndrome (MRS), its therapeutic options and urological outcome, to better understand the pathogenesis of this syndrome and to evaluate the effectiveness of corticosteroids in reducing the period of urinary retention. Methods: We reported a new case of MRS in a male adolescent. We also reviewed the previously 28 reported cases of MRS, collected from inception up to September 2022. Results: MRS is characterized by aseptic meningitis and urinary retention. The mean length of the interval between the onset of the neurological signs and the urinary retention was 6.4 days. In most cases no pathogens were isolated in cerebrospinal fluid, except for 6 cases in which Herpesviruses were detected. The urodynamic study resulted in a detrusor underactivity, with a mean period for urination recovery of 4.5 weeks, regardless of therapies. Discussion: Neurophysiological studies and electromyographic examination are not pathological, distinguishing MRS from polyneuropathies. Although there are no encephalitic symptoms or signs, and the magnetic resonance is often normal, MRS may represent a mild form of acute disseminated encephalomyelitis, without radiological detectable medullary involvement, due to the prompt use of steroids. It is believed that MRS is a self-limited disease, and no evidence suggests the effectiveness of steroids, antibiotics, and antiviral treatment in its clinical course.

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Urinary Dysfunction in Multiple Sclerosis, Neuromyelitis Optica, and Related Disorders

Sakakibara

2022

Handbook of Neurourology

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Meningitis-Retention Syndrome as a Presentation of West Nile Virus Meningitis

Cited by 6 publications

References 14 publications

Meningitis-retention syndrome: a review and update of an unrecognized clinical condition

Meningitis-retention syndrome: a review and update of an unrecognized clinical condition

Meningitis-Retention Syndrome: a review and update of an unrecognized clinical condition

Urinary Dysfunction in Multiple Sclerosis, Neuromyelitis Optica, and Related Disorders

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