Unusual case of acute urinary retention in a young female

Chern, Belinda Zer Hui; Rajaraman, Shivani; Verma, Geetika; Heng, Kenneth Wei Jian

doi:10.1136/bcr-2017-221411

Cited by 2 publications

(3 citation statements)

References 15 publications

(4 reference statements)

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“…Chern et al in their study reported a young woman with TM who had acute urinary retention. Her serum VZV IgG was positive but CSF PCR for VZV was negative 8 . In the present case, we could not rule out other causes of viruses.…”

Section: Discussioncontrasting

confidence: 61%

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Acute urinary retention and progressive paraplegia with genital infection: A case report of transverse myelitis

Kim

Lee²

2020

Hong Kong j. emerg. med.

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Introduction: Transverse myelitis (TM) is a rare inflammatory disorder involving single or multiple spinal segments. There are various Infectious and parainfectious causes. Case presentation: We report the case of 29-year-old female who presented to an emergency department with acute urinary retention, progressive headache and sensory and motor deficits with a genital infection. Cerebrospinal fluid (CSF) analysis revealed WBC 75/μL, protein 96 (15-40 mg/dL), and VZV IgG positive. The magnetic resonance image (MRI) of the spine revealed acute transverse myelitis of C4, C6/C7 and T2-T3, T4-T7. She was treated with steroid pulse therapy, intravenous antiviral therapy, antibiotics, and rehabilitation. Urinary symptoms resolved in six days and her motor deficit resolved. She had mild numbness in the thigh area 2 months later. Discussion: Identification of the causes and diagnosis of TM are challenging because there are variable clinical signs and numerous potential pathogens. Conclusion: It is essential to diagnosis TM in the early and timely phase, careful, detailed history and thorough physical examination by emergency physicians.

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Section: Discussioncontrasting

confidence: 61%

“…Her serum VZV IgG was positive but CSF PCR for VZV was negative. 8 In the present case, we could not rule out other causes of viruses.…”

Section: Discussionmentioning

confidence: 54%

Acute urinary retention and progressive paraplegia with genital infection: A case report of transverse myelitis

Kim

Lee²

2020

Hong Kong j. emerg. med.

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“…Two studies that looked at the medulla found that lesions producing urinary retention typically involve the lateral medulla, which contains axons running from Bar to the spinal cord ( Cho et al, 2015 ; Lee et al, 2017 ). With regards to these descending tracts, there have been many case reports demonstrating that lesions to the spinal cord cause urinary retention ( Head and Riddoch, 1917 ; Poeze et al, 1999 ; Kemp et al, 2014 ; Chern et al, 2017 ).…”

Section: Human Brain Lesions That Disrupt Continencementioning

confidence: 99%

The Brain and the Bladder: Forebrain Control of Urinary (In)Continence

Tish

Geerling

2020

Front. Physiol.

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Neural circuits extending from the cerebral cortex to the bladder maintain urinary continence and allow voiding when it is socially appropriate. Injuries to certain brain regions produce a specific disruption known as urge incontinence. This neurologic symptom is distinguished by bladder spasticity, with sudden urges to void and frequent inability to maintain continence. The precise localization of neural circuit disruptions responsible for urge incontinence remains poorly defined, partly because the brain regions, cell types, and circuit connections that normally maintain continence are unknown. Here, we review what is known about the micturition reflex circuit and about forebrain control of continence from experimental animal studies and human lesion data. Based on this information, we hypothesize that urge incontinence results from damage to a descending pathway that normally maintains urinary continence. This pathway begins with excitatory neurons in the prefrontal cortex and relays subcortically, through inhibitory neurons that may help suppress reflex micturition during sleep and until it is safe and socially appropriate to void. Identifying the specific cell types and circuit connections that constitute the continence-promoting pathway, from the forebrain to the brainstem, will help us better understand why some brain lesions and neurodegenerative diseases disrupt continence. This information is needed to pave the way toward better treatments for neurologic patients suffering from urge incontinence.

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Unusual case of acute urinary retention in a young female

Cited by 2 publications

References 15 publications

Acute urinary retention and progressive paraplegia with genital infection: A case report of transverse myelitis

Acute urinary retention and progressive paraplegia with genital infection: A case report of transverse myelitis

The Brain and the Bladder: Forebrain Control of Urinary (In)Continence

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