Meningitis-retention syndrome: first case of urodynamic follow-up.

Meningitis-retention syndrome: first case of urodynamic follow-up.
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DOI:
10.2169/internalmedicine.50.4747
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发表时间:
2011
期刊:
影响因子:
1.2
通讯作者:
F. Tateno;R. Sakakibara;Megumi Sugiyama;O. Takahashi;M. Kishi;E. Ogawa;T. Uchiyama;Tatsuya Yamamoto-Tatsuya-Yamamot
F. Tateno;R. Sakakibara;Megumi Sugiyama;O. Takahashi;M. Kishi;E. Ogawa;T. Uchiyama;Tatsuya Yamamoto-Tatsuya-Yamamot
中科院分区:
医学4区
文献类型:
--
作者:
F. Tateno;R. Sakakibara;Megumi Sugiyama;O. Takahashi;M. Kishi;E. Ogawa;T. Uchiyama;Tatsuya Yamamoto-Tatsuya-Yamamot

文献摘要

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急性尿潴留和无菌性脑膜炎的结合尚未得到充分认识。当不伴有其他异常时,这种组合可称为脑膜炎滞留综合征(MRS)。然而,尽管尿潴留时逼尿肌无反射,MRS 中导致尿潴留的病变部位仍不清楚。我们最近遇到了一位患有 MRS 的男性,他接受了两次尿动力学研究。在该病例中,最初无反射的逼尿肌在 4 个月后变得过度活跃,表明上运动神经元膀胱功能障碍。
The combination of acute urinary retention and aseptic meningitis has not been well recognized. This combination can be referred to as meningitis-retention syndrome (MRS), when accompanied by no other abnormalities. However, the responsible site of lesions for urinary retention in MRS remains obscure, despite the areflexic detrusor at the time of urinary retention. We recently encountered a man with MRS in whom a urodynamic study was performed twice. In that case, an initially areflexic detrusor became overactive after a 4-month period, suggesting an upper motor neuron bladder dysfunction.