Right Tegmental Hemorrhage with Urinary Retention: A Case Report.

Right Tegmental Hemorrhage with Urinary Retention: A Case Report.
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右割伤出血并保留泌尿率:病例报告。

DOI:
10.1159/000521328
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发表时间:
2022-01
影响因子:
0.7
通讯作者:
Geerling JC
Geerling JC
中科院分区:
其他
文献类型:
--
作者:
Tish MM;Boes AD;Geerling JC

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上脑干被盖致密而复杂,使得难以将功能定位到特定的亚区。特别是,支持意识和排尿等基本功能的子区域的精确位置和可能的偏侧性仍然不清楚。在这里,我们描述了一名因脑实质内出血而出现右侧脑桥被盖综合征的患者。尽管出血扩展到第四脑室,出血和水肿扩展到中脑尾侧和右侧脑桥被盖的大区域,但该患者没有失去意识。相反,他出现了新的完全尿潴留,残余膀胱容量超过1,000 mL。我们的结论是,损伤右侧脑桥被盖足以破坏排尿反射通路。
The upper brainstem tegmentum is dense and complex, making it difficult to localize functions to specific subregions. In particular, the precise location and possible laterality of subregions supporting basic functions like consciousness and urinary continence remain unclear. Here, we describe a patient who presented with a right pontine tegmental syndrome caused by intraparenchymal hemorrhage. Despite hemorrhage extension into the fourth ventricle and expansion of both hemorrhage and edema into a large region of the caudal midbrain and right-sided pontine tegmentum, this patient did not lose consciousness. Instead, he developed new and total urinary retention, with residual bladder volumes of more than 1,000 mL. We conclude that injury to the right pontine tegmentum is sufficient to disrupt the micturition reflex pathway.
DOI: 10.1097/00005053-195107000-00003
发表时间: 1951-01-01
影响因子: 1.9
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