[Acute Urinary Retention Caused by Acute Disseminated Encephalomyelitis : A Case Report].

Abstract

An 11-year-old boy was referred to our department with the chief complaint of acute urinary retention. He had had a history of viral enteritis a few days before the onset of dysuria. He presented with a slight fever, mild headache and weakness of the extremities. A cerebrospinal fluid examination showed the elevation of cell number (cell number : 158/3, polynuclear cells : 29/3, and mononuclear cells : 129/3). Although spinal magnetic resonance imaging (MRI) did not show abnormal findings, fluid attenuated inversion recovery (FLAIR) image of the brain MRI showed a high signal area on the cerebral cortex. Acute disseminated encephalomyelitis (ADEM) was suspected from the clinical course, the cerebrospinal fluid examination, and brain MRI findings. A urethral catheter was indwelled for urinary retention, and steroid pulse therapy was promptly started. After removal of the urethral catheter seven days after the therapy initiation, normal urination without residual urine was observed. Findings of a cerebrospinal fluid test and brain MRI also showed improvement.

• Authors: Shinji Fukui, Yusuke Iemura, Yoshiaki Matsumura, Yoriaki Kagebayashi, Yuki Hotta, Sayaka Yoshida, Shoji Samma
• Journal: Hinyokika kiyo. Acta urologica Japonica (Hinyokika Kiyo) Vol. 64 Issue 1 Pg. 17-20 (Jan 2018) ISSN: 0018-1994 [Print] Japan
• PMID: 29471599 (Publication Type: Case Reports, Journal Article)

Topics

• Child
• Encephalomyelitis, Acute Disseminated (diagnostic imaging, etiology)
• Humans
• Magnetic Resonance Imaging
• Male
• Urinary Retention (complications, therapy)