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Title: 尿閉を主訴とした急性散在性脳脊髄炎の1小児例
Other Titles: Acute Urinary Retention Caused by Acute Disseminated Encephalomyelitis : A Case Report
Authors: 福井, 真二  KAKEN_name
家村, 友輔  KAKEN_name
松村, 善昭  KAKEN_name
影林, 頼明  KAKEN_name
堀田, 有希  KAKEN_name
吉田, さやか  KAKEN_name
三馬, 省二  KAKEN_name
Author's alias: Fukui, Shinji
Iemura, Yusuke
Matsumura, Yoshiaki
Kagebayashi, Yoriaki
Hotta, Yuki
Yoshida, Sayaka
Samma, Shoji
Keywords: Child
Urinary retention
Acute disseminated encephalomyelitis
Issue Date: 31-Jan-2018
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要 = Acta urologica Japonica
Volume: 64
Issue: 1
Start page: 17
End page: 20
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.
Rights: 許諾条件により本文は2019/02/01に公開
DOI: 10.14989/ActaUrolJap_64_1_17
URI: http://hdl.handle.net/2433/229472
PubMed ID: 29471599
Appears in Collections:Vol.64 No.1

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