Management of neurogenic bladder dysfunctions following acute traumatic cervical central cord syndrome (incomplete tetraplegia) [proceedings].
Based on the experience to date with central cord syndrome, most or all of the following conditions should be present before considering transurethral sphincterotomy: (1) minimal neurological recovery within 6 months of injury; (2) four plus spasticity in patients over the age of 50 years; (3) prolonged intermittent catheterisation over 6 months, with persistent residual urine over 300 ml; (4) persistent and repeated use of diazepam, dantrolene sodium to control pelvic floor spasticity; (5) demonstrable detrusor-sphincter dyssynergia.
D000328:Adult; D000368:Aged; D001437:Bacteriuria / Q000150:complications; D002574:Cervical Vertebrae / Q000293:injuries; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013119:Spinal Cord Injuries / Q000150:complications*; D013577:Syndrome; D001750:Urinary Bladder, Neurogenic / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D014546:Urinary Catheterization