title: [Dissociated micturitional disturbance in a patient with cervical spondylotic myelopathy].
abstract: A 58-year-old man developed dysuria and residual sensation one year after the traffic accident. Half a year later, he developed chest pain and underwent coronary arteriography. Numbness in the left arm, burning sensation below the knees and urinary retention emerged immediately after prolonged neck extention during the examination. He required intermittent catheterization of the bladder because of persistent dysuria. Urodynamic study revealed detrusor-sphincter dyssynergia. The micturitional disturbance improved with the application of a soft cervical collar and a bed rest. MRI of the cervical spine showed spinal cord compression at the C5/6 and a small hyperintensity area on T2WI in the spinal cord at the C5 level. The case suggests that micturitional dysfunction can be severe without remarkable sensorimotor disturbances of the lower extremities in cervical spondylotic myelopathy.
authors.affiliation: Department of Neurology, Jikei University School of Medicine.
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Nishio
authors.forename: Kohki
authors.initials: K
authors.lastname: Takane
authors.forename: Takashi
authors.initials: T
authors.lastname: Hasegawa
authors.forename: Kiyoharu
authors.initials: K
authors.lastname: Inoue
authors.forename: Kazuya
authors.initials: K
authors.lastname: Honda
mesh_terms: D002574:Cervical Vertebrae; D006801:Humans; D008297:Male; D008875:Middle Aged; D013128:Spinal Osteophytosis / Q000150:complications*; D014555:Urination Disorders / Q000209:etiology* / Q000503:physiopathology; D014563:Urodynamics