Transient urinary retention in acute right lateral medullary infarction.
Urinary disturbance has rarely been reported in patients with a medullary lesion. We evaluated a patient with acute infarction in the right lateral medulla who had voiding difficulty as an initial manifestation. Urodynamic study showed detrusor areflexia on voiding, and the voiding symptom completely recovered 2 weeks after the stroke onset. The urinary retention in this patient might be caused by interruption of descending fibers from facilitatory pontine tegmentum micturition centers.
Lee
Kyung Bok
KB
Department of Neurology, College of Medicine, SOONCHUNHYANG University, Yongsan-gu, Seoul, Korea. kblee@hosp.sch.ac.kr
Jang
Il Mi
IM
Roh
Hakjae
H
Ahn
Moo Young
MY
Woo
Hee Yeon
HY
D000344:Afferent Pathways / Q000473:pathology / Q000503:physiopathology; D020526:Brain Stem Infarctions / Q000150:complications* / Q000473:pathology*; D007839:Functional Laterality; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008526:Medulla Oblongata / Q000473:pathology*; D008875:Middle Aged; D016055:Urinary Retention / Q000209:etiology*