Pediatric Urinary Retention in the Emergency Department: A Concerning Symptom with Etiology Outside the Bladder

Burla, Michael J.; Benjamin, Joseph

doi:10.1016/j.jemermed.2015.09.005

Cited by 5 publications

(5 citation statements)

References 15 publications

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“…5 Burla and Benjamin described a 16-year-old boy presenting to the emergency department with acute urinary retention as the sole presenting complaint in whom MRI of the brain and spine revealed features consistent with ADEM. 1 However, after admission, the child had a progression of symptoms with tingling in his left extremities, weakness, and diplopia. 1 The child was treated with IV immunoglobulin and steroids with full recovery at 1 year follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…1 However, after admission, the child had a progression of symptoms with tingling in his left extremities, weakness, and diplopia. 1 The child was treated with IV immunoglobulin and steroids with full recovery at 1 year follow-up. 1 Fukui et al from Japan described an 11-year-old boy presenting with acute urinary retention, fever, headache, and weakness of the extremities with MRI findings suggestive of ADEM.…”

Section: Discussionmentioning

confidence: 99%

“…1 The child was treated with IV immunoglobulin and steroids with full recovery at 1 year follow-up. 1 Fukui et al from Japan described an 11-year-old boy presenting with acute urinary retention, fever, headache, and weakness of the extremities with MRI findings suggestive of ADEM. 5 Within 7 days of steroid initiation therapy, the child could void urine normally.…”

Section: Discussionmentioning

confidence: 99%

“…Urinary retention in children is a concerning symptom typically caused by etiology outside the bladder such as anatomic (intrinsic or extrinsic to the urinary tract) or functional or rarely central nervous system (CNS) involvement such as acute disseminated encephalomyelitis (ADEM). 1 ADEM is usually preceded by viral infection or vaccine administration. 1 The disease usually manifests in a variety of multifocal neurological deficits, including paralysis, cranial nerve involvement, ataxia, visual disturbances, and altered sensorium.…”

Section: Introductionmentioning

confidence: 99%

“…1 ADEM is usually preceded by viral infection or vaccine administration. 1 The disease usually manifests in a variety of multifocal neurological deficits, including paralysis, cranial nerve involvement, ataxia, visual disturbances, and altered sensorium. 2 Urinary retention though reported in this condition, it is an uncommon presenting feature.…”

Section: Introductionmentioning

confidence: 99%

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Micturition Disturbance: A Predominant Feature of Acute Disseminated Encephalomyelitis

Kini

Bhat

Karegowda

2021

Journal of Pediatric Neurology

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Urinary retention in children can have varied etiology ranging from anatomic to functional causes. Functional causes include neuropathies, including rare central nervous system (CNS) involvement, such as acute disseminated encephalomyelitis (ADEM). ADEM is usually preceded by acute viral infection and commonly presents with multifocal neurological deficits. The ADEM diagnosis is mainly based on the clinical presentation and its correlation with characteristic CNS findings on magnetic resonance imaging (MRI). Here, we report an adolescent boy who presented with acute urinary retention preceded by an acute febrile illness. The patient was worked up thoroughly, including an MRI of the brain and spine, which revealed ADEM's characteristic features. The bladder function was evaluated periodically. The voiding dysfunction persisted for a long time. Treatment with steroids and other supportive therapy ultimately lead to a complete recovery over 6 months.

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Section: Discussionmentioning

confidence: 99%