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Báo cáo y học: "Postirradiation lumbosacral radiculopathy following seminoma treatment presenting as flaccid neuropathic bladder: a case repor"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Postirradiation lumbosacral radiculopathy following seminoma treatment presenting as flaccid neuropathic bladder: a case report. | Raheem and Hickey Journal of Medical Case Reports 2011 5 148 http www.jmedicalcasereports.eom content 5 1 148 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Postirradiation lumbosacral radiculopathy following seminoma treatment presenting as flaccid neuropathic bladder a case report Omer A Raheem and David P Hickey Abstract Introduction Postirradiation lumbosacral syndrome is a radiculopathy induced by radiation injury to the spinal cord. Its usual presentation is motor deficit and or sensory loss involving the lower limbs. Visceral involvement has not been reported previously. Case presentation We describe a case of severe hypotonic bladder caused by radiation-induced spinal cord injury following treatment of stage I testicular seminoma in a 38-year-old Caucasian man who had undergone radical orchidectomy and prophylactic paraaortic lymph node irradiation for stage I seminoma. Three years later he had clinical and urodynamic findings of hypotonic bladder. The magnetic resonance imaging results suggested a radiation-induced injury. Conclusion Such an unusual presentation of the syndrome of postirradiation lumbosacral radiculopathy can impose a clinical challenge to practicing clinicians. Future studies are required to further delineate the mechanism of injury and further management plans. Introduction Postirradiation lumbosacral syndrome is a radiculopathy secondary to radiation injury of the spinal cord manifesting as motor and or sensory loss involving the lower limbs. This case report describes a 38-year-old Caucasian patient with severe hypotonic bladder caused by radiation-induced spinal cord injury following treatment of stage I testicular seminoma. Our 38-year-old Caucasian patient had undergone radical orchidectomy and prophylactic paraaortic PA lymph node irradiation for stage I seminoma. Three years following radical orchidectomy and prophylactic PA lymph node irradiation the patient presented with clinical and urodynamic findings of hypotonic .