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Báo cáo y học: " Acute urinary retention in a 23-year-old woman with mild encephalopathy with a reversible splenial lesion: 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: Acute urinary retention in a 23-year-old woman with mild encephalopathy with a reversible splenial lesion: a case report. | Kitami et al. Journal of Medical Case Reports 2011 5 159 http www.jmedicalcasereports.eom content 5 1 159 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Acute urinary retention in a 23-year-old woman with mild encephalopathy with a reversible splenial lesion a case report 1 1 1 2 2 Makiko Kitami Shin-ichiro Kubo Shinichiro Nakamura Shinji Shiozawa Hideyuki Isobe and Yoshiaki Furukawa1 Abstract Introduction Patients with clinically mild encephalitis encephalopathy with a reversible splenial lesion present with relatively mild central nervous system disturbances. Although the exact etiology of the condition remains poorly understood it is thought to be associated with infective agents. We present a case of a patient with mild encephalitis encephalopathy with a reversible splenial lesion who had the unusual feature of acute urinary retention. Case presentation A 23-year-old Japanese woman developed mild confusion gait ataxia and urinary retention seven days after onset of fever and headache. Magnetic resonance imaging demonstrated T2 prolongation in the splenium of the corpus callosum and bilateral cerebral white matter. These magnetic resonance imaging abnormalities disappeared two weeks later and all of the symptoms resolved completely within four weeks. Except for the presence of acute urinary retention due to underactive detrusor without hyper-reflexia the clinical and radiologic features of our patient were consistent with those of previously reported patients with mild encephalitis encephalopathy with a reversible splenial lesion. To the best of our knowledge this is the first report of acute urinary retention recognized in a patient with mild encephalitis encephalopathy with a reversible splenial lesion. Conclusion Our findings suggest that mild encephalitis encephalopathy with a reversible splenial lesion can be associated with impaired bladder function and indicate that acute urinary retention in this benign disorder should be treated immediately to