Authors: R Sakakibara T Uchiyama Z Liu T Yamamoto T Ito A Uzawa T Suenaga K Kanai Y Awa Y Sugiyama T Hattori
Publish Date: 2005/07/18
Volume: 252, Issue: 12, Pages: 1495-1499
Abstract
All three patients developed acute urinary retention along with headache fever and stiff neckNone had obvious neurological abnormalities other than a slightly brisk reflex in the lower extremities One had previously experienced generalized erythematous eruptions but none had pain hypalgesia or skin eruptions in the sacral dermatomes suggestive of Elsberg syndrome infectious sacral polyradiculitis mostly genital herpes Brain/spinal/lumbar plexus MRI scans and nerve conduction studies were normal CSF examination showed mild mononuclear pleocytosis increased protein content and normal to mildly decreased glucose content in all patients increased myelin basic protein suggestive of central nervous system demyelination in one and increased viral titers in noneUrodynamic study revealed during the voiding phase an underactive detrusor in all patients and an unrelaxing sphincter in one These clinical manifestations were ameliorated within 3 weeksWe reported three cases of MRS a peculiar syndrome that could be regarded as a mild variant of acute disseminated encephalomyelitis ADEM Urinary retention might reflect acute shock phase of this disorder Although MRS has a benign and selfremitting course management of the acute urinary retention is necessary
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