脑膜炎-尿潴留综合征:一种未被认识的临床疾病  

Meningitis-retention syndrome: An unrecognized clinical condition

作　　者：Sakakibara R Uchiyama T 刘凯 

机构地区：[1]Dept. of Neurology, Chiba University, 1- 8- 1 Inohana, Chuo-ku Chiba 260- 8670, Japan,Dr.

出　　处：《世界核心医学期刊文摘（神经病学分册）》2006年第5期29-29,共1页Digest of the World Core Medical Journals:Clinical Neurology

摘　　要：Background: A combination of acute urinary retention and aseptic meningitis has not been well known. This combination can be referred to as meningitis-retention syndrome (MRS), when accompanied by no other abnormalities. Objective: To describe the results of a uro-neurological assessment in our patients with MRS. Methods: In three patients (two men, one woman; age, 34- 68 years), we performed urodynamic studies and relevant imaging and neurophysiological tests, in addition to cerebrospinal fluid (CSF) examination. Results: All three patients developed acute urinary retention along with headache, fever and stiff neck. None 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 none. Urodynamic 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 weeks. Conclusions: We 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 self-remitting course, management of the acute urinary retention is necessary.Background： A combination of acute urinary retention and aseptic meningitis has not been well known. This combination can be referred to as meningitis-retention syndrome （MRS）, when accompanied by no other abnormalities. Objective： To describe the results of a uro-neurological assessment in our patients with MRS. Methods： In three patients （two men, one woman; age, 34-68 years）, we performed urodynamic studies and relevant imaging and neurophysiological tests, in addition to cerebrospinal fluid （CSF） examination. Results： All three patients developed acute urinary retention along with headache, fever and stiff neck. None 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） .

关 键 词：无菌性脑膜炎 急性尿潴留 G综合征 临床疾病 急性播散性脑脊髓炎 神经传导检查 神经系统异常 神经根神经炎 尿动力学检查 蛋白含量 

分 类 号：R742[医药卫生—神经病学与精神病学] R694.55[医药卫生—临床医学]