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Publication
Mielite transversa aguda
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Advisor(s)
Abstract(s)
RESUMO
Introdução: A retenção urinária aguda é pouco frequente
na criança. A presença de alterações no exame neurológico é um
dado fundamental para orientar o diagnóstico.
Caso clínico: Os autores apresentam o caso de um rapaz
de dez anos, sem antecedentes de relevo, com quadro clínico
caracterizado por retenção urinária aguda, obstipação e sinais
de lesão do primeiro neurónio. A investigação conduziu ao diagnóstico
de mielite transversa aguda idiopática. Foi instituída
terapêutica com bloqueador alfa e cateterização vesical, tendo
evolução favorável.
Conclusão: A mielite transversa aguda é uma doença inflamatória medular, cuja etiopatogenia não está, ainda, bem esclarecida,
e que se manifesta clinicamente por disfunção motora,
sensitiva e/ou autonómica. O exame do líquido cefalo-raquidiano
(LCR) e a ressonância magnética nuclear (RM) medular permitem,
em regra, demonstrar a inflamação medular. O tratamento
não é, ainda, consensual, e o prognóstico é muito variável.
ABSTRACT Introduction: Acute urinary retention is unusual in children. Careful neurological examination is very important, as abnormal neurological signs may be the clue for the diagnosis. Case report: The authors report the case of a ten-year-old boy, with no previous relevant diseases, presenting acute urinary retention, constipation and signs of upper motor neuron lesion. The evaluation suggested an idiopathic acute transverse myelitis. Treatment included alpha blockers and vesical catheterization with favorable evolution. Conclusion: Acute transverse myelitis is a spinal cord inflammatory disease, characterized by signs of motor, sensitive and autonomic disfunction. Etiology and pathogenesis are not well established. Cerebrospinal fluid examination and spinal cord magnetic resonance imaging usually demonstrate spinal cord inflammation. Treatment is controversial and prognosis is variable.
ABSTRACT Introduction: Acute urinary retention is unusual in children. Careful neurological examination is very important, as abnormal neurological signs may be the clue for the diagnosis. Case report: The authors report the case of a ten-year-old boy, with no previous relevant diseases, presenting acute urinary retention, constipation and signs of upper motor neuron lesion. The evaluation suggested an idiopathic acute transverse myelitis. Treatment included alpha blockers and vesical catheterization with favorable evolution. Conclusion: Acute transverse myelitis is a spinal cord inflammatory disease, characterized by signs of motor, sensitive and autonomic disfunction. Etiology and pathogenesis are not well established. Cerebrospinal fluid examination and spinal cord magnetic resonance imaging usually demonstrate spinal cord inflammation. Treatment is controversial and prognosis is variable.
Description
Keywords
Retenção urinária aguda mielite transversa aguda lesão primeiro neurónio Acute urinary retention acute transverse myelitis upper motor neuron lesion
Citation
Nascer e Crescer 2011; 20(1): 32-34