Lateral medullary infarction oblongata urinary retention in one case and literature review
Lateral medullary infarction is one of the most common brain stem infarction syndromes,but it is rarely associated with urinary retention in clinical practice.A case of urinary retention caused by lateral medullary infarction was retrospectively analyzed in the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine.Dizziness and walking instability were the main symptoms of the patient,and the clinical manifestations of acute urinary retention were found.After improving the imaging examination,the diagnosis was lateral medullary infarction;neurogenic bladder(uninary retention).Intravenous thrombolysis,catheterization,and other symptomatic treatments were given to the patient in time,and the spontaneous urination function was completely restored about one month later.Although the incidence of urinary retention caused by lateral medullary infarction is uncommon,it is important to fully understand and improve the awareness of this condition,achieve comprehensive prediction,and inform patients and their families of the possibility and prognosis of urinary retention in advance,on the contrary,in the case of poor brain CT display and incomplete MRI,for patients with obvious vertigo symptoms and few other localized signs combined with acute urinary retention,it can also give us hints of possible damage to the brainstem-lateral medulla bulbar part,improve vigilance and attention to posterior circulation infarction,and give timely and appropriate treatment to avoid delayed treatment and loss of treatment.
Lateral medullary infarctionClinical manifestationUrinary retentionPontine micturition center
万方数据
维普
