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Dissynergic Bladder and Hydronephrosis in A Case of Spinal Intramedullary Dermoid Cyst

机译:脊髓髓内皮样囊肿患者膀胱不全和肾积水

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Summary Spinal dermoid cyst is a rare pathology among the intamedullary spinal cord tumors. An 11 year old female patient applied with nausea, vomiting, and urine-bowel incontinence. The personal history of the patient revealed that she had been treated at the infectious diseases, pediatrics, and psychiatry departments of various centers for reccurent urinary tract infection and enuresis nocturna. Investigations revealed grade III hydronephrosis with dissynergic bladder and spinal intramedullary mass. The content of the mass was removed. The pathological diagnosis was dermoid cyst.The urinary incontinence of the patient improved to time to time night micturations. Hydronephrosis grade III had improved to grade II on the renal ultrasonography at the postoperative 1styear. In pediatric cases with frequent need for urination, continual drops after urination and relapsing urinary tract infections, the pathologies of neurogenic origin should be taken into consideration, and spinal imaging must be performed Top
机译:小结脊髓皮样囊肿是在髓内脊髓肿瘤中罕见的病理。一名11岁的女性患者出现恶心,呕吐和尿失禁。该患者的个人病史表明,她曾在各个中心的传染病,儿科和精神科接受过复发性尿路感染和夜间遗尿症的治疗。研究表明,III级肾积水伴膀胱失调和脊髓髓内肿块。除去物质的含量。病理诊断为皮样囊肿。患者尿失禁因夜间排尿不时好转而有所改善。术后1年,肾脏超声检查将肾积水的III级改善至II级。对于经常需要排尿,排尿后持续下降和复发性尿路感染的儿科患者,应考虑神经源性病理,并且必须进行脊柱成像

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