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Residual bladder dysfunction 2 to 10 years after acute transverse myelitis
Author(s) -
Cheng W,
Chiu RW,
Tam PKH
Publication year - 1999
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1046/j.1440-1754.1999.355411.x
Subject(s) - medicine , transverse myelitis , residual , acute transverse myelitis , spinal cord , psychiatry , algorithm , computer science
Objective : Acute transverse myelitis (ATM) is a relatively rare condition in children. The recovery rate is reported to be generally complete. In the current study, the long‐term urological outcome of children with ATM was assessed. Methodology : The medical records of children with ATM admitted to Queen Mary Hospital, Hong Kong, over the last 15 years, were reviewed. Results : The median age of the five children with ATM at the time of onset was 6 years (range = 2–12 years). The median length of follow up was 5 years (2–10 years). Four children recovered completely from paraparesis; two had no urinary symptoms with normal micturition. However, video‐urodynamic studies 3 years after the acute onset revealed that four out of the five children, including one without any urinary symptom, suffered from residual bladder dysfunction – two from contractile neurogenic bladder and two from intermediate type of neurogenic bladder. Conclusions : Residual bladder dysfunction is common in children suffering from ATM despite improvement of paraparesis and apparent lack of urological symptoms. Long‐term follow up of urological function in these patients is recommended.