Open AccessHemiparesis of bladder caused by tethered cord
Author(s) -
Ryan A. Payne,
R Corey O'Connor,
Michael L. Guralnick
Publication year - 2013
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.477
H-Index - 38
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.530
Subject(s) - hemiparesis , cord , physical medicine and rehabilitation , medicine , surgery , angiography
Conventional teaching has maintained that the detrusor musculature is wellcoupledand unilateral innervation should prompt a coordinated detrusorcontraction. We present the case of a 17-year-old girl with a tethered spinalcord, unilateral neurologic symptoms and fluoroscopic evidence of ipsilateralhemiparesis of the bladder unresponsive to cord detethering. This adds to asmall body of evidence that the bladder smooth muscle is less well-coupled thanonce believed.