Mazevet D, Vassilev K, Perrigot M
Service de médecine physique et de réadaptation, hôpital de la Pitié-Salpêtrière, 47, boulevard de l'hôpital, 75675 Paris cedex 13, France.
Ann Readapt Med Phys. 2005 Feb;48(1):43-7. doi: 10.1016/j.annrmp.2004.06.054.
Neuropathy with non-alcoholic thiamine deficiency is reported in the literature, but bladder disorders are rarely detailed.
We report two cases of bladder disorders in neuropathy with thiamine deficiency. One patient presented with a flaccid bladder and impaired sensation; the postvoid residual volume was raised. The other patient had reduced bladder capacity, with detrusor hyperreflexia and detrusor-sphincter dyssynergia. In both cases, the bladder disorders disappeared with thiamine supplementation.
Bladder symptoms may be heterogeneous in nonalcoholic neuropathy. The prognosis is good after vitamin supplementation.
文献报道了非酒精性硫胺素缺乏所致的神经病变,但膀胱功能障碍很少被详细描述。
我们报告两例硫胺素缺乏所致神经病变伴膀胱功能障碍的病例。一名患者表现为膀胱弛缓及感觉障碍,残余尿量增加。另一名患者膀胱容量减小,伴有逼尿肌反射亢进和逼尿肌-括约肌协同失调。两例患者补充硫胺素后膀胱功能障碍均消失。
非酒精性神经病变中的膀胱症状可能具有异质性。补充维生素后预后良好。