Tateno Fuyuki, Sakakibara Ryuji, Sugiyama Megumi, Takahashi Osamu, Kishi Masahiko, Ogawa Emina, Uchiyama Tomoyuki, Yamamoto Tatsuya, Yamanishi Tomonori, Yano Hitoshi, Suzuki Hiroyoshi
Neurology, Internal Medicine, Sakura Medical Center, Toho University, Japan.
Intern Med. 2011;50(12):1329-32. doi: 10.2169/internalmedicine.50.4747. Epub 2011 Jun 15.
The combination of acute urinary retention and aseptic meningitis has not been well recognized. This combination can be referred to as meningitis-retention syndrome (MRS), when accompanied by no other abnormalities. However, the responsible site of lesions for urinary retention in MRS remains obscure, despite the areflexic detrusor at the time of urinary retention. We recently encountered a man with MRS in whom a urodynamic study was performed twice. In that case, an initially areflexic detrusor became overactive after a 4-month period, suggesting an upper motor neuron bladder dysfunction.
急性尿潴留与无菌性脑膜炎的合并情况尚未得到充分认识。当不存在其他异常时，这种合并情况可被称为脑膜炎-潴留综合征（MRS）。然而，尽管在尿潴留时逼尿肌无反射，但MRS中导致尿潴留的病变责任部位仍不明确。我们最近遇到一名患有MRS的男性，并对其进行了两次尿动力学检查。在该病例中，最初无反射的逼尿肌在4个月后变得过度活跃，提示上运动神经元膀胱功能障碍。
