Ashrafi Akbar, Winkle David
Department of Urology and Continence, Mater Health Services, Brisbane, Queensland, Australia.
BMJ Case Rep. 2014 Jul 17;2014:bcr2013202630. doi: 10.1136/bcr-2013-202630.
We present a case of a 54-year-old man with progressive lower urinary tract symptoms over 12 months. Physical examination, urinalysis, serum biochemistry and ultrasound of the renal tract were all unremarkable. Flexible cystoscopy was normal. Urodynamic assessment revealed an overactive bladder of unknown aetiology. The patient went on to have an MRI of the lumbosacral spine which showed a spinal cord tumour of the conus medullaris. The patient underwent a laminectomy and resection of the tumour. Histology showed myxopapillary ependymoma of the spinal cord. This case highlights the need to consider the full spectrum of causes, urological and non-urological, in assessing a patient with voiding dysfunction.
我们报告一例54岁男性患者，其在12个月内出现进行性下尿路症状。体格检查、尿液分析、血清生化检查及肾尿路超声均无异常。软性膀胱镜检查正常。尿动力学评估显示病因不明的膀胱过度活动症。该患者随后进行了腰骶椎MRI检查，结果显示圆锥髓内脊髓肿瘤。患者接受了椎板切除术及肿瘤切除术。组织学检查显示为脊髓黏液乳头型室管膜瘤。该病例强调了在评估排尿功能障碍患者时，需要考虑包括泌尿外科和非泌尿外科在内的所有可能病因。
