Ishii Gen, Hata Kenichi, Aoki Soichiro, Suzuki Masayasu, Kimura Takahiro, Egawa Shin
Atsugi City Hospital, 1-16-36 Mizuhiki, Atsugi City, Kanagawa 243-8588, Japan.
Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minato-ku, Tokyo 105-8461, Japan.
Urol Case Rep. 2016 Mar 21;6:42-4. doi: 10.1016/j.eucr.2016.02.010. eCollection 2016 May.
We report a case of meningitis-retention syndrome followed by urodynamic tests. A 48-year-old man was admitted to the hospital for an undiagnosed fever with headache and urinary retention. Aseptic meningitis was suspected according to cerebrospinal fluid analyses, and urodynamic test showed an underactive detrusor, leading to inadequate contraction of the bladder on voiding in spite of a normal sensation during bladder filling. Clean intermittent self-catheterization was required temporarily, but normal urinary voiding without the need for medication was restored in 2 weeks after discharge from the hospital, when urodynamic tests showed normal contractility of the bladder during voiding.
我们报告一例脑膜炎-潴留综合征并进行了尿动力学检查。一名48岁男性因不明原因发热伴头痛和尿潴留入院。根据脑脊液分析怀疑为无菌性脑膜炎，尿动力学检查显示逼尿肌活动不足，导致排尿时膀胱收缩无力，尽管膀胱充盈时感觉正常。暂时需要进行清洁间歇性自我导尿，但出院后2周恢复了正常排尿，无需用药，此时尿动力学检查显示排尿时膀胱收缩力正常。
