Dudognon P, Labrousse C, Lubeau M, Carné P, Rabiller M, Boulesteix J M
Paraplegia. 1986 Jun;24(3):194-200. doi: 10.1038/sc.1986.27.
The authors describe severe vesico-ureteral reflux and simultaneous renal insufficiency which occurred after a spinal cord injury to the conus medullaris. They point out the misleading character of these injuries when there are only minimal neurological signs in the trunk and limbs. The main clinical consequence may be an isolated neuropathic bladder which, if not detected, delays treatment. Additionally, they underline the role of mixed bladder and sphincter lesions in the development of renal insufficiency; also the role of increased intravesical pressure during filling and emptying with bilateral vesico-ureteral reflux.
作者描述了圆锥脊髓损伤后发生的严重膀胱输尿管反流和同时存在的肾功能不全。他们指出，当躯干和四肢仅有轻微神经体征时，这些损伤具有误导性。主要临床后果可能是孤立性神经源性膀胱，如果未被发现，会延误治疗。此外，他们强调了膀胱和括约肌混合性病变在肾功能不全发生中的作用；以及在双侧膀胱输尿管反流的充盈和排空过程中膀胱内压升高的作用。
