Borzyskowski M, Neville B G
Arch Dis Child. 1981 Mar;56(3):176-80. doi: 10.1136/adc.56.3.176.
The association between spinal dysraphism and a neuropathic bladder is well known, but the diagnosis of the spinal lesion and the associated renal problems is often delayed. Four children referred with orthopaedic problems and in whom the bladder abnormally proved to be the major disability are described. Despite widely differing vertebral involvement, all had lower motor neurone neurological deficits confined to lumbar and upper sacral segments. All had unstable, variably thickened, small bladders, and it is proposed that the bladder abnormality is the result of a partial lesion of lumbosacral innervation, and not of an upper motor neurone lesion.
脊髓发育异常与神经源性膀胱之间的关联已为人熟知，但脊髓病变及相关肾脏问题的诊断常常延迟。本文描述了4例因骨科问题前来就诊的儿童，经证实膀胱异常是其主要致残因素。尽管椎体受累情况差异很大，但所有患儿均有局限于腰段和上骶段的下运动神经元神经功能缺损。所有患儿的膀胱均不稳定、厚度不一且较小，本文认为膀胱异常是腰骶部神经支配部分损伤的结果，而非上运动神经元损伤所致。
