Averill R T, Campbell E W
J Urol. 1978 Nov;120(5):569-70. doi: 10.1016/s0022-5347(17)57283-3.
Three cases of bladder dysfunction as the first indication of tumors involving the spinal cord and sacral nerve roots are presented. The correct diagnosis was delayed in each instance. The relationship of such tumors to bladder dysfunction is discussed and the need for careful history and physical examination is stressed. It is emphasized that neurologic disease may present with urinary dysfunction. Neurological symptoms, physical findings and radiographic abnormalities of the spine should be noted.
本文报告了3例以膀胱功能障碍为首发表现的累及脊髓和骶神经根的肿瘤病例。每例病例的正确诊断均被延迟。文中讨论了此类肿瘤与膀胱功能障碍的关系,并强调了详细病史和体格检查的必要性。着重指出神经疾病可能以排尿功能障碍为表现。应注意神经系统症状、体格检查结果及脊柱的影像学异常。