Work

Chronic Renal Failure Secondary to Unrecognized Neurogenic Bladder in A Child with Myelodysplasia.

Year: 2017

Type: article

Abstract: Myelodysplasia includes a group of developmental anomalies resulting from defects that occur during neural tube closure. Urological morbidity in patients with myelodysplasia is significant and if not treated appropriately in a timely manner can potentially lead to progressive renal failure, requiring dialysis or transplantation. We report the case of a 13-year old girl with neurogenic bladder who presented chronic renal failure secondary to lipomyelomeningocele with retethering of cord. She was managed with urinary indwelling catheterization until optimization of renal function and then underwent detethering of cord with excision and repair of residual lipomeningomyelocele. Her renal parameters improved gradually over weeks and then were managed on self clean intermittent catheterization. The case emphasizes the need for considering retethering of spinal cord in children with myelodysplasia where symptoms of neurogenic bladder and recurrent urinary tract infections occur.

Source: Iranian journal of child neurology.

DOI: 10.22037/ijcn.v11i2.13753

Authors: Shameem Ahmed, Siba Prosad Paul

Institutions: Apollo Hospitals, Apollo Hospitals, Apollo Hospitals, Apollo Hospitals, Torbay Hospital

Language: English

Topic: Spinal Dysraphism and Malformations

Subfield: Clinical Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W2597119216

FWCI: 0.186

Cites: 7

Cited by: 1

Related to: 10