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Dissynergic Bladder and Hydronephrosis in A Case of Spinal Intramedullary Dermoid Cyst

Year 2009, Volume: 14 Issue: 2, 137 - 140, 01.04.2009

Abstract

Spinal dermoid cyst is a rare pathology among the intamedullary spinal cord tumors. An 11 year old female patient applied with nausea, vomiting, and urine-bowel incontinence. The personal history of the patient revealed that she had been treated at the infectious diseases, pediatrics, and psychiatry departments of various centers for reccurent urinary tract infection and enuresis nocturna. Investigations revealed grade III hydronephrosis with dissynergic bladder and spinal intramedullary mass. The content of the mass was removed. The pathological diagnosis was dermoid cyst.The urinary incontinence of the patient improved to time to time night micturations. Hydronephrosis grade III had improved to grade II on the renal ultrasonography at the postoperative 1styear. In pediatric cases with frequent need for urination, continual drops after urination and relapsing urinary tract infections, the pathologies of neurogenic origin should be taken into consideration, and spinal imaging must be performed

References

  • 1. Pascual-Castroviejo I. Epidemiology of spinal cord tumors in children. New York:Raven Pres:1-10-1990
  • 2. Sandalcıoğlu IE, Gasser T, Asgari S, Lazorrisak A. Functional outcome after surgical treatment of intramedullary spinal cord tumors:experience with 78 patients. Spinal Cord. 2005 Jan; 43(1):34-41
  • 3. Kumar R, Singh V. Intramedullary mass lesion of the spinal cord in children of a developing milieu. Pediatr Neurosurg. 2004 Jan-Feb; 40(1):16-22
  • 4. Brotchı J,Noterman J, Baleriaux D,Surgery of intramedullary spinal cord tumors. Acta Neurochir; 116:176-178, 1992
  • 5. Andrews BT, Weinstein PR, Rosenblum ML,Barbaro NM. Intradural aracnoid cysts of the spinal canal associated with intramedullary cysts. J Neurosurg; 68:544-549,1988
  • 6. Barth A, Pizzolato GP, Berney J. Melanocytome menınge ıntramedullaire. Neurochirurgie 39:188-194,1993
  • 7. Bloomer CW, Ackerman A, Bhatia RG. Imaging for spine tumors and new applications. Top Magn Reson Imaging. 2006 Apr; 17(2):69-87.
  • 8. Behrman SL, Edwards MSB. Spınal intramedullary spread of medulloblastoma. J Neurosurg; 65:253-255, 1986.

Dissinerjik Mesane ile Presente Olan Spinal Dermoid Kist Olgusu

Year 2009, Volume: 14 Issue: 2, 137 - 140, 01.04.2009

Abstract

Spinal dermoid kistler, intramedüller spinal kord tümörleri içerisinde nadir bir gruptur. 11 yaşında kız hasta bulantı, kusma ve idrar inkontinansı şikayeti ile hastanemize başvurdu. Hastanın anamnezinden çeşitli merkezlerin; enfeksiyon hastalıkları, pediatri ve psikiyatri kliniklerinde üriner sistem enfeksiyonu ve enuresis nokturna tedavisi gördüğü öğrenildi. Yapılan incelemelerde hastada grade III hidronefroz, dissinerjik mesane ve spinal intramedüller kitle tespit edildi. Kitle içeriği boşaltıldı ve patolojik tanı dermoid kist olarak raporlandı. Zaman zaman olan gece idrar kaçırmaları dışında üriner inkontinansı düzeldi. Postoperatif birinci yılında yapılan renal ultrasonografide hidronefrozun gradeIII'den gradeII'ye gerilediği gözlendi. Çocuklarda sık idrara çıkma, işeme sonrası damla şeklinde idrar yapma ve tekrarlayan üriner sistem enfeksiyonlarında patolojinin nörojenik kökenli olabileceği düşünülerek spinal görüntüleme yapılmalıdır.

References

  • 1. Pascual-Castroviejo I. Epidemiology of spinal cord tumors in children. New York:Raven Pres:1-10-1990
  • 2. Sandalcıoğlu IE, Gasser T, Asgari S, Lazorrisak A. Functional outcome after surgical treatment of intramedullary spinal cord tumors:experience with 78 patients. Spinal Cord. 2005 Jan; 43(1):34-41
  • 3. Kumar R, Singh V. Intramedullary mass lesion of the spinal cord in children of a developing milieu. Pediatr Neurosurg. 2004 Jan-Feb; 40(1):16-22
  • 4. Brotchı J,Noterman J, Baleriaux D,Surgery of intramedullary spinal cord tumors. Acta Neurochir; 116:176-178, 1992
  • 5. Andrews BT, Weinstein PR, Rosenblum ML,Barbaro NM. Intradural aracnoid cysts of the spinal canal associated with intramedullary cysts. J Neurosurg; 68:544-549,1988
  • 6. Barth A, Pizzolato GP, Berney J. Melanocytome menınge ıntramedullaire. Neurochirurgie 39:188-194,1993
  • 7. Bloomer CW, Ackerman A, Bhatia RG. Imaging for spine tumors and new applications. Top Magn Reson Imaging. 2006 Apr; 17(2):69-87.
  • 8. Behrman SL, Edwards MSB. Spınal intramedullary spread of medulloblastoma. J Neurosurg; 65:253-255, 1986.
There are 8 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Ebru Gerçek This is me

Metin Kaplan This is me

Fatih Serhat Erol This is me

Mehmet Faik Özveren This is me

Publication Date April 1, 2009
Published in Issue Year 2009 Volume: 14 Issue: 2

Cite

APA Gerçek, E., Kaplan, M., Erol, F. S., Özveren, M. F. (2009). Dissinerjik Mesane ile Presente Olan Spinal Dermoid Kist Olgusu. Fırat Tıp Dergisi, 14(2), 137-140.
AMA Gerçek E, Kaplan M, Erol FS, Özveren MF. Dissinerjik Mesane ile Presente Olan Spinal Dermoid Kist Olgusu. Fırat Tıp Dergisi. April 2009;14(2):137-140.
Chicago Gerçek, Ebru, Metin Kaplan, Fatih Serhat Erol, and Mehmet Faik Özveren. “Dissinerjik Mesane Ile Presente Olan Spinal Dermoid Kist Olgusu”. Fırat Tıp Dergisi 14, no. 2 (April 2009): 137-40.
EndNote Gerçek E, Kaplan M, Erol FS, Özveren MF (April 1, 2009) Dissinerjik Mesane ile Presente Olan Spinal Dermoid Kist Olgusu. Fırat Tıp Dergisi 14 2 137–140.
IEEE E. Gerçek, M. Kaplan, F. S. Erol, and M. F. Özveren, “Dissinerjik Mesane ile Presente Olan Spinal Dermoid Kist Olgusu”, Fırat Tıp Dergisi, vol. 14, no. 2, pp. 137–140, 2009.
ISNAD Gerçek, Ebru et al. “Dissinerjik Mesane Ile Presente Olan Spinal Dermoid Kist Olgusu”. Fırat Tıp Dergisi 14/2 (April 2009), 137-140.
JAMA Gerçek E, Kaplan M, Erol FS, Özveren MF. Dissinerjik Mesane ile Presente Olan Spinal Dermoid Kist Olgusu. Fırat Tıp Dergisi. 2009;14:137–140.
MLA Gerçek, Ebru et al. “Dissinerjik Mesane Ile Presente Olan Spinal Dermoid Kist Olgusu”. Fırat Tıp Dergisi, vol. 14, no. 2, 2009, pp. 137-40.
Vancouver Gerçek E, Kaplan M, Erol FS, Özveren MF. Dissinerjik Mesane ile Presente Olan Spinal Dermoid Kist Olgusu. Fırat Tıp Dergisi. 2009;14(2):137-40.