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Persistent motor deficits predict long-term bladder dysfunction in children following acute transverse myelitis
Daniel G DaJusta1, Matthew S Wosnitzer, Joseph G Barone
1Division of Urology, Robert Wood Johnson Medical School, New Brunswick, New Jersey 08903, USA.
The Journal of Urology
|August 30, 2008
Summary
Motor and bladder function recovery are linked in children with acute transverse myelitis. Full motor recovery often means full bladder recovery, while no motor recovery indicates no bladder recovery.
Area of Science:
- Pediatric Neurology
- Neuroimmunology
Background:
- Acute transverse myelitis (ATM) is a rare neurological disorder affecting the spinal cord.
- ATM can cause significant motor and bladder dysfunction in children.
Purpose of the Study:
- To investigate the relationship between motor and bladder recovery in pediatric patients with ATM.
- To determine if motor function recovery predicts bladder function recovery.
Main Methods:
- Retrospective evaluation of 14 children diagnosed with ATM between 1995 and 2004.
- Analysis of motor deficit and bladder dysfunction during the acute phase and subsequent recovery.
Main Results:
- All patients presented with lower extremity motor deficits and bladder dysfunction.
- A strong correlation was observed: full motor recovery was linked to full bladder recovery, and no motor recovery correlated with no bladder recovery.
- Partial motor recovery showed variable bladder recovery outcomes (none to partial).
Conclusions:
- Motor and bladder recovery are significantly related in children with ATM.
- Absence of motor recovery predicts a lack of bladder recovery.
- Significant bladder recovery was generally not observed beyond 4 months post-onset.
