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Published on: April 19, 2024
Voiding dysfunction due to chronic viral encephalitis in a young woman
Alaa Abdel R Abdel Hafez1, E Ali Salah, D Rohrmann
1Department of Urology, Faculty of Medicine, Sohag University, Sohag, Egypt. abdelhafez@mailcity.com
Urologia Internationalis
|April 15, 2010
Summary
Acute viral encephalitis can cause urinary incontinence in adults. This case highlights bladder dysfunction and specific MRI findings in the thalamus and internal capsule.
Area of Science:
- Neurology
- Urology
Background:
- Acute viral encephalitis is a serious neurological condition.
- Urinary incontinence can be a symptom of central nervous system disorders.
Observation:
- A 37-year-old female presented with acute viral encephalitis, frequency, and urgency incontinence.
- Video urodynamics revealed small bladder capacity, sensory urgency, high residual urine, and a "Christmas tree" bladder.
- Brain MRI demonstrated early inflammation/edema and later cavitation/gliosis in the thalamus and internal capsule.
Findings:
- The case links viral encephalitis to specific urodynamic findings and characteristic MRI changes.
- The "Christmas tree" bladder appearance suggests detrusor muscle dysfunction.
Implications:
- This case expands understanding of the neurological underpinnings of adult-onset urinary incontinence.
- It underscores the importance of neuroimaging and urodynamics in diagnosing complex neurological and urological symptoms.
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