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"Meningitis-retention syndrome": a review

Ryuji Sakakibara1, Masahiko Kishi, Yohei Tsuyusaki

  • 1Department of Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan. sakakibara@sakura.med.toho-u.ac.jp

Neurourology and Urodynamics
|June 8, 2012
PubMed
Abstract

Insights

Meningitis-retention syndrome (MRS) presents with aseptic meningitis and acute urinary retention. Early recognition and management are crucial for preventing bladder damage.

Area of Science:

  • Neurology
  • Urology
  • Immunology

Background:

  • Meningitis-retention syndrome (MRS) is a rare condition characterized by aseptic meningitis and acute urinary retention.
  • Patients may exhibit mild pyramidal signs, with no other significant abnormalities.

Purpose of the Study:

  • To systematically review the literature on meningitis-retention syndrome.
  • To delineate the syndrome's frequency, clinical presentation, urodynamic findings, pathology, and management.

Main Methods:

  • Systematic literature review.
  • Analysis of clinical symptoms, urodynamic data, and cerebrospinal fluid findings.

Main Results:

  • MRS patients present with fever, headache, stiff neck, pyramidal signs, and acute urinary retention.
  • Bladder function progresses from areflexic to normal or overactive.
  • The condition is considered a mild form of acute disseminated encephalomyelopathy (ADEM).
  • Cerebrospinal fluid may show increased cells, protein, and myelin basic protein.

Conclusions:

  • Meningitis-retention syndrome is a rare but important diagnosis for urologists and neurologists.
  • MRS should be included in the differential diagnosis for acute urinary retention.

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