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Meningitis-retention Syndrome; A Case Report.

Gen Ishii¹, Kenichi Hata¹, Soichiro Aoki¹

¹Atsugi City Hospital, 1-16-36 Mizuhiki, Atsugi City, Kanagawa 243-8588, Japan.

Urology Case Reports

|May 14, 2016

Summary

A rare case of meningitis-retention syndrome resolved spontaneously. Urodynamic tests revealed an underactive bladder, which normalized within weeks, restoring normal urinary function without medication.

Keywords:

Acute urinary retention Aseptic meningitis Meningitis-retention syndrome

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Area of Science:

Neurology
Urology

Background:

Meningitis-retention syndrome is a rare condition linking central nervous system inflammation with urinary dysfunction.
This case highlights the diagnostic challenges and potential for spontaneous recovery.

Observation:

A 48-year-old male presented with fever, headache, and urinary retention.
Cerebrospinal fluid analysis suggested aseptic meningitis.
Urodynamic testing indicated an underactive detrusor with impaired bladder contractility.

Findings:

The patient required temporary clean intermittent self-catheterization.
Following discharge, normal urinary voiding was restored within two weeks.
Repeat urodynamic tests confirmed normal bladder contractility.

Implications:

This case suggests that meningitis-retention syndrome, particularly when aseptic, may have a favorable prognosis.
Urodynamic evaluation is crucial for diagnosing detrusor underactivity in this context.
Spontaneous resolution of bladder dysfunction is possible, potentially avoiding long-term interventions.