Two Pediatric Cases of Successful Management of Postictal Transient Urinary Retention

Area of Science:

• Pediatric Neurology
• Urology
• Rehabilitation Medicine

Background:

• Postictal urinary retention is a rare complication following seizures.
• Children with cognitive impairments may be at higher risk.
• This condition can present with significant abdominal distension.

Observation:

• Two pediatric cases with intellectual disabilities (cerebral palsy and Rett syndrome) presented with urinary retention post-seizure.
• Neurological progression was ruled out as the cause.
• Patients required specialized evaluation and management in a rehabilitation setting.

Findings:

• Two distinct management strategies were employed: serial manual cystometrograms and clean intermittent catheterization with a voiding diary.
• Both approaches successfully restored normal urination in the affected pediatric patients.
• Successful management highlights the potential for effective intervention in this population.

Implications:

• Highlights the need for increased awareness of postictal urinary retention in pediatric patients with cognitive impairments.
• Suggests that early recognition and appropriate management can lead to favorable outcomes.
• Emphasizes the importance of a multidisciplinary approach involving neurology, urology, and rehabilitation for these complex cases.