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Delayed neurological bladder after cervical trauma.

R Delfini, A Mariottini, P Ciappetta

Journal of Neurosurgical Sciences

|July 1, 1983

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This study details a case of upper motor neuron neurological bladder following vertebral trauma. Surgical intervention for spondylogenetic myelopathy led to immediate improvement in urinary function.

Area of Science:

Neurology
Urology
Spinal Cord Injury

Background:

Neurological bladder, specifically upper motor neuron type, can arise secondary to spinal cord trauma.
Vertebral trauma, such as C6 retrodislocation, may lead to delayed neurological deficits.
Spondylosis can contribute to or exacerbate spinal cord compression and neurological dysfunction.

Observation:

A patient developed symptoms of upper motor neuron neurological bladder years after sustaining a C6 vertebral trauma with retrodislocation.
The clinical presentation suggested a combined traumatic and spondylosic etiology for the bladder dysfunction.
The patient's urinary disturbance manifested several years post-injury, indicating a chronic or progressive process.

Findings:

Surgical intervention, employing techniques for spondylogenetic myelopathies, was performed.

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Immediate and significant improvement in urinary disturbance was observed post-surgery.

The surgical decompression effectively addressed the underlying cause of the neurological bladder.

Implications:

Surgical management of spinal cord compression secondary to trauma and spondylosis can successfully restore bladder function.
Delayed-onset neurological deficits following vertebral trauma warrant thorough investigation and consideration of surgical options.
This case highlights the potential for long-term urological sequelae from spinal injuries and the efficacy of targeted surgical decompression.