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Neuropathic bladder and spinal dysraphism

M Borzyskowski, B G Neville

    Archives of Disease in Childhood
    |March 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Spinal dysraphism can cause neuropathic bladder dysfunction, often delaying diagnosis of spinal lesions and renal issues. This study highlights how lower motor neurone deficits, not upper, may cause bladder abnormalities in children.

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    Area of Science:

    • Pediatric Neurology
    • Urology
    • Spinal Cord Medicine

    Background:

    • The link between spinal dysraphism and neuropathic bladder is established.
    • Diagnosis and management of associated renal problems are frequently delayed.
    • Neuropathic bladder is a significant disability in affected children.

    Observation:

    • Four children with orthopedic issues presented with bladder dysfunction as their primary disability.
    • Vertebral involvement varied significantly among the cases.
    • All children exhibited lower motor neurone neurological deficits localized to lumbar and upper sacral segments.

    Findings:

    • All patients presented with small, unstable bladders exhibiting variable thickening.
    • The bladder abnormalities are proposed to stem from partial lesions affecting lumbosacral innervation.

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  • The findings suggest these bladder issues are not caused by upper motor neurone lesions.

    • Implications:

    • Early identification of spinal dysraphism and associated bladder dysfunction is crucial.
    • Understanding the specific neurological deficits (lower vs. upper motor neurone) can refine diagnosis and treatment.
    • This research may lead to improved management strategies for neuropathic bladder in children with spinal dysraphism.