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Titolo:
Neurological worsening due to infection from renal stones in a multiple sclerosis patient
Autore:
Hillman, LJ; Burns, SP; Kraft, GH;
Indirizzi:
Univ Washington, Dept Rehabil Med, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 t Rehabil Med, Seattle, WA 98195 USA VA Puget Sound Hlth Care Syst, Seattle, WA USA VA Puget Sound Hlth Care Syst Seattle WA USA Care Syst, Seattle, WA USA
Titolo Testata:
MULTIPLE SCLEROSIS
fascicolo: 6, volume: 6, anno: 2000,
pagine: 403 - 406
SICI:
1352-4585(200012)6:6<403:NWDTIF>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
URINARY-TRACT DYSFUNCTION; VESICOURETHRAL DYSFUNCTION; URODYNAMIC FINDINGS; BLADDER; ABNORMALITIES;
Keywords:
multiple sclerosis; complications; neurogenic bladder; quadriplegic; infection;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Hillman, LJ Iowa Orthoped Ctr, 411 Laurel St,Ste 3300, Des Moines, IA 50314 USA Iowa Orthoped Ctr 411 Laurel St,Ste 3300 Des Moines IA USA 50314
Citazione:
L.J. Hillman et al., "Neurological worsening due to infection from renal stones in a multiple sclerosis patient", MULT SCLER, 6(6), 2000, pp. 403-406

Abstract

Symptomatic bladder dysfunction occurs in the majority of patients with multiple sclerosis (MS). Although guidelines have been established for diagnosis and management of bladder dysfunction in these patients, they are sometimes overlooked in the primary core setting, leading to severe, life threatening complications. A 64-year-old mole with a 31-year history of spastic quadriparetic MS and neurogenic bladder dysfunction managed with on indwelling catheter, presented to the hospital with worsening neurological function. He had developed increased weakness and cognitive impairment several weeks after being treated for a urinary trace infection (UTI). He hod become unable to perform any activities of daily living or drive his power wheelchair. After on extensive work-up, he was found to have a large (14 x 18 x 30 cm) retroperitoneal abscess and multiple renal stones, including a large obstructing calculus in the collecting system near the ureteropelvic junction,end he underwent nephrectomy end abscess drainage. Of note, he had been found to have multiple renal stones end hydronephrosis on renal ultrasound 3 years earlier, but he had received no treatment Following drainage of the abscess, his upper extremity neurological function returned to baseline, hiscognitive status improved and he regained the ability to perform activities of daily living. Patients with paralysis from MS, much like those with traumatic spinel cord injuries, are at grave risk of mortality and morbidity from undiagnosed and under-treated urinary complications. This case demonstrates that evaluation end appropriate treatment for complications of neurogenic bladder should be part of routine care for patients with MS. Current recommendations for evaluation and management of bladder dysfunction in patients with MS will be reviewed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/08/20 alle ore 03:22:45