advertisement
Reply
 
Thread Tools Display Modes
Old 10-12-2006, 11:38 AM #1
GJZH's Avatar
GJZH GJZH is offline
Member
 
Join Date: Aug 2006
Location: PA
Posts: 289
15 yr Member
GJZH GJZH is offline
Member
GJZH's Avatar
 
Join Date: Aug 2006
Location: PA
Posts: 289
15 yr Member
Default Sacral nerve root cysts - a rare cause of bladder dysfunction.]

Sacral nerve root cysts - a rare cause of bladder dysfunction.]
CME
AMD Special Report CME Newsletter: Volume 1
Peter Campochiaro, MD, discusses the latest understanding on anti-VEGF agents; results from ASRS 2005 are discussed; and recent retinal studies in the literature are reviewed.


Aktuelle Urol. 2006; 37(5):372-5 (ISSN: 0001-7868)
Kümpers P; Wiesemann E; Becker H; Haubitz B; Dengler R; Zermann DH
Abteilung Nephrologie, Medizinische Hochschule Hannover, Hannover.

INTRODUCTION: Asymptomatic cysts of the sacral nerve roots display a prevalence of 5 % and are occasionally demonstrated by MRI of the spine. Depending on their size and localization, arachnoid cysts may cause sacral or perineal pain, radicular sensomotory symptoms and neurogenic bladder and bowel dysfunction by compression of the nerve roots. CASE REPORT: We report on a case of a recently developed neurogenic bladder dysfunction. MRI of the spine demonstrated two large, liquor-filled cysts of 2.5 and 3 cm diameter, bilaterally localized at the nerve roots S2/3. Neurological and urological examinations confirmed the diagnosis of symptomatic nerve root cysts at the level S2/3, resulting in detrusor areflexia. A microsurgical excision of the cysts ameliorated the patient's pain symptoms. However, the detrusor areflexia did not improve. CONCLUSIONS: Tarlov cysts are predominantly regarded an asymptomatic incidental feature of CT and MRI scans of the spine. The case of our patient, as well as the so far published reports indicate, however, that a Tarlov cyst may cause a variety of neurological and urological symptoms. Nerve root cysts should be seriously considered and not excluded at an early stage, especially when coincident with persistent neurological and urological symptoms.
__________________
4/06 - Lumbar Fusion - L1, L2, L3, L4, L5, S1
Anterior with cages and Posterior with rods and screws.

8/17/05 - Cervical Fusion - C4-5, 5-6, 6-7 - Anterior and Posterior Fusion with plate in front and rods and screws in the rear - Corpectomy at C-4 and C-5 and microdisectomy at C6-7.

1/4/05 - Lumbar Laminectomy -L3, L4, L5, S1, S2 Obliteration of Tarlov Cyst at S2. Failed surgery!
GJZH is offline   Reply With QuoteReply With Quote

advertisement
Old 11-20-2008, 04:14 PM #2
tybee54 tybee54 is offline
New Member
 
Join Date: Nov 2008
Location: South Georgia
Posts: 1
15 yr Member
tybee54 tybee54 is offline
New Member
 
Join Date: Nov 2008
Location: South Georgia
Posts: 1
15 yr Member
Default tybee54

I am lost, I've been without the control of my bladder for over 4 months. I am a healthy 54 year old male, a bad golfer who thought all of this was the result of two bad days in a row on a golf course. I'd never had anything like this happen before and after 3 months I lost my bladder, holding upto 1500 mls in my bladder with no pain or sensation. After passing out from abdominal spasms and being brought by EMTs to a hospital ER, I have been slowly referred from doctor to doctor and have undergone a number of tests: ct scan, mri's, bladder stop/fill/function, urodynamics, spinal tap, evoked potenials. Thus far the only diagnosis is they see no tumors, not MS, I have spinal stenosis and a referral to another neurologist. For the most part the doctors seem more concerned with pain control than me getting my bladder back and urinating normally. Don't get me wrong, but if possible I'd like my life back and want to more freely live again?

Does anyone have any thoughts?

Many thanks in advanced.



Quote:
Originally Posted by GJZH View Post
Sacral nerve root cysts - a rare cause of bladder dysfunction.]
CME
AMD Special Report CME Newsletter: Volume 1
Peter Campochiaro, MD, discusses the latest understanding on anti-VEGF agents; results from ASRS 2005 are discussed; and recent retinal studies in the literature are reviewed.


Aktuelle Urol. 2006; 37(5):372-5 (ISSN: 0001-7868)
Kümpers P; Wiesemann E; Becker H; Haubitz B; Dengler R; Zermann DH
Abteilung Nephrologie, Medizinische Hochschule Hannover, Hannover.

INTRODUCTION: Asymptomatic cysts of the sacral nerve roots display a prevalence of 5 % and are occasionally demonstrated by MRI of the spine. Depending on their size and localization, arachnoid cysts may cause sacral or perineal pain, radicular sensomotory symptoms and neurogenic bladder and bowel dysfunction by compression of the nerve roots. CASE REPORT: We report on a case of a recently developed neurogenic bladder dysfunction. MRI of the spine demonstrated two large, liquor-filled cysts of 2.5 and 3 cm diameter, bilaterally localized at the nerve roots S2/3. Neurological and urological examinations confirmed the diagnosis of symptomatic nerve root cysts at the level S2/3, resulting in detrusor areflexia. A microsurgical excision of the cysts ameliorated the patient's pain symptoms. However, the detrusor areflexia did not improve. CONCLUSIONS: Tarlov cysts are predominantly regarded an asymptomatic incidental feature of CT and MRI scans of the spine. The case of our patient, as well as the so far published reports indicate, however, that a Tarlov cyst may cause a variety of neurological and urological symptoms. Nerve root cysts should be seriously considered and not excluded at an early stage, especially when coincident with persistent neurological and urological symptoms.
tybee54 is offline   Reply With QuoteReply With Quote
Reply


Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Tarlov Cysts: Are They Symptomatic? GJZH Tarlov Cyst 21 01-02-2013 10:31 AM
NINDS Tarlov Cysts Information Page GJZH Tarlov Cyst 4 04-02-2009 11:52 PM
Cysts: I am lumpy! Ellie Women's Health 7 04-16-2008 02:11 PM
Rita is having her root cannel today. MaryEvelyn Autism 2 10-09-2006 10:31 PM
Rare Mitochondrial Disorders Wheelin Rev General Health Conditions & Rare Disorders 10 08-31-2006 11:38 PM


All times are GMT -5. The time now is 06:11 PM.

Powered by vBulletin • Copyright ©2000 - 2024, Jelsoft Enterprises Ltd.

vBulletin Optimisation provided by vB Optimise v2.7.1 (Lite) - vBulletin Mods & Addons Copyright © 2024 DragonByte Technologies Ltd.
 

NeuroTalk Forums

Helping support those with neurological and related conditions.

 

The material on this site is for informational purposes only,
and is not a substitute for medical advice, diagnosis or treatment
provided by a qualified health care provider.


Always consult your doctor before trying anything you read here.