Neurogenic bladder in children remains a frequent motif of presentation to pediatric, urologic and neurosurgical outpatient clinics. The most common cause of pediatric neurogenic bladder is open or closed spinal dysraphism, lipomyelomeningocele, tethered spinal cord, split-cord syndrome are among the most common forms of such dysraphism[1]. The usual presentation of spinal dysraphism comprises specific skin stigamata as in closed spina bifida, sensorimotor deficits of lower limbs with associated orthopedic deformities and urinary symptoms. In addition, and at older age, children may also complain of back and lower limb pain. Neurogenic bladder, in which there is a neural dysfunction of the urinary bladder, can present with lower urinary tract symptoms, urinary incontinence, nocturnal enuresis, recurrent infections, or vesicoureteral reflux [2]. Conservative management of patients with neurogenic bladder aims to preserve kidney function, decrease episodes of recurrent infections and incontinence. Anticholinergics, Botulinum toxin injection, with or without clean intermittent catheterization [3] and sometimes interventions to correct vesicoureteral reflux and bladder augmentation can be used. In addition, neurosurgical interventions may be needed to correct the specific neural axis anomaly, mainly the spinal dysraphism [4].

It is not uncommon for a spina bifida occulta to present only with urinary symptoms, but it is rare for a syringomyelia, a fluid-filled cavitation of the spinal cord, to do so. In this article, we present a case of idiopathic syringomyelia presenting with neurogenic bladder, without any other neurological or orthopedic manifestations.

Title

Palestinian Medical and Pharmaceutical Journal

Publisher

An-Najah National University

Publisher Country

Palestine

Indexing

Scopus

Impact Factor

None

Publication Type

Both (Printed and Online)

Volume

7

Year

2022

Pages

Accepted in the Palestinian Medical and Pharmaceutical Journal o