Chronic Renal Failure Secondary to Unrecognized Neurogenic Bladder in A Child with Myelodysplasia
Iranian Journal of Child Neurology,
Vol. 11 No. 2 (2017),
1 April 2017
,
Page 78-81
https://doi.org/10.22037/ijcn.v11i2.13753
Abstract
How to Cite This Article: Ahmed S, Paul SP. Chronic Renal Failure Secondary to Unrecognized Neurogenic Bladder in A Child with Myelodysplasia. Iran J Child Neurol. Spring 2017; 11(2):78-81.
Abstract
Myelodysplasia includes a group of developmental anomalies resulting from defects that occur during neural tube closure. Urological morbidity in patients with myelodysplasia is significant and if not treated appropriately in a timely manner can potentially lead to progressive renal failure, requiring dialysis or transplantation. We report the case of a 13-year old girl with neurogenic bladder who presented chronic renal failure secondary to lipomyelomeningocele with retethering of cord. She was managed with urinary indwelling catheterization until optimization of renal function and then underwent detethering of cord with excision and repair of residual lipomeningomyelocele. Her renal parameters improved gradually over weeks and then were managed on self clean intermittent catheterization. The case emphasizes the need for considering rethering of spinal cord in children with myelodysplasia where symptoms of neurogenic bladder and recurrent urinary tract infections occur.
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- Neurogenic bladder
- Lipomyelomeningocele
- Chronic renal failure
- Urinary tract infections
- Clean intermittent catheterization
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