Abstract：
UNASSIGNED: This study aims to investigate cases of acontractile bladder as the initial presentation of benign and malignant spinal conditions. The focus is on the challenges in making a diagnosis and the importance of a thorough neurological evaluation.
UNASSIGNED: We conducted a retrospective case series involving three patients who exhibited symptoms of acontractile bladder. Detailed clinical histories, urodynamic studies, and imaging techniques such as lumbosacral magnetic resonance imaging (MRI) were analyzed. Histopathological findings from relevant biopsies were also taken into account.
UNASSIGNED: Case 1: A 14-year-old female presented with urinary retention, back pain, and an acontractile bladder on urodynamic study. Further examination, including lumbosacral MRI and histopathology, confirmed a diagnosis of metastatic Ewing\'s Sarcoma. Case 2: A 39-year-old female with urinary incontinence and elevated post-void residual exhibited delayed bladder sensation. Lumbar spine MRI revealed a grade I Schwannoma after surgical resection. Case 3: A 15-year-old male with lower urinary tract symptoms and an acontractile detrusor on urodynamic study was found to have a Tarlov cyst on lumbosacral MRI.
UNASSIGNED: Atonic or Underactive bladder syndrome may be the initial presentation of a serious spinal condition. Complete neurological evaluation is mandatory if no obvious clinical cause.
UNASSIGNED: We conducted a retrospective case series involving three patients who exhibited symptoms of acontractile bladder. Detailed clinical histories, urodynamic studies, and imaging techniques such as lumbosacral magnetic resonance imaging (MRI) were analyzed. Histopathological findings from relevant biopsies were also taken into account.
UNASSIGNED: Case 1: A 14-year-old female presented with urinary retention, back pain, and an acontractile bladder on urodynamic study. Further examination, including lumbosacral MRI and histopathology, confirmed a diagnosis of metastatic Ewing\'s Sarcoma. Case 2: A 39-year-old female with urinary incontinence and elevated post-void residual exhibited delayed bladder sensation. Lumbar spine MRI revealed a grade I Schwannoma after surgical resection. Case 3: A 15-year-old male with lower urinary tract symptoms and an acontractile detrusor on urodynamic study was found to have a Tarlov cyst on lumbosacral MRI.
UNASSIGNED: Atonic or Underactive bladder syndrome may be the initial presentation of a serious spinal condition. Complete neurological evaluation is mandatory if no obvious clinical cause.
摘要：
■本研究旨在调查作为良性和恶性脊柱疾病的初始表现的情况。重点是诊断中的挑战以及彻底的神经系统评估的重要性。
■我们进行了回顾性病例系列研究，涉及3名表现出膀胱收缩症状的患者。详细的临床病史，尿动力学研究,并对腰骶磁共振成像(MRI)等成像技术进行了分析。还考虑了相关活检的组织病理学发现。
■案例1：一名14岁女性出现尿潴留，背痛,和膀胱的尿动力学研究。进一步检查,包括腰骶MRI和组织病理学，确诊为转移性尤因肉瘤。病例2：一名39岁的女性尿失禁和排尿后残留物升高，表现出膀胱感觉延迟。腰椎MRI显示手术切除后为I级神经鞘瘤。病例3：在尿动力学研究中，一名15岁的男性下尿路症状和逼尿肌强肌，在腰骶部MRI上发现Tarlov囊肿。
■无张力或膀胱活动不足综合征可能是严重脊柱疾病的初始表现。如果没有明显的临床原因，则必须进行完整的神经系统评估。
■我们进行了回顾性病例系列研究，涉及3名表现出膀胱收缩症状的患者。详细的临床病史，尿动力学研究,并对腰骶磁共振成像(MRI)等成像技术进行了分析。还考虑了相关活检的组织病理学发现。
■案例1：一名14岁女性出现尿潴留，背痛,和膀胱的尿动力学研究。进一步检查,包括腰骶MRI和组织病理学，确诊为转移性尤因肉瘤。病例2：一名39岁的女性尿失禁和排尿后残留物升高，表现出膀胱感觉延迟。腰椎MRI显示手术切除后为I级神经鞘瘤。病例3：在尿动力学研究中，一名15岁的男性下尿路症状和逼尿肌强肌，在腰骶部MRI上发现Tarlov囊肿。
■无张力或膀胱活动不足综合征可能是严重脊柱疾病的初始表现。如果没有明显的临床原因，则必须进行完整的神经系统评估。
