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• Vol.45 No.3
• CLINICA NEUROL, 45: 226−229, 2005
• Vol.45 No.3 contents

Case Report

Dissociated micturitional disturbance in a patient with cervical spondylotic myelopathy

Yoshiyuki Nishio, M.D.¹⁾*, Kohki Takane, M.D.¹⁾, Takashi Hasegawa, M.D.¹⁾, Kiyoharu Inoue, M.D.¹⁾ and Kazuya Honda, M.D.²⁾

¹⁾Department of Neurology, Jikei University School of Medicine
²⁾Department of Urology, Fukushima Medical University School of Medicine
^*Department of Behavioral Neurology and Cognitive Neuroscience, Tohoku University Graduate School of Medicine

A 58-year-old man developed dysuria and residual sensation one year after the traffic accident. Half a year later, he developed chest pain and underwent coronary arteriography. Numbness in the left arm, burning sensation below the knees and urinary retention emerged immediately after prolonged neck extention during the examination. He required intermittent catheterization of the bladder because of persistent dysuria. Urodynamic study revealed detrusor-sphincter dyssynergia. The micturitional disturbance improved with the application of a soft cervical collar and a bed rest. MRI of the cervical spine showed spinal cord compression at the C5/6 and a small hyperintensity area on T2WI in the spinal cord at the C5 level. The case suggests that micturitional dysfunction can be severe without remarkable sensorimotor disturbances of the lower extremities in cervical spondylotic myelopathy.

(CLINICA NEUROL, 45: 226−229, 2005)
key words: cervical spondylotic myelopathy, micturitional disturbance, detrusor-sphincter dyssynergia

(Received: 25-May-04)