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Neurophysiologic Assessment of Urinary Dysfunction in Children With Thoracic Syringomyelia

Children's Hospital, the department of Neurology, Harvard Medical School, Boston, MA

Mary Kelly, RN

Brigham and Women's Hospital, the Departments de Urology Children's Hospital, Harvard Medical School, Boston, MA

Mary Darbey, RN

Brigham and Women's Hospital, the Departments de Urology Children's Hospital, Harvard Medical School, Boston, MA

Stuart Bauer, MD

Brigham and Women's Hospital, the Departments de Urology Children's Hospital, Harvard Medical School, Boston, MA, Children's Hospital, the department of Neurosurgery, Harvard Medical School, Boston, MA

R. Michael Scott, MD

Brigham and Women's Hospital, the Department of Neurosurgery, Harvard Medical School, Boston, MA, Children's Hospital, the department of Neurosurgery, Harvard Medical School, Boston, MA

Isolated syringomyelia of the thoracic portion of the spinal cord is relatively uncommon. In children, signs and symptoms may involve only the urinary system. Five children who presented for evaluation of urinary tract dysfunction were found to have syringomyelia of the thoracic cord not associated with any other central nervous system abnormality on radiographic imaging. Each child underwent a complete neurologic examination and a complete electrophysiologic/urodynamic evaluation. One patient underwent surgical drainage of the syrinx due to progression of neurologic deficit, with slight improvement; three patients were treated pharmacologically to control the urinary dysfunction. (J Child Neurol 1995;10:451-454).

Journal of Child Neurology, Vol. 10, No. 6, 451-454 (1995)
DOI: 10.1177/088307389501000605


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