Journal article
Right Tegmental Hemorrhage with Urinary Retention: A Case Report
Case reports in neurology, Vol.14(1), pp.68-71
02/01/2022
DOI: 10.1159/000521328
PMCID: PMC8921961
PMID: 35350285
Abstract
The upper brainstem tegmentum is dense and complex, making it difficult to localize functions to specific subregions. In particular, the precise location and possible laterality of subregions supporting basic functions like consciousness and urinary continence remain unclear. Here, we describe a patient who presented with a right pontine tegmental syndrome caused by intraparenchymal hemorrhage. Despite hemorrhage extension into the fourth ventricle and expansion of both hemorrhage and edema into a large region of the caudal midbrain and right-sided pontine tegmentum, this patient did not lose consciousness. Instead, he developed new and total urinary retention, with residual bladder volumes of more than 1,000 mL. We conclude that injury to the right pontine tegmentum is sufficient to disrupt the micturition reflex pathway.
Details
- Title: Subtitle
- Right Tegmental Hemorrhage with Urinary Retention: A Case Report
- Creators
- Margaret M. TishAaron D. BoesJoel C. Geerling
- Resource Type
- Journal article
- Publication Details
- Case reports in neurology, Vol.14(1), pp.68-71
- DOI
- 10.1159/000521328
- PMID
- 35350285
- PMCID
- PMC8921961
- NLM abbreviation
- Case Rep Neurol
- eISSN
- 1662-680X
- Publisher
- Karger Publishers
- Language
- English
- Date published
- 02/01/2022
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Neurology; Psychiatry; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Neurology (Pediatrics)
- Record Identifier
- 9984221660202771
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