Postirradiation lumbosacral radiculopathy following seminoma treatment presenting as flaccid neuropathic bladder: a case report

<p>Abstract</p> <p>Introduction</p> <p>Postirradiation lumbosacral syndrome is a radiculopathy induced by radiation injury to the spinal cord. Its usual presentation is motor deficit and or sensory loss involving the lower limbs. Visceral involvement has not been report...

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Main Authors: Hickey David P, Raheem Omer A
Format: Article
Language:English
Published: BMC 2011-04-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/5/1/148
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author Hickey David P
Raheem Omer A
author_facet Hickey David P
Raheem Omer A
author_sort Hickey David P
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>Postirradiation lumbosacral syndrome is a radiculopathy induced by radiation injury to the spinal cord. Its usual presentation is motor deficit and or sensory loss involving the lower limbs. Visceral involvement has not been reported previously.</p> <p>Case presentation</p> <p>We describe a case of severe hypotonic bladder caused by radiation-induced spinal cord injury following treatment of stage Ι testicular seminoma in a 38-year-old Caucasian man who had undergone radical orchidectomy and prophylactic paraaortic lymph node irradiation for stage Ι seminoma. Three years later he had clinical and urodynamic findings of hypotonic bladder. The magnetic resonance imaging results suggested a radiation-induced injury.</p> <p>Conclusion</p> <p>Such an unusual presentation of the syndrome of postirradiation lumbosacral radiculopathy can impose a clinical challenge to practicing clinicians. Future studies are required to further delineate the mechanism of injury and further management plans.</p>
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spelling doaj.art-d3fae30b217049f2b98f74857b8a82812022-12-22T03:10:49ZengBMCJournal of Medical Case Reports1752-19472011-04-015114810.1186/1752-1947-5-148Postirradiation lumbosacral radiculopathy following seminoma treatment presenting as flaccid neuropathic bladder: a case reportHickey David PRaheem Omer A<p>Abstract</p> <p>Introduction</p> <p>Postirradiation lumbosacral syndrome is a radiculopathy induced by radiation injury to the spinal cord. Its usual presentation is motor deficit and or sensory loss involving the lower limbs. Visceral involvement has not been reported previously.</p> <p>Case presentation</p> <p>We describe a case of severe hypotonic bladder caused by radiation-induced spinal cord injury following treatment of stage Ι testicular seminoma in a 38-year-old Caucasian man who had undergone radical orchidectomy and prophylactic paraaortic lymph node irradiation for stage Ι seminoma. Three years later he had clinical and urodynamic findings of hypotonic bladder. The magnetic resonance imaging results suggested a radiation-induced injury.</p> <p>Conclusion</p> <p>Such an unusual presentation of the syndrome of postirradiation lumbosacral radiculopathy can impose a clinical challenge to practicing clinicians. Future studies are required to further delineate the mechanism of injury and further management plans.</p>http://www.jmedicalcasereports.com/content/5/1/148
spellingShingle Hickey David P
Raheem Omer A
Postirradiation lumbosacral radiculopathy following seminoma treatment presenting as flaccid neuropathic bladder: a case report
Journal of Medical Case Reports
title Postirradiation lumbosacral radiculopathy following seminoma treatment presenting as flaccid neuropathic bladder: a case report
title_full Postirradiation lumbosacral radiculopathy following seminoma treatment presenting as flaccid neuropathic bladder: a case report
title_fullStr Postirradiation lumbosacral radiculopathy following seminoma treatment presenting as flaccid neuropathic bladder: a case report
title_full_unstemmed Postirradiation lumbosacral radiculopathy following seminoma treatment presenting as flaccid neuropathic bladder: a case report
title_short Postirradiation lumbosacral radiculopathy following seminoma treatment presenting as flaccid neuropathic bladder: a case report
title_sort postirradiation lumbosacral radiculopathy following seminoma treatment presenting as flaccid neuropathic bladder a case report
url http://www.jmedicalcasereports.com/content/5/1/148
work_keys_str_mv AT hickeydavidp postirradiationlumbosacralradiculopathyfollowingseminomatreatmentpresentingasflaccidneuropathicbladderacasereport
AT raheemomera postirradiationlumbosacralradiculopathyfollowingseminomatreatmentpresentingasflaccidneuropathicbladderacasereport