Thoracic spinal arachnoid cyst in a pediatric patient presenting with isolated bladder and bowel incontinence

Spinal arachnoid cysts (SAC) are uncommon benign spinal cord lesions, particularly in children, that can result in a variety of neurologic symptoms, including neurogenic bladder. Here we present the case of a 7-year-old female with new onset, isolated urinary and stool incontinence who was found to...

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Main Authors: Katherine M. Fischer, Peter J. Madsen, Alexander M. Tucker, Christopher J. Long
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442022001413
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author Katherine M. Fischer
Peter J. Madsen
Alexander M. Tucker
Christopher J. Long
author_facet Katherine M. Fischer
Peter J. Madsen
Alexander M. Tucker
Christopher J. Long
author_sort Katherine M. Fischer
collection DOAJ
description Spinal arachnoid cysts (SAC) are uncommon benign spinal cord lesions, particularly in children, that can result in a variety of neurologic symptoms, including neurogenic bladder. Here we present the case of a 7-year-old female with new onset, isolated urinary and stool incontinence who was found to have a T4-T7 SAC. Though this was initially believed to be an incidental imaging finding, after thorough work-up and persistence of her symptoms despite conservative measures she underwent neurosurgical intervention with complete resolution of incontinence. SAC represents a very rare but potentially reversible cause of neurogenic bladder that the urologist should be aware of.
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spelling doaj.art-fc7ae4bf63a14506b654dc7a747c43e32022-12-22T02:52:00ZengElsevierUrology Case Reports2214-44202022-09-0144102129Thoracic spinal arachnoid cyst in a pediatric patient presenting with isolated bladder and bowel incontinenceKatherine M. Fischer0Peter J. Madsen1Alexander M. Tucker2Christopher J. Long3Division of Urology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA; Corresponding author. Division of Urology Children's Hospital of Philadelphia 3401 Civic Center Blvd, 3rd Floor Wood Building, Philadelphia, PA, 19104, USA.Division of Neurosurgery, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USADivision of Neurosurgery, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USADivision of Urology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USASpinal arachnoid cysts (SAC) are uncommon benign spinal cord lesions, particularly in children, that can result in a variety of neurologic symptoms, including neurogenic bladder. Here we present the case of a 7-year-old female with new onset, isolated urinary and stool incontinence who was found to have a T4-T7 SAC. Though this was initially believed to be an incidental imaging finding, after thorough work-up and persistence of her symptoms despite conservative measures she underwent neurosurgical intervention with complete resolution of incontinence. SAC represents a very rare but potentially reversible cause of neurogenic bladder that the urologist should be aware of.http://www.sciencedirect.com/science/article/pii/S2214442022001413PediatricsSpinal arachnoid cystCauda equina syndromeNeurogenic bladder and bowel dysfunctionUrodynamics
spellingShingle Katherine M. Fischer
Peter J. Madsen
Alexander M. Tucker
Christopher J. Long
Thoracic spinal arachnoid cyst in a pediatric patient presenting with isolated bladder and bowel incontinence
Urology Case Reports
Pediatrics
Spinal arachnoid cyst
Cauda equina syndrome
Neurogenic bladder and bowel dysfunction
Urodynamics
title Thoracic spinal arachnoid cyst in a pediatric patient presenting with isolated bladder and bowel incontinence
title_full Thoracic spinal arachnoid cyst in a pediatric patient presenting with isolated bladder and bowel incontinence
title_fullStr Thoracic spinal arachnoid cyst in a pediatric patient presenting with isolated bladder and bowel incontinence
title_full_unstemmed Thoracic spinal arachnoid cyst in a pediatric patient presenting with isolated bladder and bowel incontinence
title_short Thoracic spinal arachnoid cyst in a pediatric patient presenting with isolated bladder and bowel incontinence
title_sort thoracic spinal arachnoid cyst in a pediatric patient presenting with isolated bladder and bowel incontinence
topic Pediatrics
Spinal arachnoid cyst
Cauda equina syndrome
Neurogenic bladder and bowel dysfunction
Urodynamics
url http://www.sciencedirect.com/science/article/pii/S2214442022001413
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AT alexandermtucker thoracicspinalarachnoidcystinapediatricpatientpresentingwithisolatedbladderandbowelincontinence
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