We present a case of a 54-year-old man with progressive lower urinary tract symptoms over 12 months.
Physical examination, urinalysis, serum biochemistry and ultrasound of the renal tract were all unremarkable. Flexible cystoscopy was normal. Urodynamic assessment revealed an overactive bladder of unknown aetiology. The patient went on to have an MRI of the lumbosacral spine which showed a spinal cord tumour of the conus medullaris. The patient underwent a laminectomy and resection of the tumour. Histology showed myxopapillary ependymoma of the spinal cord. This case highlights the need to consider the full spectrum of causes, urological and non-urological, in assessing a patient with voiding dysfunction.
Written by:
Ashrafi A, Winkle D. Are you the author?
Department of Urology and Continence, Mater Health Services, Brisbane, Queensland, Australia.
Reference: BMJ Case Rep. 2014 Jul 17;2014. pii: bcr2013202630.
doi: 10.1136/bcr-2013-202630
PubMed Abstract
PMID: 25035441
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