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Fırat Tıp Dergisi
2009, Cilt 14, Sayı 2, Sayfa(lar) 137-140
[ Turkish ] [ Tam Metin ] [ PDF ]
Dissynergic Bladder and Hydronephrosis in A Case of Spinal Intramedullary Dermoid Cyst
Ebru GERÇEK1, Metin KAPLAN1, Fatih Serhat EROL1, Mehmet Faik ÖZVEREN2
1Fırat Tıp Merkezi, Nöroşirurji, ELAZIĞ, Türkiye
2Ankara Atatürk Eğitim Hastanesi, Nöroşirurji, ANKARA, Türkiye

Spinal dermoid cyst is a rare pathology among the intamedullary spinal cord tumors. An 11 year old female patient applied with nausea, vomiting, and urine-bowel incontinence. The personal history of the patient revealed that she had been treated at the infectious diseases, pediatrics, and psychiatry departments of various centers for reccurent urinary tract infection and enuresis nocturna. Investigations revealed grade III hydronephrosis with dissynergic bladder and spinal intramedullary mass. The content of the mass was removed. The pathological diagnosis was dermoid cyst.The urinary incontinence of the patient improved to time to time night micturations. Hydronephrosis grade III had improved to grade II on the renal ultrasonography at the postoperative 1styear. In pediatric cases with frequent need for urination, continual drops after urination and relapsing urinary tract infections, the pathologies of neurogenic origin should be taken into consideration, and spinal imaging must be performed

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