Case Report
Position-dependent urinary retention in a traumatic brain injury patient: a case report
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* Corresponding author: Ivan Chernev ivantchernev@yahoo.com
1 Department of Rehabilitation Medicine, Boston University Medical Center, Boston, Massachusetts, USA
2 Department of Physical Medicine and Rehabilitation, Veterans Health Administration, Boston Healthcare System, West Roxbury, Massachusetts, USA
Cases Journal 2009, 2:9120 doi:10.1186/1757-1626-2-9120
Published: 30 November 2009Abstract
Introduction
Voiding disorders are common complication after traumatic brain injury. Usually, they are caused by neurogenic bladder although they can also occur as a result of other pathologic processes and conditions as well as side effects of medications.
Case presentation
A 62-year-old traumatic brain injury patient with position-dependent urinary retention is presented in this article. Neurogenic bladder with detrusor sphincter dyssynergia was suspected initially, with detection of multiple small bladder stones as the final cause of his urinary retention afterwards.
Conclusion
Careful clinical, imaging, and urodynamic evaluation must be performed in traumatic brain injury patients to exclude the coexistence of two or more factors leading to urinary dysfunction in this population group.