Meningitis-retention syndrome: Difference between revisions
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{{Infobox medical condition | |||
| name = Meningitis-retention syndrome | |||
| image = [[File:BladderCNSpathways_b.jpg|250px]] | |||
| caption = Diagram showing the pathways involved in bladder control, which can be affected in meningitis-retention syndrome. | |||
| field = [[Neurology]], [[Urology]] | |||
| symptoms = [[Urinary retention]], [[Headache]], [[Fever]], [[Neck stiffness]] | |||
| complications = [[Urinary tract infection]], [[Bladder damage]] | |||
| onset = Acute | |||
| duration = Variable | |||
| causes = [[Meningitis]] | |||
| risks = [[Bacterial meningitis]], [[Viral meningitis]] | |||
| diagnosis = [[Clinical diagnosis]], [[Lumbar puncture]], [[MRI]] | |||
| differential = [[Urinary tract infection]], [[Multiple sclerosis]], [[Spinal cord injury]] | |||
| treatment = [[Antibiotics]], [[Catheterization]], [[Corticosteroids]] | |||
| prognosis = Generally good with treatment | |||
| frequency = Rare | |||
}} | |||
{{Short description|Neurological disorder characterized by urinary retention and meningitis}} | {{Short description|Neurological disorder characterized by urinary retention and meningitis}} | ||
'''Meningitis-retention syndrome''' (MRS) is a rare neurological disorder characterized by the combination of [[aseptic meningitis]] and acute urinary retention. This syndrome is considered a type of [[neurogenic bladder]] dysfunction associated with inflammation of the [[central nervous system]]. | '''Meningitis-retention syndrome''' (MRS) is a rare neurological disorder characterized by the combination of [[aseptic meningitis]] and acute urinary retention. This syndrome is considered a type of [[neurogenic bladder]] dysfunction associated with inflammation of the [[central nervous system]]. | ||
==Clinical Presentation== | ==Clinical Presentation== | ||
Meningitis-retention syndrome typically presents with symptoms of meningitis, such as [[headache]], [[fever]], and [[neck stiffness]], alongside urinary retention. Patients may also experience other neurological symptoms, including [[photophobia]], [[nausea]], and [[vomiting]]. The urinary retention is often acute and may require catheterization for management. | Meningitis-retention syndrome typically presents with symptoms of meningitis, such as [[headache]], [[fever]], and [[neck stiffness]], alongside urinary retention. Patients may also experience other neurological symptoms, including [[photophobia]], [[nausea]], and [[vomiting]]. The urinary retention is often acute and may require catheterization for management. | ||
==Pathophysiology== | ==Pathophysiology== | ||
The exact pathophysiology of meningitis-retention syndrome is not fully understood. It is hypothesized that inflammation of the [[meninges]] leads to dysfunction of the [[autonomic nervous system]], particularly affecting the [[sacral spinal cord]] segments responsible for bladder control. This results in a failure of the bladder to contract properly, leading to urinary retention. | The exact pathophysiology of meningitis-retention syndrome is not fully understood. It is hypothesized that inflammation of the [[meninges]] leads to dysfunction of the [[autonomic nervous system]], particularly affecting the [[sacral spinal cord]] segments responsible for bladder control. This results in a failure of the bladder to contract properly, leading to urinary retention. | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of meningitis-retention syndrome involves a combination of clinical evaluation and diagnostic testing. [[Lumbar puncture]] is performed to assess the [[cerebrospinal fluid]] (CSF) for signs of aseptic meningitis, such as elevated white blood cell count and protein levels, with normal glucose levels. Imaging studies, such as [[MRI]] of the brain and spine, may be conducted to rule out other causes of the symptoms. | Diagnosis of meningitis-retention syndrome involves a combination of clinical evaluation and diagnostic testing. [[Lumbar puncture]] is performed to assess the [[cerebrospinal fluid]] (CSF) for signs of aseptic meningitis, such as elevated white blood cell count and protein levels, with normal glucose levels. Imaging studies, such as [[MRI]] of the brain and spine, may be conducted to rule out other causes of the symptoms. | ||
==Management== | ==Management== | ||
Management of meningitis-retention syndrome focuses on symptomatic relief and addressing the underlying inflammation. Treatment may include the use of [[corticosteroids]] to reduce inflammation and [[antiviral]] or [[antibiotic]] therapy if an infectious cause is suspected. Urinary retention is managed with catheterization until normal bladder function is restored. | Management of meningitis-retention syndrome focuses on symptomatic relief and addressing the underlying inflammation. Treatment may include the use of [[corticosteroids]] to reduce inflammation and [[antiviral]] or [[antibiotic]] therapy if an infectious cause is suspected. Urinary retention is managed with catheterization until normal bladder function is restored. | ||
==Prognosis== | ==Prognosis== | ||
The prognosis for patients with meningitis-retention syndrome is generally favorable, with most individuals experiencing complete recovery of bladder function and resolution of meningitis symptoms. However, the duration of symptoms can vary, and some patients may experience recurrent episodes. | The prognosis for patients with meningitis-retention syndrome is generally favorable, with most individuals experiencing complete recovery of bladder function and resolution of meningitis symptoms. However, the duration of symptoms can vary, and some patients may experience recurrent episodes. | ||
==See also== | |||
== | |||
* [[Meningitis]] | * [[Meningitis]] | ||
* [[Neurogenic bladder]] | * [[Neurogenic bladder]] | ||
* [[Aseptic meningitis]] | * [[Aseptic meningitis]] | ||
* [[Autonomic nervous system]] | * [[Autonomic nervous system]] | ||
[[Category:Neurological disorders]] | [[Category:Neurological disorders]] | ||
[[Category:Urological conditions]] | [[Category:Urological conditions]] | ||
Latest revision as of 05:42, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Meningitis-retention syndrome | |
|---|---|
| |
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Urinary retention, Headache, Fever, Neck stiffness |
| Complications | Urinary tract infection, Bladder damage |
| Onset | Acute |
| Duration | Variable |
| Types | N/A |
| Causes | Meningitis |
| Risks | Bacterial meningitis, Viral meningitis |
| Diagnosis | Clinical diagnosis, Lumbar puncture, MRI |
| Differential diagnosis | Urinary tract infection, Multiple sclerosis, Spinal cord injury |
| Prevention | N/A |
| Treatment | Antibiotics, Catheterization, Corticosteroids |
| Medication | N/A |
| Prognosis | Generally good with treatment |
| Frequency | Rare |
| Deaths | N/A |
Neurological disorder characterized by urinary retention and meningitis
Meningitis-retention syndrome (MRS) is a rare neurological disorder characterized by the combination of aseptic meningitis and acute urinary retention. This syndrome is considered a type of neurogenic bladder dysfunction associated with inflammation of the central nervous system.
Clinical Presentation[edit]
Meningitis-retention syndrome typically presents with symptoms of meningitis, such as headache, fever, and neck stiffness, alongside urinary retention. Patients may also experience other neurological symptoms, including photophobia, nausea, and vomiting. The urinary retention is often acute and may require catheterization for management.
Pathophysiology[edit]
The exact pathophysiology of meningitis-retention syndrome is not fully understood. It is hypothesized that inflammation of the meninges leads to dysfunction of the autonomic nervous system, particularly affecting the sacral spinal cord segments responsible for bladder control. This results in a failure of the bladder to contract properly, leading to urinary retention.
Diagnosis[edit]
Diagnosis of meningitis-retention syndrome involves a combination of clinical evaluation and diagnostic testing. Lumbar puncture is performed to assess the cerebrospinal fluid (CSF) for signs of aseptic meningitis, such as elevated white blood cell count and protein levels, with normal glucose levels. Imaging studies, such as MRI of the brain and spine, may be conducted to rule out other causes of the symptoms.
Management[edit]
Management of meningitis-retention syndrome focuses on symptomatic relief and addressing the underlying inflammation. Treatment may include the use of corticosteroids to reduce inflammation and antiviral or antibiotic therapy if an infectious cause is suspected. Urinary retention is managed with catheterization until normal bladder function is restored.
Prognosis[edit]
The prognosis for patients with meningitis-retention syndrome is generally favorable, with most individuals experiencing complete recovery of bladder function and resolution of meningitis symptoms. However, the duration of symptoms can vary, and some patients may experience recurrent episodes.
