Exclusive Neurogenic Bladder and Fecal Incontinency in an Achondroplasic Child Successfully Treated with Lumbar Foraminal Decompression.


Journal

Pediatric neurosurgery
ISSN: 1423-0305
Titre abrégé: Pediatr Neurosurg
Pays: Switzerland
ID NLM: 9114967

Informations de publication

Date de publication:
2021
Historique:
received: 18 08 2020
accepted: 06 06 2021
pubmed: 29 7 2021
medline: 29 10 2021
entrez: 28 7 2021
Statut: ppublish

Résumé

Achondroplasia is a genetic disorder characterized by defects in the development of endochondral bone resulting in skeletal abnormalities like stenosis of the foramen magnum and of the spine, shortened limb bones, and macrocephaly. Congenital spinal stenosis is frequent and due to premature fusion of the pedicles to the laminae. We report a case of neurogenic bladder and fecal incontinence due to lumbar stenosis successfully treated with L1-L5 partial laminectomy and foraminotomy in a 7-year-old achondroplasic child. To our knowledge, this is the first case report of exclusive neurogenic bladder and fecal incontinence in an achondroplasic child. Neurogenic bladder and fecal incontinence without motor impairment may be early and exclusive clinical findings of lumbar stenosis in children with achondroplasia.

Identifiants

pubmed: 34320505
pii: 000517652
doi: 10.1159/000517652
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

471-476

Informations de copyright

© 2021 S. Karger AG, Basel.

Auteurs

Flavio Giordano (F)

Department of Neurosurgery, Children's Hospital A. Meyer-University of Florence, Florence, Italy.

Matteo Lenge (M)

Department of Neurosurgery, Children's Hospital A. Meyer-University of Florence, Florence, Italy, matteo.lenge@meyer.it.
Department of Neuroscience, Child Neurology Unit, Children's Hospital A. Meyer-University of Florence, Florence, Italy, matteo.lenge@meyer.it.

Pierarturo Donati (P)

Department of Neurosurgery, Children's Hospital A. Meyer-University of Florence, Florence, Italy.

Lorenzo Mongardi (L)

Department of Neurosurgery, Nuovo Ospedale Cona, University of Ferrara, Ferrara, Italy.

Gianpiero Di Giacomo (G)

Department of Neurosurgery, Children's Hospital A. Meyer-University of Florence, Florence, Italy.
Department of Neuroscience, Child Neurology Unit, Children's Hospital A. Meyer-University of Florence, Florence, Italy.

Regina Mura (R)

Department of Neurosurgery, Children's Hospital A. Meyer-University of Florence, Florence, Italy.

Maria Taverna (M)

Department of Surgery, Pediatric Urology Unit, Children's Hospital A. Meyer-University of Florence, Florence, Italy.

Chiara Cini (C)

Department of Surgery, Pediatric Urology Unit, Children's Hospital A. Meyer-University of Florence, Florence, Italy.

Simone Peraio (S)

Department of Neurosurgery, Children's Hospital A. Meyer-University of Florence, Florence, Italy.

Giovanni Poggi (G)

Department of Pediatrics, Children's Hospital A. Meyer-University of Florence, Florence, Italy.

Germana Tuccinardi (G)

Neuroanesthesiology Unit, Children's Hospital A. Meyer-University of Florence, Florence, Italy.

Sabrina Giglio (S)

Clinical Genetics Unit, Children's Hospital A. Meyer-University of Florence, Florence, Italy.

Lorenzo Genitori (L)

Department of Neurosurgery, Children's Hospital A. Meyer-University of Florence, Florence, Italy.

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