Two Pediatric Cases of Successful Management of Postictal Transient Urinary Retention

We report two cases of postictal urinary retention in pediatric patients with cognitive impairment. Two girls with intellectual disabilities, concomitant cerebral palsy (case 1) and Rett syndrome (case 2), developed urinary retention following seizures. Their caregivers brought them to the hospital...

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Bibliographic Details
Published inAnnals of rehabilitation medicine Vol. 44; no. 1; pp. 90 - 93
Main Authors Park, Ho Eun, Lee, Je-Sang, Kim, Dong Min, Shin, Yong Beom
Format Journal Article
LanguageEnglish
Published Korea (South) Korean Academy of Rehabilitation Medicine 01.02.2020
대한재활의학회
Subjects
Case Report
seizures
todd’s paralysis
urinary retention
재활의학
Urinary retention
Seizures
Todd’s paralysis
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Summary:We report two cases of postictal urinary retention in pediatric patients with cognitive impairment. Two girls with intellectual disabilities, concomitant cerebral palsy (case 1) and Rett syndrome (case 2), developed urinary retention following seizures. Their caregivers brought them to the hospital with complaints of abdominal distension. After excluding neurological progression, they were referred to the rehabilitation clinic for the evaluation and management of postictal urinary retention. We followed two different approaches in each case to restore normal urination. While serial manual cystometrograms were performed in case 1, clean intermittent catheterization with a voiding diary was performed in case 2 until restoration of normal urination. Based on these pediatric cases of successfully managed postictal urinary retention, we suggest that more attention may be needed for children with cognitive impairment to diagnose and manage postictal urinary retention.
ISSN:2234-0645
2234-0653
DOI:10.5535/arm.2020.44.1.90