Ebru GERÇEK, METİN KAPLAN, Fatih Serhat ERO, Mehmet Faik ÖZVEREN

Dissynergic bladder and hydronephrosis in a case of spinal intramedullary dermoid cyst

Spinal dermoid kistler, intramedüller spinal kord tümörleri içerisinde nadir bir gruptur. 11 yaşında kız hasta bulantı, kusma ve idrar inkontinansı şikâyeti ile hastanemize başvurdu. Hastanın anamnezinden çeşitli merkezlerin; enfeksiyon hastalıkları, pediatri ve psikiyatri kliniklerinde üriner sistem enfeksiyonu ve enuresis nokturna tedavisi gördüğü öğrenildi. Yapılan incelemelerde hastada grade III hidronefroz, dissinerjik mesane ve spinal intramedüller kitle tespit edildi. Kitle içeriği boşaltıldı ve patolojik tanı dermoid kist olarak raporlandı. Zaman zaman olan gece idrar kaçırmaları dışında üriner inkontinansı düzeldi. Postoperatif birinci yılında yapılan renal ultrasonografide hidronefrozun gradeIII'den gradeII'ye gerilediği gözlendi. Çocuklarda sık idrara çıkma, işeme sonrası damla şeklinde idrar yapma ve tekrarlayan üriner sistem enfeksiyonlarında patolojinin nörojenik kökenli olabileceği düşünülerek spinal görüntüleme yapılmalıdır.

Dissinerjik mesane ile presente olan spinal dermoid kist olgusu

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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