Incontinence After Traumatic Brain Injury TBI: Case Report

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• 作者：Katty VAN CAUWENBERGHE Johan VAN DAELE ; Catherine RENSON ; Lut PAUWELS ; Erik VAN LAECKE ; Catherine VANDERLINDEN ; Ann RAES ; An DEGUCHTENAERE ; Piet HOEBEKE
• 刊名：Journal of Pediatric Urology
• 出版年：2008
• 出版时间：April 2008
• 年：2008
• 卷：4
• 期：Supplement 1
• 页码：S97
• 全文大小：33 K

文摘

PURPOSE

After the intensive care, children with severe head trauma are admitted for a multidisciplinary rehabilitation. Beside several physical injuries, incontinence is a common complication. In this whole process it is a big challenge to achieve continence.

MATERIAL AND METHODS

A traffic accident of a healthy 8-year-old girl resulted in a severe head trauma. After a period of intensive care with indwelling catheter she remained in a stuporous state with diapers and was referred for rehabilitation. Six months later, patient started to notice bladder sensation. A urodynamic investigation(UI) was done and resulted in neuropathic hyperreflex bladder. CIC (4/day) adequate fluid intake and anticholinergics were prescribed. New UI three months later showed no more hyperreflex detrusor. Anticholinergics were stopped, CIC (1/day), fluid balance and /2 h asking for bladder sensation followed by toilet position.

RESULTS

Ten months of urological treatment resulted in 24 h continence, normal uroflow and negligible residue. Simultaneously many other functions partially recovered. Due to the many limitations of the patient, a lot of inventiveness, patience and motivation was asked from all care givers and parents. From this experience an applicable treatment could be deduced.

CONCLUSIONS

Incontinence after TBI is often neglected due to the more striking disabilities. In the total process of rehabilitation also continence should be considered.