Right Tegmental Hemorrhage with Urinary Retention: A Case Report

The upper brainstem tegmentum is dense and complex, making it difficult to localize functions to specific subregions. In particular, the precise location and possible laterality of subregions supporting basic functions like consciousness and urinary continence remain unclear. Here, we describe a patient who presented with a right pontine tegmental syndrome caused by intraparenchymal hemorrhage. Despite hemorrhage extension into the fourth ventricle and expansion of both hemorrhage and edema into a large region of the caudal midbrain and right-sided pontine tegmentum, this patient did not lose consciousness. Instead, he developed new and total urinary retention, with residual bladder volumes of more than 1,000 mL. We conclude that injury to the right pontine tegmentum is sufficient to disrupt the micturition reflex pathway.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Right Tegmental Hemorrhage with Urinary Retention: A Case Report ; volume:14 ; number:1 ; year:2022 ; pages:68-71 ; extent:4
Case reports in neurology ; 14, Heft 1 (2022), 68-71 (gesamt 4)

Creator
Tish, Margaret M.
Boes, Aaron D.
Geerling, Joel C.

DOI
10.1159/000521328
URN
urn:nbn:de:101:1-2022051200552320777738
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:35 AM CEST

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Associated

  • Tish, Margaret M.
  • Boes, Aaron D.
  • Geerling, Joel C.

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