神経因性膀胱における脊髄腔造影の意義とくに潜在性脊椎披裂症との関連 A STUDY ON MYELOGRAM OF NEUROGENIC BLADDER DUE TO SPINA BIFIDA OCCULTA
I employed the myelography, using water soluble contrast medium, on 26 patients with dysfunction of the bladder. The relation between the changes of the myelogram and the function of the bladder was studied.<br>The results are as follows:<br>1) In 5 patients with severe dysfunction of the bladder, myelogram showed many abnormal findings including meningocele, widening of column, sacral cyst, and defect of the sacral roots.<br>2) In 5 patients with mild dysfunction of the bladder, the myelogram showed a cystic widening of the roots and a narrowing of the sacrall column.<br>3) In 7 of the 16 patients with slight dysfunction of the bladder or normal function, the myelogram showed a cystic widening of the sacral roots, assymmetric sacral roots, unclear roots, etc.<br>4) In 9 patients with spina bifida occulta, the myelogram showed a cystic widening of the roots, a narrowing of the sacral roots, assymmetric roots, and unclear roots. These findings were thought to be related to a dysfunction of the bladder due to spina bifida occults.<br>5) I think the myelography is a usefull method to find out the underlying cause of the neurogenic bladder and recurrent chronic inflammation of the urinary tracts.
日本泌尿器科學會雑誌 65(2), 83-101, 1974