{"id":370732,"date":"2026-05-06T09:00:11","date_gmt":"2026-05-06T09:00:11","guid":{"rendered":"https:\/\/www.europesays.com\/pt\/370732\/"},"modified":"2026-05-06T09:00:11","modified_gmt":"2026-05-06T09:00:11","slug":"retencao-urinaria-aguda-neurogenica-e-hemorragia-subaracnoidea-medular-um-desafio-diagnostico-relato-de-caso-com-10-anos-de-seguimento","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/pt\/370732\/","title":{"rendered":"Reten\u00e7\u00e3o urin\u00e1ria aguda neurog\u00eanica e hemorragia subaracn\u00f3idea medular, um desafio diagn\u00f3stico: relato de caso com 10 anos de seguimento"},"content":{"rendered":"

\nReten\u00e7\u00e3o urin\u00e1ria aguda neurog\u00eanica e hemorragia subaracn\u00f3idea medular, um desafio diagn\u00f3stico: relato de caso com 10 anos de seguimento<\/strong><\/p>\n

Maysa Cunha Nogueira Bastos<\/b> ; Tiago Menezes Brasil<\/b> ; Wesley Queiroz Muniz<\/b> <\/p>\n

.<\/p>\n

Como Citar:<\/b>
BASTOS, Maysa Cunha Nogueira; BRASIL, Tiago Menezes; MUNIZ, Wesley Queiroz. Reten\u00e7\u00e3o urin\u00e1ria aguda neurog\u00eanica e hemorragia subaracn\u00f3idea medular, um desafio diagn\u00f3stico: relato de caso com 10 anos de seguimento. Revista Sociedade Cient\u00edfica, vol. 9, n. 1, p. 1095-1106, 2026.
https:\/\/doi.org\/10.61411\/rsc2026135619 <\/a>
DOI:<\/b> 10.61411\/rsc2026135619 <\/a>
\u00c1rea do conhecimento:<\/b> Ci\u00eancias da Sa\u00fade
Sub-\u00e1rea:<\/b> Medicina
Palavras-chave:<\/b> Reten\u00e7\u00e3o Urin\u00e1ria; Hemorragia Subaracn\u00f3idea; Bexiga Urin\u00e1ria Neurog\u00eanica; Compress\u00e3o da Medula Espinal; Diagn\u00f3stico Diferencial.
Publicado:<\/b> 4 de maio de 2026. <\/p>\n

.
\n Resumo<\/b> <\/p>\n

A ocorr\u00eancia simult\u00e2nea de reten\u00e7\u00e3o urin\u00e1ria aguda (RUA) de origem neurog\u00eanica e hemorragia subaracn\u00f3idea espinhal\/medular (HSAE) \u00e9 excepcionalmente rara, sendo ambas condi\u00e7\u00f5es de dif\u00edcil diagn\u00f3stico devido \u00e0 apresenta\u00e7\u00e3o inespec\u00edfica e ao potencial de mimetizar les\u00f5es intradurais na resson\u00e2ncia magn\u00e9tica (RM). Relata-se caso de RUA neurog\u00eanica associada a HSAE com imagem sugestiva de tumor e evolu\u00e7\u00e3o favor\u00e1vel. Paciente masculino, 63 anos, hipertenso, previamente sem sintomas urin\u00e1rios, iniciou dor lombar s\u00fabita e dificuldade transit\u00f3ria para deambular, evoluindo em poucas horas para RUA com aus\u00eancia de sensa\u00e7\u00e3o de enchimento e perdas por transbordamento. Ao exame, sinais de irrita\u00e7\u00e3o men\u00edngea. Tomografia de cr\u00e2nio sem altera\u00e7\u00f5es. Pun\u00e7\u00e3o lombar evidenciou l\u00edquor sanguinolento em todos os frascos, sustentando sangramento subaracn\u00f3ideo. RM do neuroeixo mostrou les\u00e3o oval intradural-extramedular em T11\u2013T12 \u00e0 direita (1,2 \u00d7 0,8 \u00d7 0,7 cm), com realce homog\u00eaneo p\u00f3s-contraste e compress\u00e3o medular, inicialmente interpretada como meningioma\/neurofibroma. Foi institu\u00edda corticoterapia (dexametasona) e cateterismo intermitente, com conduta conservadora. Houve recupera\u00e7\u00e3o da mic\u00e7\u00e3o ap\u00f3s cinco meses e, em RM de controle aos seis meses, observou-se resolu\u00e7\u00e3o completa da les\u00e3o (\u201cvanishing tumor\u201d). O paciente permanece assintom\u00e1tico e sem recidiva h\u00e1 10 anos.<\/p>\n

Artigo<\/a>
\n.
\nSum\u00e1rio<\/a>
\n.<\/p>\n

\"\"<\/p>\n

.<\/p>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"Reten\u00e7\u00e3o urin\u00e1ria aguda neurog\u00eanica e hemorragia subaracn\u00f3idea medular, um desafio diagn\u00f3stico: relato de caso com 10 anos 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