Editing Neurogenic LUT Dysfunction (section)

=== Transverse Myelitis ===
* '''Acute transverse myelitis is a rapidly developing condition with motor, sensory, and sphincter abnormalities, usually with a well-defined upper sensory limit and no signs of spinal cord compression or other neurologic disease'''
* '''May result from a variety of mechanisms: parainfectious, autoimmune, vascular, or demyelinating'''
* '''Presentation'''
** Bladder dysfunction may occur simultaneously with the motor dysfunction or more commonly follows it
**'''Most common urinary symptom is urinary retention'''
***95% of children in the acute phase of the disease will have urinary retention.
** '''Most common urodynamic finding in the acute phase is areflexia or detrusor underactivity'''
** '''After resolution of spinal shock, the urodynamic patterns identifiable are detrusor overactivity''' (59-90%), decreased compliance (47%), DSD (17-80%), and detrusor leak point pressure > 40 cm H2O
** '''The condition usually stabilizes within 2-4 weeks and is not progressive afterward; however, recovery may be variable and some residual neurologic deficits are possible. Although recovery is more variable, and the prognosis, in general, is favorable, the development and nature of voiding dysfunction have been reported to be similar, level by level, to those of SCI'''