Citation

Eidlitz-Markus T, Shuper A, Amir J. Isr. Med. Assoc. J. 2000; 2(2): 135-137.

Affiliation

Department of Pediatric Day Care, Schneider Children's Medical Center of Israel, Petah Tiqva, Israel.

Copyright

(Copyright © 2000, Israel Medical Association)

DOI

unavailable

PMID

10804937

Abstract

BACKGROUND: In our experience, secondary enuresis nocturna is a common complaint among children after a motor vehicle accident. However, as these children are often brought for examination as part of an insurance compensation claim, this complaint is not always reliable. OBJECTIVE: To describe a series of children in whom secondary enuresis occurred after a motor vehicle accident. METHODS AND RESULTS: Five children were brought to our clinic for evaluation of secondary nocturnal enuresis. Review of past history revealed a car accident preceding the onset of the enuresis. All but one had additional behavioral symptoms typical of post-traumatic stress disorder. Four children had evidence of head trauma, and one had psychological but no physical trauma. CONCLUSIONS: Nocturnal enuresis can occur after a motor vehicle accident due either to purely psychological trauma or organic head trauma. While nocturnal enuresis is generally attributed to organic causes, psychological mechanisms also play a significant role.

Language: en