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Figures

Fig. 1

Residual urine was 350 mL. Cystometry showed detrusor areflexia but normal urethral pressure upon bladder distention. No detrusor hyperreflexia or detrusor-sphincter dyssynergy was seen. Micturition was committed by abdominal strain. Pabd indicates abdominal pressure; Pdet, detrusor pressure; Pves, pelvic pressure; Pura, urethral pressure.

Encephalitis is an emergent condition urgent for rapid and correct diagnosis. However, some patients may present with uncommon manifestations, such as behavioral change, sensorimotor deficit, psychosis, or hallucinosis [1], which make it difficult to establish an accurate diagnosis abruptly. We add an unusual flaccid bladder caused by detrusor hyporeflexia as an early symptom for encephalitis.

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