Objective

We present a case of voiding symptoms after an isolated hemorrhagic cerebellum stroke of the right cerebellum hemisphere and the vermis in a 15 year-old boy with no medical history. The aim of this case is to show existence of a link between cerebellum and micturition.

Observations

Following the stroke, the patient described dysuria, confirmed by uroflowmetry, with significants post-voiding residuals. Cystometry showed no detrusor contraction and urethral profilometry showed an increase in sphincter tone.

Discussion/conclusion

The role of the cerebellum in the storage and control of the voiding phases was suggested in literature. Lower urinary tract dysfunctions were shown in several studies after cerebellum injuries. Activation of the cerebellum during voiding phase was proved by functional imaging studies. Connections exist between the cerebellum and cortical and sub-cortical centers that control micturition. This case report underlines the role of the cerebellum in voiding control and the importance of screening for lower urinary tract symptoms in patients with a cerebellum lesion in order to prevent complications.