Christmas Tree Appearance Neurogenic Bladder
Neurogenic bladder typically occurs in those with sacral abnormalities at birth.
Christmas tree appearance neurogenic bladder. The associated bladder wall hypertrophy gives an outline which mimics the decorations that adorn a christmas tree. It is typically seen in severe neurogenic bladder with increased sphincter tone detrusor sphincter dyssynergia due to suprasacral lesions above s2 s4 or epiconal lesions in and around s2 s4. Voiding cystourethrography voiding cystourethrography vcug also known as a micturating cystourethrography mcu is a fluoroscopic study of the lower urinary tract in wh.
Further evaluation was advised to eva. Neurogenic bladder typically occurs in those with sacral abnormalities at birth. Incidence of hinman syndrome.
A pine cone bladder or christmas tree bladder is a cystographic appearance in which the bladder is elongated and pointed with a thickened trabeculated wall. It is typically seen in neurogenic bladder however it is not pathognomonic for it and can also be seen in bladder neck obstruction. A christmas tree bladder or pine cone bladder is a cystographic appearance which is usually seen in severe neurogenic bladder with increased sphin used in the following article.
Loss of normal innervation in the neurogenic bladder causes increased sphincter tone and leads to difficulties in bladder emptying. Radiology schoolspine conesmedicalchristmas treehuman bodynursingdrugsarticlesimage. Pine cone urinary bladder is appearance of urinary bladder on cystography.
The metallic vascular clips in the right lower quadrant are most likely associated with the reported history of appendectomy. After reviewing an eight year old boy with nocturnal enuresis urinary tract infections and a christmas tree bladder with upper tract compromise on imaging in the absence of any underlying neurological abnormality he identified a new phenomenon and called it the non neurogenic neurogenic bladder 2. Treatment is aimed at preventing kidney damage.
Christmas tree bladder or pine cone bladder refers to the appearance of a neurogenic bladder on fluoroscopic examination fig 6. The shape of the bladder is highly abnormality with an elongated appearance with the dome like the top of a christmas tree. In neurogenic bladder the nerves that carry messages back and forth between the bladder and the spinal cord and brain don t work the way they should.
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