Christmas Tree Appearance Neurogenic Bladder, Https Www Eu Focus Europeanurology Com Article S2405 4569 16 30017 7 Pdf

Detrusor sphincter dyssynergia is the most common cause of a dilated.

Christmas tree appearance neurogenic bladder. A christmas tree bladder or pine cone bladder is a cystographic appearance which is usually seen in severe neurogenic bladder with increased sphincter tone. Its not pathognomonic and may also be seen in bladder neck obstruction due to non neurogenic causes. Neurogenic bladder typically occurs in those with sacral abnormalities at birth.

The appearances have been described as a christmas tree of pine cone bladder. The shape of the bladder is highly abnormality with an elongated appearance with the. Retrograde cystogram showing a bladder that is markedly trabeculated and reduced in capacity.

The bladder demonstrates a relative increase in vertical dimension and tapers superiorly giving the characteristic christmas tree bladder appearance. The metallic vascular clips in the right lower quadrant are most likely associated with the reported history of appendectomy. Neurogenic bladder neurogenic bladder is a term applied to a dysfunctional urinary bladder that results from an injury to the central or peripheral nerves that contr pine cone bladder a pine cone bladder or christmas tree bladder is a cystographic appearance in which the bladder is elongated and pointed with a thickened.

A pine cone bladder or christmas tree bladder is a cystogram appearance in which the bladder is elongated and pointed with thickened trabeculated wall. 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. 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 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. Christmas trees are evergreen trees that are decorated at christmas time with lights and festive ornaments. This practice may have begun in germany in the 16th century14.

Christmas tree bladder or pine cone bladder refers to the appearance of a neurogenic bladder on fluoroscopic examination fig 6. Loss of normal. The pine tree shaped bladder shown in figure 3 is an unusual deformity of neurogenic origin.

In this patient an adult male there was complete absence of the sacrum and coccyx with a neurogenic lesion existing from birth. The cystometric reading showed the bladder to be hypertonic. 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.

Neurogenic bladder is bladder dysfunction due to lesions of the nervous system and not an appropriate imaging diagnosis. The appearance of the bladder on cystography depends on the level of injury. Pine cone pine tree fir tree or christmas tree bladder.