Christmas Tree Appearance Neurogenic Bladder
The bladder demonstrates a relative increase in vertical dimension and tapers superiorly giving the characteristic christmas tree bladder appearance.
Christmas tree appearance neurogenic bladder. Radiology schoolspine conesmedicalchristmas treehuman bodynursingdrugsarticlesimage. The shape of the bladder is highly abnormality with an elongated appearance with the dome like the top of a christmas tree. It may include medicine urinary catheters antibiotics to.
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 christmas tree bladder or pine cone bladder is a cystographic appearance which is usually seen in severe neurogenic bladder with increased sphincter tone. Further evaluation was advised to eva.
Voiding cystourethrography voiding cystourethrography vcug also known as a micturating cystourethrography mcu is a fluoroscopic study of the lower urinary tract in wh. Loss of normal innervation in the neurogenic bladder causes increased sphincter tone and leads to difficulties in bladder emptying. It s 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. Pine cone urinary bladder is appearance of urinary bladder on cystography. 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 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. 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.
It is typically seen in neurogenic bladder however it is not pathognomonic for it and can also be seen in bladder neck obstruction. The appearances has been described as a christmas tree of pine cone bladder. The associated bladder wall hypertrophy gives an outline which mimics the decorations that adorn a christmas tree.
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