Article type: Pictures in Neurology
Article
title: Christmas
tree bladder in multiple sclerosis
Journal: Neurology
and Clinical Neuroscience
Year: 2022
Authors: Jamir Pitton Rissardo, Ana Letícia Fornari Caprara
E-mail: jamirrissardo@gmail.com
ABSTRACT
A 40-year-old female patient presenting with bilateral
blindness of 1 day of onset was admitted. She was previously a healthy farmer,
and her family history was negative for neurological diseases. Ophthalmoscopy
confirmed bilateral optic neuritis. A cerebrospinal fluid (CSF) analysis showed oligoclonal
immunoglobulin G-bands. A brain magnetic resonance imaging (MRI) revealed hyperintense lesions in the
periventricular region and corpus callosum, and a brain MRI done 1 year before
was normal. Diagnosis of relapsing-remitting multiple sclerosis was made. About
5 years after the initial presentation, the subject complained of urinary
incontinence within six months of onset. She also reported associated symptoms
of hesitancy, incomplete voiding, increased frequency, and interrupted stream.
A cystography showed Christmas tree bladder (CTB) and important post-void residual.
Keywords: Multiple sclerosis, neurogenic
bladder, voiding dysfunction
Full text available at:
https://onlinelibrary.wiley.com/doi/full/10.1111/ncn3.12581
DOI
10.1111/ncn3.12581
Citation
Rissardo
JP, Caprara AL. Christmas tree bladder in
multiple sclerosis. Neurol Clin Neurosci 2022;10:109-10
