Neurogenic Bladder: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99).

  • Malformations such as:
    • Spina bifida – spinal cleft formation due to incomplete vertebral arch closure.
    • Spinal dysraphism (group of congenital malformations due to disturbed closure of the neural tube in the skull, spine and spinal cord), overt – myelomeningocele (meninges and spinal cord bulge out through the vertebral fissure), closed (occult) [Causes of neurogenic urinary bladder dysfunction in children: Prevalence (disease incidence): 85%]
    • Tethered cord syndrome – malformation in which the extensions of the spinal cord, the filum terminale, are often fused to the spinal cord sheath by a fibrous cord, so that the lower section of the spinal cord, the conus medullaris, is displaced abnormally low (the so-called conus depression); as a result, neurological disorders may occur; sporadic occurrence.

Endocrine, nutritional and metabolic diseases (E00-E90).

Infectious and parasitic diseases (A00-B99).

Neoplasms – tumor diseases (C00-D48).

  • Tumors in the area of the spinal cord

Psyche – nervous system (F00-F99; G00-G99)

  • Apoplexy (stroke)
  • Anterior spinal artery syndrome (synonym: spinal anterior syndrome) – neurological disorders caused by circulatory disturbances of the anterior spinal artery.
  • Funicular myelosis (synonym: funicular spinal disease) – demyelinating disease (degeneration of the posterior cord, lateral cord, and a polyneuropathy/diseases of the peripheral nervous system affecting multiple nerves) caused by vitamin B12 deficiency; symptomatology: motor and sensory deficits that may worsen to paraplegia; encephalopathy (pathological conditions of the brain) of varying degrees.
  • Infantile cerebral palsy – neurological disorder whose causative damage to the central nervous system occurs before, during or immediately after birth.
  • Alzheimer’s disease
  • Parkinson’s disease (shaking palsy)
  • Multiple sclerosis (MS) – neurological disease that can cause paralysis and spasticity.
  • Myelitis (inflammation of the spinal cord), unspecified.
  • Sexual dysfunction
  • Syringomyelia – neurological disorder that usually begins in middle age and results in cavities in the gray matter of the spinal cord.
  • Cerebral sclerosis – arteriosclerotic changes in the brain vessels.

Injuries, poisonings, and other consequences of external causes (S00-T98).

  • Spinal cord injury, unspecified
  • Trauma to the skull and brain, unspecified

Other

  • Operations on the spine, the small pelvis.
  • Radiatio (radiotherapy)