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9只犬的硬膜外脊柱滑膜囊肿

Extradural spinal synovial cysts in nine dogs.

作者信息

Dickinson P J, Sturges B K, Berry W L, Vernau K M, Koblik P D, Lecouteur R A

机构信息

Veterinary Medical Teaching Hospital, University of California, Davis 95616, USA.

出版信息

J Small Anim Pract. 2001 Oct;42(10):502-9. doi: 10.1111/j.1748-5827.2001.tb02458.x.

Abstract

Nine dogs presenting for investigation of cervical or thoracolumbar myelopathies were diagnosed with extradural spinal synovial cysts. Degenerative disease affecting the articular facets or intervertebral discs was present on plain spinal radiographs in all cases. Myelography was consistent with dorsolateral, extradural spinal cord compression. Two groups of dogs were identified: (1) young, giant breed dogs with multiple cysts involving one or more levels of the cervical spinal cord; and (2) older, large breed dogs with solitary cysts involving the thoracolumbar spinal cord. The synovial cysts constituted the major compressive lesions in four of the dogs. Analysis of lumbar cerebrospinal fluid demonstrated albuminocytological dissociation, consistent with chronic compressive myelopathy, in six dogs. All dogs underwent decompressive surgery and the diagnosis of synovial cysts was confirmed histologically. The mean follow-up period was 17 months (range four to 36 months). At the time of follow-up, all dogs were fully ambulatory with improved neurological function compared with that at initial presentation.

摘要

9只因颈椎或胸腰椎脊髓病前来检查的犬被诊断为硬膜外脊柱滑膜囊肿。所有病例的脊柱X线平片均显示有关节突或椎间盘的退行性病变。脊髓造影显示与背外侧硬膜外脊髓受压一致。确定了两组犬:(1)年轻的巨型犬种,有多个囊肿累及一个或多个颈椎节段;(2)年龄较大的大型犬种,有单个囊肿累及胸腰椎脊髓。滑膜囊肿是4只犬的主要压迫性病变。6只犬的腰椎脑脊液分析显示蛋白细胞分离,与慢性压迫性脊髓病一致。所有犬均接受了减压手术,组织学检查证实为滑膜囊肿。平均随访期为17个月(范围4至36个月)。随访时,所有犬均能完全行走,与初次就诊时相比神经功能有所改善。

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