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17只犬的脊髓蛛网膜囊肿

Spinal arachnoid cysts in 17 dogs.

作者信息

Skeen Todd M, Olby Natasha J, Muñana Karen R, Sharp Nicholas J

机构信息

Veterinary Teaching Hospital, North Carolina State University, 4700 Hillsborough Street, Raleigh, North Carolina 27606-1428, USA.

出版信息

J Am Anim Hosp Assoc. 2003 May-Jun;39(3):271-82. doi: 10.5326/0390271.

Abstract

The medical records of 17 dogs diagnosed with spinal arachnoid cysts at North Carolina State University Veterinary Teaching Hospital were retrospectively examined to identify trends in signalment, history, neurological status, treatment, and short- and long-term prognosis. The typical case was that of a nonpainful, progressive ataxia frequently characterized by hypermetria and incontinence. Cysts typically occurred in the dorsal subarachnoid space at the first to third cervical vertebrae of young, large-breed dogs or the caudal thoracic vertebrae of older, small-breed dogs. Although 14 of 15 dogs treated surgically did well in the short term, long-term successful outcomes were achieved in only eight of the 12 dogs that were followed for >1 year. Significant predictors of good, long-term outcome were not identified; however, factors associated with a trend toward a good outcome included <3 years of age, <4 months' duration of clinical signs, and marsupialization as the surgical technique.

摘要

回顾性研究了北卡罗来纳州立大学兽医学院教学医院诊断为脊髓蛛网膜囊肿的17只犬的病历,以确定其品种、病史、神经学状态、治疗以及短期和长期预后的趋势。典型病例表现为无痛性进行性共济失调,常伴有动作过度和尿失禁。囊肿通常发生于年轻大型犬第一至第三颈椎或老年小型犬胸腰椎的背侧蛛网膜下腔。虽然15只接受手术治疗的犬中有14只在短期内恢复良好,但在随访超过1年的12只犬中,只有8只获得了长期成功的结果。未发现长期良好预后的显著预测因素;然而,与良好预后趋势相关的因素包括年龄小于3岁、临床症状持续时间小于4个月以及采用袋形缝合术作为手术技术。

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