Chen Annie V, Bagley Rodney S, West Chadwick L, Gavin Patrick R, Tucker Russell L
Department of Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman 99164-7060, USA.
J Am Vet Med Assoc. 2005 Dec 15;227(12):1945-51, 1928. doi: 10.2460/javma.2005.227.1945.
Seven dogs with fecal incontinence and abnormal gaits were evaluated. Fecal incontinence was characterized as defecation of normal stools without posturing. Duration of clinical signs prior to evaluation ranged from 5 months to 3 years. Five dogs had upper motor neuron (UMN) paraparesis, and 2 dogs had UMN tetraparesis. With magnetic resonance imaging, spinal cord abnormalities primarily involving the dorsal aspect of the spinal cord were identified in all dogs. Five dogs had focal abnormalities, and 2 dogs had diffuse abnormalities of the spinal cord. Of the dogs with focal spinal cord lesions, 4 had cystic spinal cord abnormalities and 1 had a meningioma. Surgery was performed on all dogs with focal lesions; 4 of the 5 dogs had resolution of fecal incontinence after surgery. Results in these dogs suggest that fecal incontinence can be associated with spinal cord abnormalities and, depending on the characteristics of the lesion, can resolve after surgical treatment of the abnormality.
对7只患有大便失禁和异常步态的狗进行了评估。大便失禁的特征是在没有姿势调整的情况下排出正常粪便。评估前临床症状的持续时间为5个月至3年。5只狗患有上运动神经元(UMN)轻瘫,2只狗患有UMN四肢轻瘫。通过磁共振成像,在所有狗中均发现脊髓异常,主要累及脊髓背侧。5只狗有局灶性异常,2只狗有脊髓弥漫性异常。在患有局灶性脊髓病变的狗中,4只患有脊髓囊性异常,1只患有脑膜瘤。对所有患有局灶性病变的狗进行了手术;5只狗中有4只术后大便失禁症状得到缓解。这些狗的结果表明,大便失禁可能与脊髓异常有关,并且根据病变的特征,在对异常进行手术治疗后可能会得到缓解。