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犬腰椎脑脊液采集继发脊髓出血

Hematomyelia secondary to lumbar cerebrospinal fluid acquisition in a dog.

作者信息

Platt Simon R, Dennis Ruth, Murphy Kate, De Stefani Alberta

机构信息

Centre for Small Animal Studies, the Animal Health Trust, Newmarket, Suffolk CB87UU, UK.

出版信息

Vet Radiol Ultrasound. 2005 Nov-Dec;46(6):467-71. doi: 10.1111/j.1740-8261.2005.00085.x.

Abstract

A 2-year-old male (Hungarian Vizsla) was evaluated for progressive discomfort of possible spinal origin. A minimum data base, thoracolumbar magnetic resonance (MR) imaging examination and electrophysiologic investigation were all normal. Cerebellomedullary and lumbar cerebrospinal fluid (CSF) was collected. The fluid was unremarkable except for elevated total protein. Shortly, thereafter, the dog had progressive neurologic deterioration referable to a caudal lumbar spinal cord lesion. In a repeated MR examination there was a well-circumscribed intramedullary lesion at the site where lumbar CSF was collected. The signal characteristics of the lesion were compatible with subacute hemorrhage, which was confirmed to be hematomyelia at the time of successful decompressive surgery.

摘要

一只2岁雄性匈牙利维兹拉犬因可能源于脊柱的进行性不适接受评估。最低限度数据库检查、胸腰椎磁共振成像检查及电生理检查均正常。采集了小脑延髓池和腰椎脑脊液。除总蛋白升高外,脑脊液无异常。此后不久,该犬因腰骶部脊髓损伤出现进行性神经功能恶化。在重复的磁共振检查中,在采集腰椎脑脊液的部位有一个边界清晰的髓内病变。病变的信号特征与亚急性出血相符,在成功进行减压手术时确诊为脊髓出血性脊髓炎。

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