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三只犬的硬膜外脊柱关节旁(滑膜)囊肿

Extradural spinal juxtafacet (synovial) cysts in three dogs.

作者信息

Sale C S H, Smith K C

机构信息

Oakwood Veterinary Referrals, Willows Veterinary Hospital, 267 Chester Road, Hartford, Northwich, Cheshire CW8 1LP.

出版信息

J Small Anim Pract. 2007 Feb;48(2):116-9. doi: 10.1111/j.1748-5827.2006.00205.x.

Abstract

Three dogs were presented for investigation of spinal disease and were diagnosed with extradural spinal juxtafacet cysts of synovial origin. Two dogs that were presented with clinical signs consistent with pain in the lumbosacral region associated with bilateral hindlimb paresis were diagnosed using magnetic resonance imaging. Both cysts were solitary and associated with the L6-7 dorsal articulations; both the dogs had a transitional vertebra in the lumbosacral region. A third dog that was presented with progressive paraparesis localised to T3-L3 spinal cord segments and compression of the spinal cord at T13-L1 was diagnosed using myelography. A solitary multiloculated cyst was found at surgery. Decompressive surgery resulted in resolution of the clinical signs in all three dogs. Immunohistological findings indicated that one to two layers of vimentin-positive cells consistent with synovial origin lined the cysts.

摘要

三只犬因脊柱疾病前来检查,被诊断为滑膜源性硬膜外脊柱关节旁囊肿。两只出现与腰骶部疼痛相关且伴有双侧后肢轻瘫临床症状的犬,通过磁共振成像进行诊断。两个囊肿均为单发,与L6 - 7背侧关节相关;两只犬在腰骶部均有一个过渡椎骨。第三只犬出现局限于T3 - L3脊髓节段的进行性轻截瘫以及T13 - L1脊髓受压,通过脊髓造影进行诊断。手术中发现一个单发多房囊肿。减压手术使所有三只犬的临床症状得到缓解。免疫组织学检查结果表明,囊肿内衬有一到两层波形蛋白阳性细胞,符合滑膜起源。

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