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猫的复发性脊髓蛛网膜囊肿

Recurrent spinal arachnoid cyst in a cat.

作者信息

Schmidt Martin J, Schachenmayr Walter, Thiel Cetina, Kramer Martin

机构信息

Small Animal Clinic, Justus-Liebig-University Giessen, Germany.

出版信息

J Feline Med Surg. 2007 Dec;9(6):509-13. doi: 10.1016/j.jfms.2007.04.006. Epub 2007 Jul 6.

Abstract

Spinal arachnoid cysts (SACs) are uncommon expanding lesions in the spinal canal. They are rarely diagnosed in dogs, and there are only four published cases in cats. We report a case of a 12-year-old cat with recurrent signs of intermittent urinary incontinence and hind limb ataxia 2 years after surgical marsupialisation of a spinal arachnoid cyst at T11/12. Recurrence of a cyst was diagnosed by myelography. Repeated marsupialisation after laminectomy was successful and the cat recovered satisfactorily although intensive physical therapy was necessary. SACs are very rare in cats and seem to occur mainly as a secondary lesion to spinal and meningeal trauma or irritation due to bony changes of the vertebrae.

摘要

脊髓蛛网膜囊肿(SACs)是椎管内罕见的扩张性病变。它们在犬中很少被诊断出来,而在猫中仅有4例已发表的病例。我们报告了一例12岁的猫,在T11/12处脊髓蛛网膜囊肿手术袋形缝合术后2年出现间歇性尿失禁和后肢共济失调的复发症状。通过脊髓造影诊断出囊肿复发。椎板切除术后再次进行袋形缝合手术成功,尽管需要强化物理治疗,但这只猫恢复良好。SACs在猫中非常罕见,似乎主要作为脊柱和脑膜创伤或因椎骨骨质变化引起的刺激的继发性病变而出现。

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