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与椎间盘相关的脊髓腹侧囊肿:7只犬的磁共振成像观察

Ventral intraspinal cysts associated with the intervertebral disc: magnetic resonance imaging observations in seven dogs.

作者信息

Konar Martin, Lang Johann, Flühmann Gaby, Forterre Franck

机构信息

Department of Clinical Veterinary Medicine, Vetsuisse Faculty, University of Berne, Berne, Switzerland.

出版信息

Vet Surg. 2008 Jan;37(1):94-101. doi: 10.1111/j.1532-950X.2007.00353.x.

Abstract

OBJECTIVE

To report clinical and diagnostic imaging features, and outcome after surgical treatment of ventral intraspinal cysts in dogs.

STUDY DESIGN

Retrospective study.

ANIMALS

Dogs (n=7) with ventral intraspinal cysts.

METHODS

Clinical signs, magnetic resonance imaging (MRI) findings and surgical findings of 7 dogs and histologic findings (1 dog) with intraspinal cysts associated with the intervertebral disc were reviewed.

RESULTS

Ventral intraspinal cyst is characterized by: (1) clinical signs indistinguishable from those of typical disc herniation; (2) an extradural, round to oval, mass lesion with low T1 and high T2 signal intensity on MRI, compatible with a liquid-containing cyst; (3) cyst is in close proximity to the intervertebral disc; and (4) MRI signs of disc degeneration. Although the exact cause is unknown, underlying minor disc injury may predispose to cyst formation.

CONCLUSION

Intraspinal cysts have clinical signs identical to those of disc herniation. Given the close proximity of the cyst to the corresponding disc and the similarity of MRI findings to discal cysts in humans, we propose the term "canine discal cyst" to describe this observation.

CLINICAL RELEVANCE

Discal cysts should be considered in the differential choices for cystic extradural compressing lesions.

摘要

目的

报告犬椎管内腹侧囊肿的临床和诊断性影像学特征以及手术治疗后的结果。

研究设计

回顾性研究。

动物

患有椎管内腹侧囊肿的犬(n = 7)。

方法

回顾了7只患有与椎间盘相关的椎管内囊肿的犬的临床症状、磁共振成像(MRI)结果和手术结果,以及1只犬的组织学结果。

结果

椎管内腹侧囊肿的特征为:(1)临床症状与典型椎间盘突出症难以区分;(2)MRI上表现为硬膜外圆形至椭圆形肿块病变,T1信号低,T2信号高,符合含液囊肿;(3)囊肿紧邻椎间盘;(4)椎间盘退变的MRI表现。尽管确切病因尚不清楚,但潜在的轻微椎间盘损伤可能易导致囊肿形成。

结论

椎管内囊肿的临床症状与椎间盘突出症相同。鉴于囊肿与相应椎间盘紧邻,且MRI表现与人类椎间盘囊肿相似,我们建议用“犬椎间盘囊肿”这一术语来描述这一现象。

临床意义

在鉴别诊断硬膜外囊性压迫性病变时应考虑椎间盘囊肿。

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