Kent Marc, Reiss Catherine, Blas-Machado Uriel
Department of Small Animal Medicine and Surgery, Veterinary Teaching Hospital, College of Veterinary Medicine, The University of Georgia, 501 D.W. Brooks Drive, Athens, Georgia 30602, USA.
J Am Anim Hosp Assoc. 2010 Jan-Feb;46(1):48-55. doi: 10.5326/0460048.
A 10-year-old, spayed female Weimaraner was referred for an acute onset of generalized tremors, seizures, and obtundation. Neurological examination revealed severe obtundation and a right-sided menace response deficit. Neuroanatomical diagnosis was consistent with a left prosencephalic lesion. The serum cardiac troponin I level was high, indicative of acute myocardial necrosis. With magnetic resonance imaging, a mass was observed in the left olfactory bulb and tract, with extensive edema in the white matter of the left cerebrum. The hippocampus was hyperintense on T2-weighted and T2-weighted fluid-attenuated inversion recovery images. At necropsy, a meningioma of the left olfactory bulb and ischemic cell change in the neurons of the hippocampus were identified. In the heart, microscopic lesions consistent with myocardial necrosis were observed. This is the first case to document an elevated cardiac troponin I level in a dog with intracranial disease and myocardial necrosis.
一只10岁已绝育的雌性魏玛犬因突然出现全身性震颤、癫痫发作和意识模糊而被转诊。神经学检查发现严重意识模糊和右侧威胁反应缺陷。神经解剖学诊断与左侧前脑病变一致。血清心肌肌钙蛋白I水平升高,提示急性心肌坏死。通过磁共振成像,在左侧嗅球和嗅束发现一个肿块,左侧大脑白质有广泛水肿。海马体在T2加权和T2加权液体衰减反转恢复图像上呈高信号。尸检时,发现左侧嗅球有一个脑膜瘤,海马体神经元有缺血性细胞改变。在心脏中,观察到与心肌坏死一致的微观病变。这是第一例记录到患有颅内疾病和心肌坏死的犬心肌肌钙蛋白I水平升高的病例。