Brewer D M, Cerda-Gonzalez S, Dewey C W, Coates J R
Department of Clinical Sciences, Cornell University Hospital for Animals, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
J Small Anim Pract. 2010 Mar;51(3):169-72. doi: 10.1111/j.1748-5827.2009.00855.x. Epub 2010 Jan 11.
A three-year-old neutered male toy fox terrier presented for a Chiari-like malformation. No neurological deficits were found on examination, although diffuse cervical, thoracolumbar and head pain were present. A mass within the fourth ventricle was apparent on magnetic resonance imaging (MRI) of the brain. The lesion was hyperintense to brain parenchyma on T2-weighted images, hypointense on T1-weighted images and there was strong, homogeneous contrast enhancement. The cystic mass was removed through a suboccipital craniectomy. Histopathology was consistent with a choroid plexus cyst. The dog recovered well from the procedure and was clinically normal three months after surgery. To the authors' knowledge this is the first description of the appearance of a choroid plexus cyst on MRI in a dog and of its surgical removal. Although they are an uncommon finding, choroid plexus cysts should be considered as a differential diagnosis for mass lesions within the fourth ventricle.
一只三岁已绝育的雄性玩具猎狐梗因类似Chiari畸形前来就诊。尽管存在弥漫性颈部、胸腰椎和头部疼痛,但检查未发现神经功能缺损。脑部磁共振成像(MRI)显示第四脑室内有一个肿块。该病变在T2加权图像上相对于脑实质呈高信号,在T1加权图像上呈低信号,且有强烈的均匀对比增强。通过枕下颅骨切除术切除了囊性肿块。组织病理学结果与脉络丛囊肿一致。这只狗术后恢复良好,术后三个月临床正常。据作者所知,这是首次描述狗的脉络丛囊肿在MRI上的表现及其手术切除情况。尽管脉络丛囊肿并不常见,但应将其视为第四脑室内肿块病变的鉴别诊断之一。