Marioni-Henry Katia
Southern Counties Veterinary Specialists, 6 Forest Corner Farm, Ringwood, Hampshire, BH24 3JW, England, UK.
Vet Clin North Am Small Anim Pract. 2010 Sep;40(5):1011-28. doi: 10.1016/j.cvsm.2010.05.005.
The objective of this article is to review the recent literature that reports on the most common diseases affecting the spinal cord of cats, and to draw some general conclusions that will be useful to formulate diagnosis and prognosis for feline spinal patients. The most common types of feline spinal cord diseases documented were inflammatory/infectious diseases, and feline infectious peritonitis was the most common disease, representing approximately 50% of all feline myelitis. Neoplasms were documented in approximately 25% of cases; lymphosarcoma was the most common tumor affecting the spinal cord of cats, with reported prevalence between 28% and 40%. Cats diagnosed with spinal lymphosarcoma were significantly younger (median age 4 years) than cats with other spinal cord tumors (median age 10 years). Cats with clinical signs of intervertebral disc disease had a median age of 8 years, and 67% had Hansen type I disc protrusions. The most commonly affected intervertebral disc was at the L4 to L5 intervertebral disc space. Fibrocartilaginous embolism-affected older cats (median age 10 years), seemed to predominate in the cervicothoracic intumescence, and clinical signs were markedly lateralized, especially when the cervical region was affected.
本文的目的是回顾近期报道影响猫脊髓的最常见疾病的文献，并得出一些一般性结论，这些结论将有助于对猫脊髓疾病患者进行诊断和预后评估。记录的猫脊髓疾病最常见类型为炎症/感染性疾病，猫传染性腹膜炎是最常见的疾病，约占所有猫脊髓炎的50%。约25%的病例记录有肿瘤；淋巴肉瘤是影响猫脊髓的最常见肿瘤，报道的患病率在28%至40%之间。诊断为脊髓淋巴肉瘤的猫（中位年龄4岁）比患有其他脊髓肿瘤的猫（中位年龄10岁）明显年轻。有椎间盘疾病临床症状的猫中位年龄为8岁，67%有I型汉森氏椎间盘突出。最常受累的椎间盘是腰4至腰5椎间盘间隙。纤维软骨栓塞影响的老年猫（中位年龄10岁）似乎在颈胸膨大处占主导，临床症状明显偏向一侧，尤其是当颈部区域受累时。
