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58只癫痫犬海马的临床磁共振容积测定

Clinical magnetic resonance volumetry of the hippocampus in 58 epileptic dogs.

作者信息

Kuwabara Takayuki, Hasegawa Daisuke, Kobayashi Masanori, Fujita Michio, Orima Hiromitsu

机构信息

Department of Veterinary Science, Division of Veterinary Radiology, Nippon Veterinary and Life Science University, Musashinoshi, Tokyo 180-8602, Japan.

出版信息

Vet Radiol Ultrasound. 2010 Sep-Oct;51(5):485-90. doi: 10.1111/j.1740-8261.2010.01700.x.

Abstract

Hippocampal atrophy, which is a component of hippocampal sclerosis and recognized commonly in human intractable epilepsy, is controversial in canine epilepsy. We examined the hippocampal volume in 58 epileptic dogs and 35 control dogs using magnetic resonance (MR) images, and calculated the relative hippocampal volume asymmetry of the right and left hippocampus. Subjectively, there were visible MR imaging abnormalities in seven of the 58 epileptic dogs (12%). The hippocampel volume asymmetric ratio of epileptic dogs (5.84 +/- 4.47%) was significantly greater than that of control dogs (1.62 +/- 0.88%). Using a cutoff threshold asymmetric ratio of 6% that is indicated in human epilepsy, 28 epileptic dogs (48%) were characterized as having unilateral hippocampus atrophy. The hippocampal volume asymmetry ratio cannot be used to detect bilateral atrophy. In conclusion, although less frequent than that observed in human epilepsy patients, hippocampal atrophy may occur in canine epilepsy.

摘要

海马萎缩是海马硬化的一个组成部分,在人类难治性癫痫中较为常见,但在犬类癫痫中存在争议。我们使用磁共振(MR)图像检查了58只癫痫犬和35只对照犬的海马体积,并计算了左右海马的相对海马体积不对称性。主观上,58只癫痫犬中有7只(12%)存在明显的MR成像异常。癫痫犬的海马体积不对称率(5.84±4.47%)显著高于对照犬(1.62±0.88%)。使用人类癫痫中指出的6%的不对称率临界阈值,28只癫痫犬(48%)被判定为单侧海马萎缩。海马体积不对称率不能用于检测双侧萎缩。总之,尽管犬类癫痫中海马萎缩的发生率低于人类癫痫患者,但仍可能发生。

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