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猫脑脓肿的手术治疗

Surgical treatment of a cerebral brain abscess in a cat.

作者信息

Wouters E G H, Beukers M, Theyse L F H

机构信息

Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, P.O. Box 80163, 3508 TD Utrecht, The Netherlands.

出版信息

Vet Comp Orthop Traumatol. 2011;24(1):72-5. doi: 10.3415/VCOT-10-02-0018. Epub 2010 Nov 19.

Abstract

A nine-year-old male castrated European Shorthair cat was presented with a six-day history of progressive depression and ataxic gait. Neurological examination revealed depression, absent menace in the left eye, absent pupillary light reflex in the right eye, anisocoria, circling to the right, and delayed proprioception in all limbs. Magnetic resonance imaging showed a space-occupying right temporal lobe lesion adjacent to a small defect in the temporal bone suggestive of a meningo-encephalitis with concurrent abscess formation. The site was surgically approached by a rostrotentorial craniectomy. A cerebral abscess was found and debrided. Histopathological examination of the removed tissue demonstrated a subacute to chronic purulent encephalitis with extensive necrosis of brain tissue. Neurological symptoms resolved completely within two weeks and full recovery was observed four weeks after surgery.

摘要

一只九岁已绝育的欧洲短毛猫出现了为期六天的进行性抑郁和共济失调步态。神经学检查发现该猫神情抑郁,左眼对威胁无反应,右眼瞳孔对光反射消失,瞳孔不等大,向右转圈,四肢本体感觉延迟。磁共振成像显示右侧颞叶有占位性病变,邻近颞骨小缺损,提示为脑膜脑炎并发脓肿形成。通过经额颞开颅术对该部位进行手术处理。发现并清除了一个脑脓肿。对切除组织进行组织病理学检查显示为亚急性至慢性化脓性脑炎,伴有广泛的脑组织坏死。神经症状在两周内完全消失,术后四周观察到完全康复。

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