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犬特发性癫痫溴化物中毒后短暂性神经肌病。

Transient neuromyopathy after bromide intoxication in a dog with idiopathic epilepsy.

机构信息

Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Bünteweg 9, Hannover, 30559, Germany.

出版信息

Ir Vet J. 2012 Dec 5;65(1):19. doi: 10.1186/2046-0481-65-19.

DOI:10.1186/2046-0481-65-19
PMID:23216950
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3528443/
Abstract

A seven-year old Australian Shepherd, suffering from idiopathic epilepsy under treatment with phenobarbitone and potassium bromide, was presented with generalised lower motor neuron signs. Electrophysiology and muscle-nerve biopsies revealed a neuromyopathy.The serum bromide concentration was increased more than two-fold above the upper reference value.Clinical signs disappeared after applying diuretics and reducing the potassium bromide dose rate. This is the first case report describing electrophysiological and histopathological findings associated with bromide induced lower motor neuron dysfunction in a dog.

摘要

一只七岁大的澳大利亚牧羊犬,患有特发性癫痫,正在接受苯巴比妥和溴化钾治疗,出现了全身性下运动神经元征象。电生理学和肌肉神经活检显示出一种神经肌肉疾病。血清溴化物浓度比参考值上限高出两倍以上。应用利尿剂和降低溴化钾剂量后,临床症状消失。这是首例描述犬溴化物诱导下运动神经元功能障碍的电生理和组织病理学发现的病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc5/3528443/da8f88560d45/2046-0481-65-19-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc5/3528443/a23435f6b4bb/2046-0481-65-19-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc5/3528443/6e02121e5178/2046-0481-65-19-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc5/3528443/feab1692b07d/2046-0481-65-19-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc5/3528443/da8f88560d45/2046-0481-65-19-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc5/3528443/a23435f6b4bb/2046-0481-65-19-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc5/3528443/6e02121e5178/2046-0481-65-19-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc5/3528443/feab1692b07d/2046-0481-65-19-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc5/3528443/da8f88560d45/2046-0481-65-19-4.jpg

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International veterinary epilepsy task force consensus proposal: outcome of therapeutic interventions in canine and feline epilepsy.国际兽医癫痫特别工作组共识提案:犬猫癫痫治疗干预的结果
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本文引用的文献

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Correlation and dissociation of electrophysiology and histopathology in the assessment of toxic neuropathy.毒性神经病评估中电生理学与组织病理学的相关性及分离现象
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Histopathological confirmation of polyneuropathy in 11 dogs with laryngeal paralysis.
11只患有喉麻痹的犬类多发性神经病的组织病理学确认。
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Clinical signs, risk factors, and outcomes associated with bromide toxicosis (bromism) in dogs with idiopathic epilepsy.特发性癫痫犬溴化物中毒(溴中毒)相关的临床体征、危险因素及预后
J Am Vet Med Assoc. 2009 Jun 1;234(11):1425-31. doi: 10.2460/javma.234.11.1425.
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Anticonvulsant therapy in dogs and cats.犬猫的抗惊厥治疗。
Vet Clin North Am Small Anim Pract. 2006 Sep;36(5):1107-27, vii. doi: 10.1016/j.cvsm.2006.05.005.
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Bromide intoxication. I. Production of experimental intoxication in dogs.溴化物中毒。一、犬实验性中毒的产生
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J Vet Pharmacol Ther. 2002 Dec;25(6):425-32. doi: 10.1046/j.1365-2885.2002.00440.x.
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