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猫骨软骨瘤病所致海绵窦综合征

Cavernous sinus syndrome due to osteochondromatosis in a cat.

作者信息

Perazzi Anna, Bernardini Marco, Mandara Maria T, De Benedictis Giulia M, De Strobel Francesca, Zotti Alessandro

机构信息

1Department of Animal Medicine, Production and Health, Clinical Section, University of Padua, Legnaro, Padua, Italy.

出版信息

J Feline Med Surg. 2013 Dec;15(12):1132-6. doi: 10.1177/1098612X13488385. Epub 2013 May 15.

Abstract

A 1-year-old sexually intact male Korat cat was referred for ophthalmological consultation due to anisocoria. Mydriasis with external ophthalmoplegia and absence of pupillary light responses in the right eye and nasofacial hypalgesia were seen. Cavernous sinus syndrome (CSS) was suspected. Bilateral deformities of the jaw and phalangeal bones, severe spinal pain and abnormal conformation of the lumbar spine were also present. Radiographic examination revealed several mineralised masses in the appendicular and axial skeleton, indicative of multiple cartilaginous exostoses. For further investigation of the CSS-related neurological deficits, the cat underwent computed tomography (CT) examination of the skull. CT images revealed a non-vascularised, calcified, amorphous mass originating from the right lateral skull base and superimposing on the sella turcica. Based on the severity of diffuse lesions and owing to the clinical signs of extreme pain, the cat was euthanased. A diffuse skeletal and intracranial osteochondromatosis was diagnosed histologically.

摘要

一只1岁未绝育的雄性呵叻猫因瞳孔不等大被转诊至眼科进行会诊。检查发现右眼瞳孔散大伴眼球外肌麻痹、无光反射,以及鼻面部痛觉减退。怀疑为海绵窦综合征(CSS)。同时还存在颌骨和指骨双侧畸形、严重的脊柱疼痛以及腰椎形态异常。影像学检查显示四肢骨骼和中轴骨骼有多个矿化肿块,提示多发性骨软骨瘤。为进一步检查与CSS相关的神经功能缺损,该猫接受了头颅计算机断层扫描(CT)检查。CT图像显示一个无血管、钙化的无定形肿块,起源于右侧颅底外侧并覆盖蝶鞍。鉴于弥漫性病变的严重程度以及极度疼痛的临床症状,对该猫实施了安乐死。组织学诊断为弥漫性骨骼和颅内骨软骨瘤病。

相似文献

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Cavernous sinus syndrome due to osteochondromatosis in a cat.猫骨软骨瘤病所致海绵窦综合征
J Feline Med Surg. 2013 Dec;15(12):1132-6. doi: 10.1177/1098612X13488385. Epub 2013 May 15.
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本文引用的文献

1
Multiple Cartilaginous Exostoses in a Cat.一只猫身上的多发性软骨外生骨疣
Vet Pathol. 1972 Sep;9(5):350-359. doi: 10.1177/030098587200900505.
2
Extraskeletal osteochondroma on a cat´s elbow.猫肘部的骨外骨软骨瘤。
J S Afr Vet Assoc. 2012 Sep 10;83(1):104. doi: 10.4102/jsava.v83i1.104.
3
What is your diagnosis? Osteochondromatosis.你的诊断是什么?骨软骨瘤病。
J Am Vet Med Assoc. 2011 May 15;238(10):1243-4. doi: 10.2460/javma.238.10.1243.
5
Bilateral cavernous sinus syndrome in dogs: 6 cases (1999-2004).犬双侧海绵窦综合征:6例(1999 - 2004年)
J Am Vet Med Assoc. 2005 Apr 1;226(7):1105-11. doi: 10.2460/javma.2005.226.1105.
6
Linear osteochondromatosis in a cat.猫的线状骨软骨瘤病
Vet Radiol Ultrasound. 2003 Nov-Dec;44(6):660-4. doi: 10.1111/j.1740-8261.2003.tb00529.x.
7
Magnetic resonance diagnosis: cavernous sinus syndrome in a dog.磁共振诊断:犬海绵窦综合征
Vet Radiol Ultrasound. 2000 Nov-Dec;41(6):536-8. doi: 10.1111/j.1740-8261.2000.tb01885.x.

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