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影像诊断:犬颅颈段椎管内神经鞘瘤

Imaging diagnosis: cranial cervical intraspinal schwannoma in a dog.

作者信息

Oliveira Maria, De La Fuente Cristian, Pumarola Martí, Añor Sònia

机构信息

Hospital Clínic Veterinari, Facultat de Veterinària, Universitat Autònoma de Barcelona, 08193, Bellaterra, Barcelona, Spain.

出版信息

Vet Radiol Ultrasound. 2014 May-Jun;55(3):300-4. doi: 10.1111/vru.12071. Epub 2013 Jun 6.

Abstract

A 3-year-old, intact female Golden Retriever was presented with acute tetraplegia. Neurologic examination was consistent with a C1-C5 myelopathy. On magnetic resonance (MR) imaging a well-defined, extradural mass was detected within the spinal canal at the level of C1-C2. The mass was isointense to normal spinal cord gray matter on T1-weighted (T1W) images, hyperintense on T2-weighted (T2W), and gradient-echo (GE) images, and enhanced homogeneously after intravenous contrast administration. MR imaging features were mainly consistent with a meningioma. Surgical treatment was refused by the owners, and the dog was euthanized. Postmortem examination demonstrated that the intraspinal mass was a schwannoma.

摘要

一只3岁未绝育雌性金毛猎犬出现急性四肢瘫痪。神经学检查结果与C1 - C5脊髓病相符。磁共振(MR)成像显示在C1 - C2水平的椎管内发现一个边界清晰的硬膜外肿块。该肿块在T1加权(T1W)图像上与正常脊髓灰质信号强度相等,在T2加权(T2W)和梯度回波(GE)图像上呈高信号,静脉注射造影剂后均匀强化。MR成像特征主要符合脑膜瘤表现。主人拒绝手术治疗,随后对该犬实施安乐死。尸检显示椎管内肿块为神经鞘瘤。

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