Gonçalves R, Volk H, Smith P M, Penderis J, Garosi L, MacKillop E, de Stefani A, Cherubini G, McConnell J F
Department of Veterinary Science, Small Animal Teaching Hospital, University of Liverpool, Neston, UK.
J Vet Intern Med. 2014 Jul-Aug;28(4):1275-9. doi: 10.1111/jvim.12371. Epub 2014 May 19.
Corpus callosal abnormalities (CCA) in dogs have been only sporadically reported and are poorly characterized.
HYPOTHESIS/OBJECTIVES: To describe the clinical presentation and magnetic resonance imaging (MRI) characteristics of dogs with CCA.
Fifteen client-owned dogs.
Retrospective study. Records of the contributing institutions were reviewed to identify dogs diagnosed with malformations affecting the corpus callosum (CC); cases in which the CCA was thought to be secondary were excluded.
The most represented breeds were Staffordshire Bull Terriers (5/15) and Miniature Schnauzers (3/15; n = 3, 20%) and the mean age at time of presentation of 19 months (range 3-81 months). The clinical signs most commonly reported were adipsia/hypodipsia with associated hypernatremia (12/15), tremors (6/15), and seizures (6/15). Review of the MR images revealed that 10 dogs had absence of the rostral CC and hypoplasia of the caudal portion, 4 dogs had a diffusely hypoplastic and dysplastic CC, and 1 dog had a diffusely hypoplastic CC. In 14 cases, there was abnormal cortical development with fusion of the ventral frontal lobes and part of the diencephalon, indicating lobar holoprosencephaly.
Previous literature has mainly associated CCA with adipsia and only 12 of 15 dogs in the current series demonstrated this abnormality. There are different degrees of the malformation but in 10 dogs the rostral portion of the CC is most severely affected. Fourteen dogs have simultaneous fusion of the midline structures rostral to the CC; this region has several structures involved in thirst regulation and might explain this derangement.
犬胼胝体异常(CCA)仅有零星报道,且特征描述不足。
假设/目的:描述患有CCA的犬的临床表现和磁共振成像(MRI)特征。
15只客户拥有的犬。
回顾性研究。查阅相关机构的记录,以确定被诊断患有影响胼胝体(CC)畸形的犬;排除认为CCA是继发性的病例。
最具代表性的品种是斯塔福郡斗牛梗(5/15)和迷你雪纳瑞(3/15;n = 3,20%),就诊时的平均年龄为19个月(范围3 - 81个月)。最常报告的临床症状是烦渴/饮水过少伴高钠血症(12/15)、震颤(6/15)和癫痫发作(6/15)。对MR图像的回顾显示,10只犬的胼胝体前部缺失且后部发育不全,4只犬的胼胝体弥漫性发育不全和发育异常,1只犬的胼胝体弥漫性发育不全。在14例病例中,存在异常的皮质发育,腹侧额叶和部分间脑融合,提示叶状全前脑畸形。
既往文献主要将CCA与烦渴相关联,本系列15只犬中只有12只表现出这种异常。存在不同程度的畸形,但10只犬的胼胝体前部受影响最严重。14只犬在胼胝体前方的中线结构同时融合;该区域有几个参与口渴调节的结构,这可能解释了这种紊乱。