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31例斯科特肌痛的临床特征

Clinical characteristics of Scottie Cramp in 31 cases.

作者信息

Urkasemsin G, Olby N J

机构信息

Department of Clinical Sciences, College of Veterinary, Medicine, North Carolina State University, Raleigh, NC, 27607, USA.

出版信息

J Small Anim Pract. 2015 Apr;56(4):276-80. doi: 10.1111/jsap.12317. Epub 2015 Jan 20.

Abstract

OBJECTIVE

To report the clinical features, with response to therapy and long-term outcome of Scottie Cramp as described by owners.

METHODS

Owners of affected dogs provided a description of clinical signs, age of onset and disease progression. Medical records, pedigrees and videotapes of cramp episodes were evaluated.

RESULTS

Thirty-one dogs were recruited; 19 showed generalised spasticity and 12 exhibited only hind limb spasticity and skipping. Episodes were noted in the first year of life in 76% of dogs and were triggered by excitement, stress and exercise. Episode frequency and severity decreased over time with behaviour modification and decreased exposure to triggers playing a role in their development. One dog was euthanased because of severe refractory signs. Fluoxetine reduced the frequency and duration of episodes in seven dogs, but not in one severely affected dog. Female dogs were over-represented with only eight affected males in the study cohort, and the presence of dogs with cerebellar degeneration in the same pedigrees may suggest a more complex mode of inheritance than previously reported.

CLINICAL SIGNIFICANCE

The disorder recognised as Scottie Cramp by dog owners includes dogs with hind limb spasticity in addition to generalised cramping. Signs usually improve over time without specific treatment.

摘要

目的

报告犬主所描述的斯科蒂抽筋(Scottie Cramp)的临床特征、治疗反应及长期预后。

方法

患病犬的主人提供了临床症状、发病年龄及疾病进展的描述。对抽筋发作的病历、系谱和录像进行了评估。

结果

招募了31只犬;19只表现为全身性痉挛,12只仅表现为后肢痉挛和跳跃。76%的犬在出生后第一年内出现发作,发作由兴奋、应激和运动诱发。随着行为改变以及减少接触在其发病中起作用的诱发因素,发作频率和严重程度随时间下降。1只犬因严重难治性症状而实施安乐死。氟西汀减少了7只犬的发作频率和持续时间,但对1只严重患病犬无效。在研究队列中,雌性犬占比过高,仅有8只患病雄性犬,且同一家系中存在小脑变性犬,这可能提示其遗传模式比先前报道的更为复杂。

临床意义

犬主所认可的被称为斯科蒂抽筋的疾病包括除全身性抽筋外还伴有后肢痉挛的犬。症状通常无需特殊治疗即可随时间改善。

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