Ricciardi M, De Simone A, Gernone F, Giannuzzi P
Dr. M. Ricciardi, Pingry Veterinary Hospital, via Medaglie d'Oro 5, Bari 70126, Italy, Phone: +39 080 553 3884, E-mail:
Vet Comp Orthop Traumatol. 2015;28(2):145-50. doi: 10.3415/VCOT-14-07-0109. Epub 2015 Feb 4.
An 11-year-old intact female Doberman Pinscher was presented with the complaint of non-ambulatory tetraparesis. Clinical and neurological examination revealed a caudal cervical spinal cord disfunction (C6-T2 spinal cord segments). Magnetic resonance imaging and computed tomographic (CT) findings of the cervical spine were consistent with caudal cervical spondylomyelopathy (CSM). During the diagnostic work-up for the cervical spine, bilateral bone anomalies involving the seventh cervical vertebra and the first ribs were found on radiographs and CT examination. The rib anomalies found in this dog appear similar to cervical ribs widely described in human medicine. In people, cervical ribs are associated with a high rate of stillbirth, early childhood cancer, and can cause the thoracic outlet syndrome, characterized by neurovascular compression at level of superior aperture of the chest. In dogs, only some sporadic anatomopathological descriptions of cervical ribs exist. In this report the radiographic and CT findings of these particular vertebral and rib anomalies along with their relationships with adjacent vasculature and musculature are shown intravitam in a dog. Specific radiographic and CT findings described in this report may help in reaching a presumptive diagnosis of this anomaly. Finally, their clinical and evolutionary significance are discussed.
一只11岁未绝育的雌性杜宾犬因四肢瘫痪前来就诊。临床和神经学检查发现颈髓尾部功能障碍(颈髓C6 - T2节段)。颈椎的磁共振成像和计算机断层扫描(CT)结果与颈髓型颈椎病(CSM)相符。在对颈椎进行诊断性检查期间,在X线片和CT检查中发现了涉及第七颈椎和第一肋骨的双侧骨骼异常。这只狗身上发现的肋骨异常与人类医学中广泛描述的颈肋相似。在人类中,颈肋与高死产率、儿童早期癌症相关,并可导致胸廓出口综合征,其特征为胸部上口水平的神经血管受压。在犬类中,仅存在一些关于颈肋的散发性解剖病理学描述。在本报告中,展示了这只狗活体状态下这些特定椎体和肋骨异常的X线和CT表现,以及它们与相邻血管和肌肉组织的关系。本报告中描述的特定X线和CT表现可能有助于对这种异常做出初步诊断。最后,讨论了它们的临床和演变意义。