Kim C-Yoon, Hwang In-Kyu, Kim Hana, Jang Se-Woong, Kim Hong Seog, Lee Won-Young
Department of Stem Cell Biology, School of Medicine, Konkuk University, Seoul, Korea.
Liebe Animal Medical Center, Seoul, Korea.
Surg Neurol Int. 2016 Sep 13;7(Suppl 24):S637-40. doi: 10.4103/2152-7806.190476. eCollection 2016.
A case report on observing the recovery of sensory-motor function after cervical spinal cord transection.
Laminectomy and transection of cervical spinal cord (C5) was performed on a male beagle weighing 3.5 kg. After applying polyethylene glycol (PEG) on the severed part, reconstruction of cervical spinal cord was confirmed by the restoration of sensorimotor function. Tetraplegia was observed immediately after operation, however, the dog showed stable respiration and survival without any complication. The dog showed fast recovery after 1 week, and recovered approximately 90% of normal sensorimotor function 3 weeks after the operation, although urinary disorder was still present. All recovery stages were recorded by video camera twice a week for behavioral analysis.
While current belief holds that functional recovery is impossible after a section greater than 50% at C5-6 in the canine model, this case study shows the possibility of cervical spinal cord reconstruction after near-total transection. Furthermore, this case study also confirms that PEG can truly expedite the recovery of sensorimotor function after cervical spinal cord sections in dogs.
一份关于观察颈髓横断后感觉运动功能恢复的病例报告。
对一只体重3.5千克的雄性比格犬实施了颈椎板切除术及颈髓(C5)横断术。在断端涂抹聚乙二醇(PEG)后,通过感觉运动功能的恢复证实了颈髓重建。术后立即观察到四肢瘫痪,但该犬呼吸稳定且存活,无任何并发症。术后1周该犬恢复迅速,术后3周恢复了约90%的正常感觉运动功能,尽管仍存在排尿障碍。每周用摄像机记录所有恢复阶段两次以进行行为分析。
虽然目前的观点认为在犬模型中C5 - 6节段横断超过50%后功能恢复是不可能的,但本病例研究显示了颈髓近乎完全横断后重建的可能性。此外,本病例研究还证实PEG确实可以加速犬颈髓横断后感觉运动功能的恢复。