Smith M O, Turrel J M, Bailey C S, Cain G R
Neurology Service, Veterinary Medical Teaching Hospital, Davis, CA.
J Am Vet Med Assoc. 1989 Jul 15;195(2):242-5.
Neurologic abnormalities were the predominant historic and physical findings in 5 dogs and 2 cats with primary nasal cavity tumors that had invaded the cranial vault. Seizures, behavior changes, and obtundation were the most common signs. Other neurologic signs included paresis, ataxia, circling, visual deficit, and proprioceptive deficit. Although 1 dog and 2 cats had historic findings of mild respiratory disease, no physical abnormalities related to the respiratory tract were found in any of the 7 animals. Nasal cavity neoplasia was suggested by radiographic and computed tomographic studies and was confirmed histopathologically in each case. The nasal tumor types in the 5 dogs were epidermoid carcinoma (n = 1), adenocarcinoma (n = 2), solid carcinoma (n = 1), and anaplastic chondrosarcoma (n = 1). An esthesioneuroblastoma was found in each cat. Radiation therapy was effective for 3 months in palliating the clinical signs in the 2 dogs in which it was used. Neoplasia of the nasal cavity should be considered in the differential diagnosis for animals with neurologic signs suggestive of cerebral disorders.
在5只犬和2只猫的原发性鼻腔肿瘤侵犯颅顶病例中,神经学异常是主要的病史和体格检查发现。癫痫发作、行为改变和意识迟钝是最常见的体征。其他神经学体征包括轻瘫、共济失调、转圈、视力缺陷和本体感觉缺陷。虽然1只犬和2只猫有轻度呼吸道疾病的病史,但在这7只动物中均未发现与呼吸道相关的体格异常。X线和计算机断层扫描研究提示鼻腔肿瘤形成,且每例均经组织病理学证实。5只犬的鼻腔肿瘤类型为表皮样癌(n = 1)、腺癌(n = 2)、实体癌(n = 1)和间变性软骨肉瘤(n = 1)。每只猫均发现嗅神经母细胞瘤。放射治疗对其中2只使用该治疗方法的犬的临床体征缓解有效3个月。对于有提示脑部疾病的神经学体征的动物,鉴别诊断时应考虑鼻腔肿瘤形成。