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一只伊比利亚金雕的急性脑实质内脑出血——病例报告

Acute intraparenchymal cerebral haemorrhage in an Iberian golden eagle - a case report.

作者信息

Baptista Cláudia S, Monteiro Carla, Fernandes Hélder, Canadas Ana, Guardão Luísa, Santos Joana C

机构信息

Department of Veterinary Clinics, UPVet, Institute of Biomedical Sciences Abel Salazar, University of Porto (ICBAS-UP), Rua Jorge Viterbo Ferreira 228, 4050-313, Porto, Portugal.

Instituto de Ciências e Tecnologias Agrárias e Agro-Alimentares da Universidade do Porto - Centro de Estudos de Ciência Animal (ICETA-CECA), Rua D. Manuel II, Apartado 55412, 4051-401, Porto, Portugal.

出版信息

BMC Vet Res. 2018 Feb 27;14(1):60. doi: 10.1186/s12917-018-1379-2.

Abstract

BACKGROUND

In birds there are reports of intracranial lesions but not of the clinical, computed tomographic and histopathologic features of acute intraparenchymal cerebral haemorrhage in Iberian golden eagle.

CASE PRESENTATION

The following report describes a case of a 30-year-old Iberian golden eagle (Aquila chrysaetos homeyeri) with no history of trauma, presented with acute opisthotonus, left head tilt and circling, anisocoria, positional nystagmus, and ataxia. The main differential diagnosis were hypovitaminosis B or E and intracranial disease due to trauma, infection, toxins or masses. A computed tomography (CT) of the head was performed with an 8-slices scanner and evidenced a hyperdense (63-65 HU) non-enhancing homogeneous well delineated round area in the midbrain, with 6 mm in its highest diameter. The attenuation values and the non-enhancing nature of the lesion strongly suggested the diagnosis of acute intraparenchymal haemorrhage, which was histologically confirmed after necropsy.

CONCLUSIONS

In birds with a central neurological dysfunction, the diagnosis of acute brain haemorrhage should be considered when the CT evidences a non-enhancing, homogeneous, well circumscribed hyperattenuated round area.

摘要

背景

有关于鸟类颅内病变的报道,但尚无伊比利亚金雕急性脑实质内脑出血的临床、计算机断层扫描及组织病理学特征的相关报道。

病例介绍

以下报告描述了一例30岁的伊比利亚金雕(Aquila chrysaetos homeyeri),无外伤史,表现为急性角弓反张、左侧头部倾斜及转圈、瞳孔不等大、位置性眼球震颤和共济失调。主要鉴别诊断为维生素B或E缺乏症以及由外伤、感染、毒素或肿块引起的颅内疾病。使用8层扫描仪对头部进行了计算机断层扫描(CT),结果显示中脑有一个高密度(63 - 65HU)、无强化、边界清晰的均匀圆形区域,最大直径为6毫米。病变的衰减值及无强化特征强烈提示急性脑实质内出血的诊断,尸检后组织学检查证实了这一诊断。

结论

对于出现中枢神经功能障碍的鸟类,当CT显示一个无强化、均匀、边界清晰的高密度圆形区域时,应考虑急性脑出血的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aeb/5830054/fac857676df3/12917_2018_1379_Fig1_HTML.jpg

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