Bonelli Marilia de A, da Costa Ronaldo C
J Am Vet Med Assoc. 2019 Dec 1;255(11):1263-1269. doi: 10.2460/javma.255.11.1263.
To describe the neurologic signs and MRI findings for German Shepherd Dogs (GSDs) with cervical spondylomyelopathy (CSM).
10 GSDs with confirmed CSM.
Medical records from January 2006 through July 2018 were reviewed to identify dogs with CSM. For each CSM-affected dog, information regarding age, duration of clinical signs, presence of neurologic signs, and treatments administered were obtained; the main site and cause of spinal cord compression and other vertebral and spinal cord changes were identified on MRI images.
Data for 9 male and 1 female (mean age, 6.2 years) GSDs with CSM were assessed. Dogs were classified as having chronic (n = 9) or acute (1) CSM. Nine dogs had ataxia; 1 dog had only signs of cervical hyperesthesia. Neurologic examination findings localized the lesion to the cervical portion of the vertebral column in each dog. The main spinal cord compression site was at the C6-7 (n = 5), C5-6 (4), or C4-5 (1) intervertebral spaces; osseous proliferation of the articular processes was the sole or a contributory cause of these compressions for 6 of the 10 dogs. Eight dogs also had dorsal compression of the spinal cord as the result of ligamenta flava hypertrophy.
The 10 GSDs of the present retrospective case series had CSM that was often characterized by osseous changes and a ligamentous component and were older than dogs of other breeds (eg, Great Dane and Mastiff) with osseous-associated CSM described in previous reports. Cervical spondylomyelopathy should be a differential diagnosis for GSDs with ataxia, paresis, or signs of cervical hyperesthesia.
描述患有颈椎脊髓病(CSM)的德国牧羊犬(GSD)的神经学体征和MRI表现。
10只确诊患有CSM的GSD。
回顾2006年1月至2018年7月的病历,以确定患有CSM的犬只。对于每只受CSM影响的犬只,获取有关年龄、临床症状持续时间、神经学体征的存在情况以及所给予治疗的信息;在MRI图像上确定脊髓压迫的主要部位和原因以及其他椎体和脊髓变化。
评估了9只雄性和1只雌性(平均年龄6.2岁)患有CSM的GSD的数据。犬只被分类为患有慢性(n = 9)或急性(1只)CSM。9只犬有共济失调;1只犬仅有颈部感觉过敏的体征。神经学检查结果将每只犬的病变定位在脊柱的颈部。脊髓压迫的主要部位在C6 - 7(n = 5)、C5 - 6(4只)或C4 - 5(1只)椎间间隙;关节突的骨质增生是10只犬中6只犬这些压迫的唯一或促成原因。8只犬还因黄韧带肥大导致脊髓背侧受压。
本回顾性病例系列中的10只GSD患有CSM,其特征通常为骨质变化和韧带成分,且比先前报道的与骨质相关的CSM的其他品种犬(如大丹犬和獒犬)年龄更大。颈椎脊髓病应作为患有共济失调、轻瘫或颈部感觉过敏体征的GSD的鉴别诊断。