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患脊椎血管错构瘤的猫的多次手术治疗和长期预后。

Repeated surgical treatment and long-term outcome of a cat with vertebral vascular hamartoma.

机构信息

School of Veterinary Medicine, Nihon University, Kameino 1866, Fujisawa, Kanagawa 252-0880, Japan.

Department of Small Animal Clinical Sciences, Texas A&M University, TX77843, USA.

出版信息

J Vet Med Sci. 2020 Jun 16;82(6):721-725. doi: 10.1292/jvms.19-0079. Epub 2020 Apr 16.

Abstract

A 30-month-old Maine Coon presented with progressive proprioceptive ataxia, paraparesis, thoracolumbar pain, and decreased appetite. An extradural mass was detected within the left side of the 13th thoracic vertebral canal that compressed the spinal cord on magnetic resonance (MR) and was considered to be mineralized on computed tomography (CT) images. The resected mass was diagnosed as a vertebral vascular hamartoma. Clinical signs improved, but recurrence was diagnosed by MR and CT imaging at 7 months after surgery. Repeated excisional surgery yielded the same diagnosis and the clinical signs abated. Fifteen months after the second surgery, there was apparent vertebral deformation, but there was no further change on CT images by 29 months.

摘要

一只 30 月龄的缅因库恩猫出现进行性本体感觉共济失调、后躯轻瘫、胸腰椎疼痛和食欲减退。磁共振成像(MR)发现第 13 胸椎椎管左侧有硬膜外肿块,压迫脊髓,计算机断层扫描(CT)图像显示为矿化。切除的肿块被诊断为椎内血管错构瘤。临床症状改善,但术后 7 个月 MR 和 CT 成像诊断复发。重复切除手术得出相同的诊断,临床症状减轻。第二次手术后 15 个月,明显出现椎体变形,但 29 个月时 CT 图像无进一步变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5de/7324809/165eaae674f1/jvms-82-721-g001.jpg

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