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一例罕见的犬恶性迷走神经鞘瘤致多颅神经功能障碍病例报告

A rare case of malignant vagus nerve sheath tumor presenting with multiple cranial nerve dysfunction in a dog.

机构信息

CHV Frégis, 43 Av Aristide Briand, 94110 Arcueil, France.

出版信息

Can Vet J. 2020 Oct;61(10):1049-1054.

PMID:33012818
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7488372/
Abstract

A 5-year-old intact male Gascon Saintongeois dog was presented with a 6-month history of coughing, laryngeal paralysis, a deglutition disorder of gradual onset, and left-sided Horner's syndrome. The dog was admitted as an emergency for acute central vestibular signs. Magnetic resonance images identified a left extra-axial brainstem lesion extending caudally from the medulla to the vagosympathetic trunk. Histological and immunohistological examination revealed a high grade epithelioid malignant peripheral nerve sheath tumor (MPNST). This case report is the first description of a MPNST of the vagus nerve compressing the brainstem and causing multiple cranial nerve dysfunction in a dog. Key clinical message: Nerve sheath tumors have been reported in many locations arising from spinal nerve roots and cranial nerves. Although the trigeminal nerve is the most commonly affected nerve, other cranial nerves such as the vagus can be affected.

摘要

一只 5 岁的雄性 Gascon Saintongeois 犬,完整未绝育,出现咳嗽、喉麻痹、进行性吞咽障碍和左侧霍纳氏综合征,病程 6 个月。因急性中枢性前庭体征而被紧急收治入院。磁共振成像发现延髓至迷走交感干的左侧脑外轴索病变。组织学和免疫组织化学检查显示高级别上皮样恶性外周神经鞘瘤(MPNST)。本病例报告是首例描述犬的迷走神经 MPNST 压迫脑干并导致多颅神经功能障碍的病例。关键临床信息:神经鞘瘤已在许多部位报道,起源于脊神经根和颅神经。虽然三叉神经最常受影响,但其他颅神经如迷走神经也可能受到影响。

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本文引用的文献

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J Vet Intern Med. 2019 Mar;33(2):735-742. doi: 10.1111/jvim.15373. Epub 2018 Dec 17.
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Malignant peripheral nerve sheath tumor originating from the adrenal gland in a dog.一只狗身上起源于肾上腺的恶性外周神经鞘瘤。
J Vet Med Sci. 2018 Nov 1;80(10):1572-1575. doi: 10.1292/jvms.18-0431. Epub 2018 Sep 3.
3
High dose hypofractionated frameless volumetric modulated arc radiotherapy is a feasible method for treating canine trigeminal nerve sheath tumors.高剂量少分次无框架容积调强弧形放疗是治疗犬三叉神经鞘瘤的一种可行方法。
Vet Radiol Ultrasound. 2018 Sep;59(5):624-631. doi: 10.1111/vru.12637. Epub 2018 Jun 8.
4
Canine spinal meningiomas and nerve sheath tumours in 34 dogs (2008-2016): Distribution and long-term outcome based upon histopathology and treatment modality.2008年至2016年间34只犬的脊髓脑膜瘤和神经鞘瘤:基于组织病理学和治疗方式的分布及长期预后
Vet Comp Oncol. 2018 Sep;16(3):344-351. doi: 10.1111/vco.12385. Epub 2018 Jan 23.
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Clinical and imaging findings, treatments, and outcomes in 27 dogs with imaging diagnosed trigeminal nerve sheath tumors: A multi-center study.27只经影像学诊断为三叉神经鞘瘤犬的临床及影像学表现、治疗方法和预后:一项多中心研究
Vet Radiol Ultrasound. 2017 Nov;58(6):679-689. doi: 10.1111/vru.12535. Epub 2017 Jul 31.
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