Suppr超能文献

西伯利亚猫的幼年型运动性多神经病

Juvenile-onset motor polyneuropathy in Siberian cats.

作者信息

Crawford Kelly C, Dreger Dayna L, Shelton G Diane, Ekenstedt Kari J, Lewis Melissa J

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA.

Department of Basic Medical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA.

出版信息

J Vet Intern Med. 2020 Nov;34(6):2595-2604. doi: 10.1111/jvim.15963. Epub 2020 Nov 11.

Abstract

BACKGROUND

Polyneuropathies are infrequently described in cats. There is a genetic predisposition in several breeds.

OBJECTIVE

To clinically characterize a novel motor polyneuropathy in a family of Siberian cats.

ANIMALS

Thirteen closely related Siberian cats, 4 clinically affected and 9 clinically unaffected individuals.

METHODS

Retrospective study. Clinical data and pedigree information were obtained from the medical records and breeder. Electrodiagnostic testing and muscle and peripheral nerve biopsy samples were obtained from 1 affected cat. Follow-up information was obtained for all affected cats.

RESULTS

Onset of signs was 4 to 10 months in affected cats. Clinical signs were progressive or waxing/waning neuromuscular weakness (4/4), normal sensory function (4/4), and variably decreased withdrawal reflexes (3/4). All cats returned to normal neurologic function within 1 to 4 weeks. All cats had a recurrence of weakness (3/4 had 1 recurrent episode, 1/4 had 3 relapses) from which they recovered fully. In 1 cat, electromyography and motor nerve conduction studies showed multicentric spontaneous activity, normal motor nerve conduction velocity, reduced compound muscle action potential amplitude, and polyphasia. Histologic evaluation of muscle and nerve in that cat showed mild muscle atrophy consistent with recent denervation, endoneurial and perineurial edema, and mild mononuclear cell infiltration within intramuscular nerve branches and a peripheral nerve. Pedigree analysis suggests an autosomal recessive mode of inheritance, although neither a genetically complex/polygenic condition nor an acquired inflammatory polyneuropathy can be ruled-out.

CONCLUSIONS AND CLINICAL IMPORTANCE

We describe a motor polyneuropathy in juvenile Siberian cats characterized by self-limiting weakness with potential relapse.

摘要

背景

猫的多发性神经病鲜有报道。多个品种存在遗传易感性。

目的

对一窝西伯利亚猫中的一种新型运动性多发性神经病进行临床特征描述。

动物

13只亲缘关系密切的西伯利亚猫,4只临床发病,9只临床未发病。

方法

回顾性研究。从病历和繁育者处获取临床数据和系谱信息。对1只患病猫进行电诊断测试,并采集肌肉和周围神经活检样本。获取所有患病猫的随访信息。

结果

患病猫的症状在4至10个月时出现。临床症状为进行性或时轻时重的神经肌肉无力(4/4)、感觉功能正常(4/4)以及不同程度的退缩反射减弱(3/4)。所有猫在1至4周内恢复正常神经功能。所有猫均出现了无力复发(3/4有1次复发,1/4有3次复发),但均完全康复。在1只猫中,肌电图和运动神经传导研究显示多灶性自发电活动、运动神经传导速度正常、复合肌肉动作电位幅度降低以及多相波。对该猫的肌肉和神经进行组织学评估显示轻度肌肉萎缩,符合近期失神经改变、神经内膜和神经束膜水肿,以及肌内神经分支和一条周围神经内轻度单核细胞浸润。系谱分析提示为常染色体隐性遗传模式,尽管不能排除遗传复杂/多基因疾病或后天性炎性多发性神经病。

结论及临床意义

我们描述了一种幼年西伯利亚猫的运动性多发性神经病,其特征为自限性无力且可能复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bc8/7694826/a63921544885/JVIM-34-2595-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验