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犬弥散性脑膜寡树突胶质细胞瘤,其特征为磁共振成像显示脊髓内实质结节。

Diffuse meningeal oligodendrogliomatosis characterized by spinal intra-parenchymal nodules on magnetic resonance imaging in a dog.

机构信息

Département de Sciences Cliniques (Giron, Masseau), Département de Pathologie et Microbiologie (Culang, Doré), Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, Quebec; Service de Neurologie, Centres Vétérinaires DMV, Montréal, Quebec (Paquette).

出版信息

Can Vet J. 2020 Dec;61(12):1312-1318.

Abstract

Meningeal oligodendrogliomatosis is a relatively rare neoplasm in dogs. Ante-mortem diagnosis is difficult due to nonspecific neurologic signs overlapping other conditions. The only reported consistent feature is a high level of protein in the cerebrospinal fluid. Veterinary literature offers only 1 case report with magnetic resonance imaging (MRI) of canine spinal meningeal oligodendrogliomatosis in a single dog. In contrast to the predominant diffuse meningeal enhancement shown in that report, we present the case of a young female cane corso dog with marked nodular invasion of the spinal cord on MRI, confirmed by histopathology to be consistent with diffuse meningeal oligodendrogliomatosis. Key clinical message: Meningeal oligodendrogliomatosis should be a differential diagnosis when marked nodular invasion of the spinal cord is seen on MRI, both with and without meningeal enhancement.

摘要

脑脊膜寡树突胶质细胞瘤在犬中是一种相对罕见的肿瘤。由于非特异性神经症状与其他疾病重叠,因此在生前诊断较为困难。唯一报告的一致特征是脑脊液中蛋白质水平升高。兽医文献中仅报道了一例犬脑脊膜寡树突胶质细胞瘤的磁共振成像(MRI)病例,且仅涉及单只狗。与该报告中显示的弥漫性脑膜增强为主不同,我们介绍了一例年轻雌性坎高犬的病例,其 MRI 显示脊髓有明显的结节状侵犯,组织病理学证实为弥漫性脑脊膜寡树突胶质细胞瘤。主要临床信息:当 MRI 显示脊髓有明显的结节状侵犯时,无论脑膜是否增强,都应将脑脊膜寡树突胶质细胞瘤作为鉴别诊断。

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