病例报告：三只猫经口筷子穿透性延髓颈髓损伤

Case Report: Transoral Penetrating Medullocervical Injury by a Chopstick in Three Cats.

作者信息

Nakano Yukiko, Nozue Yuta, Nakata Kohei, Fujioka Toru, Sakai Yoichi, Kamishina Hiroaki

机构信息

The Animal Medical Center of Gifu University, Gifu University, Gifu, Japan.

The United Graduate School of Veterinary Sciences, Gifu University, Gifu, Japan.

出版信息

Front Vet Sci. 2020 Dec 16;7:609869. doi: 10.3389/fvets.2020.609869. eCollection 2020.

DOI:10.3389/fvets.2020.609869

PMID:33426029

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7793763/

Abstract

This case series describes transoral penetrating or contusive medullocervical injury by a wooden chopstick in three young cats presenting with acute tetraparesis. CT revealed that remnant fragments of a wooden chopstick penetrated the atlantooccipital space in cases 1 and 2. The remnant fragments were visualized clearly on CT under the bone window setting. MRI revealed a hyper-intense lesion in the spinal cord parenchyma at the level of C1 on T2-weighted images in case 3. Tetraparesis improved after surgical removal of the remnant fragment in case 2 and with supportive care in case 3.

摘要

本病例系列描述了三只出现急性四肢轻瘫的幼猫经口被木筷穿透或挫伤延髓颈髓的损伤情况。CT显示，病例1和病例2中木筷的残余碎片穿透了寰枕间隙。在骨窗设置下，CT能清晰显示残余碎片。病例3的MRI在T2加权图像上显示C1水平脊髓实质有高信号病变。病例2在手术取出残余碎片后四肢轻瘫有所改善，病例3则通过支持治疗后改善。