School of Veterinary Science, University of Queensland, Gatton, Queensland, Australia.
J Vet Emerg Crit Care (San Antonio). 2022 Mar;32(2):254-259. doi: 10.1111/vec.13156. Epub 2021 Nov 12.
To describe acute cerebral compression caused by an epidural hematoma (EDH) in a dog with cryptococcal infection.
An 18-month-old neutered male Neapolitan Mastiff was found comatose with no preceding clinical signs apart from a mild forelimb lameness. A CT scan of the head revealed a lesion within the right caudal nasal cavity that traversed the cribriform plate in addition to a right epidural lesion resulting in compression of the right cerebrum. Assessment of brain death was made based on the presence of coma, apnea, and absence of brain stem reflexes and included assessment of the vestibulo-ocular reflex. Postmortem identified a large EDH causing marked compression of the right frontal lobe. A nasal biopsy cultured Cryptococcus gattii.
EDH formation in a dog secondary to cryptococcosis has not been previously reported. This is also the first time a caloric vestibulo-ocular reflex assessment has been reported in a dog.
描述一只患有隐球菌感染的犬的硬膜外血肿（EDH）引起的急性脑受压。
一只 18 个月大的去势雄性那不勒斯獒犬出现昏迷，除了轻微的前肢跛行外，没有其他前驱临床症状。头部 CT 扫描显示右侧鼻后腔有一个病变，穿过筛板，此外还有一个右侧硬膜外病变，导致右大脑受压。脑死亡的评估是基于昏迷、呼吸暂停和没有脑干反射的存在，并包括对前庭眼反射的评估。尸检发现一个大的 EDH 导致右额叶明显受压。鼻活检培养出新型隐球菌。
继发于隐球菌病的犬 EDH 形成以前没有报道过。这也是首次在犬中报告热刺激前庭眼反射评估。
