Maizuru Animal Medical Center, Maizuru, Kyoto 625-0037, Japan.
Present affiliation: Veterinary Teaching Hospital, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo, Hokkaido 060-0818, Japan.
J Vet Med Sci. 2022 Jan 7;84(1):69-73. doi: 10.1292/jvms.21-0462. Epub 2021 Nov 29.
A 1-year-old domestic shorthair cat was evaluated for a chronic history of back pain, dysuria, and paraplegia. Radiographic and computed tomographic examinations showed circumferential widening of the vertebral canal at T13 and T14. A spinal epidural abscess (SEA) compressing the spinal cord from the level of T11 to L1 was suspected following intravenous contrast administration, and was confirmed by surgical exploration and histopathological analysis. The cat recovered its motor and bladder functions following surgical decompression and antibiotic therapy. SEA is a neurological emergency requiring prompt treatment. However, the present case had a prolonged disease course and pressure atrophy of the vertebrae was strongly suspected. To our knowledge, this imaging finding has not been reported in dogs or cats with SEA.
一只 1 岁的家短毛猫因慢性背痛、排尿困难和截瘫就诊。放射学和计算机断层扫描检查显示 T13 和 T14 处椎管环形增宽。静脉造影后怀疑存在 T11 至 L1 脊髓受压的硬脊膜外脓肿（SEA），手术探查和组织病理学分析证实了这一诊断。在接受手术减压和抗生素治疗后，猫恢复了运动和膀胱功能。SEA 是一种需要紧急治疗的神经急症。然而，本例病程较长，强烈怀疑存在椎体压迫性萎缩。据我们所知，这种影像学表现尚未在 SEA 的犬或猫中报道过。
