Veterinary Medical Teaching Hospital, Nippon Veterinary and Life Science University, Tokyo, Japan.
Kyoto Animal Referral Medical Center, Kyoto, Japan.
J Vet Intern Med. 2022 Sep;36(5):1806-1811. doi: 10.1111/jvim.16523. Epub 2022 Aug 19.
Three young adult cats with intermittent spinal hyperesthesia and paraparesis and diagnosed with spinal epidural arteriovenous fistula are described. In all 3 cases, magnetic resonance imaging (MRI) showed focal dilatation of the veins in the epidural space of the thoracic spinal cord, whereas computed tomography angiography (CTA) showed dilatation and enhancement from the intercostal vein to the azygos vein at the same site in the arterial phase. Dorsal laminectomy and occlusion of the interarcuate branches running across the dorsal aspect of the spinal cord were performed in all 3 cats to decompress the spinal cord, which resulted in a remission of clinical signs and no recurrence during 14 to 40 months of follow-up after surgery in all cases.
现介绍 3 例患有间歇性脊髓感觉过敏和轻截瘫且被诊断为硬脊膜动静脉瘘的成年猫。在所有 3 例中,磁共振成像(MRI)显示胸段脊髓硬膜外空间的静脉局限性扩张,而计算机断层血管造影(CTA)显示在动脉期相同部位肋间静脉至奇静脉扩张和强化。所有 3 例猫均行背侧椎板切除术和穿过脊髓背侧面的弓间分支闭塞,以减轻脊髓压迫,结果所有病例在手术后 14 至 40 个月的随访期间临床症状均缓解,无复发。