Lopes Bruno A, Ives Edward J, José-López Roberto, Gutierrez-Quintana Rodrigo, Abouzeid Jad, Freeman Paul, Redondo José Ignacio, Sánchez-Masián Daniel
Anderson Moores Veterinary Specialists, Part of Linnaeus Veterinary Limited, Hursley, United Kingdom.
School of Veterinary Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom.
Front Vet Sci. 2022 Sep 12;9:960912. doi: 10.3389/fvets.2022.960912. eCollection 2022.
The aim of the study was to describe the signalment, clinical presentation and presumptive or final diagnoses of dogs with cranial thoracic spinal cord lesions identified on advanced imaging. Retrospective evaluation of the databases of three veterinary specialty centres, between 2009 and 2021, was performed to identify dogs with a lesion affecting the cranial thoracic vertebral column (T1-T6 vertebrae) as the primary cause for presenting signs of myelopathy and/or spinal pain. Eighty-four dogs were included in the study, with the majority ( = 76) presenting with a progressive history of over 4-weeks' duration. On neurologic examination, most dogs were ambulatory ( = 64), and the most common neuroanatomic localisation was the T3-L3 spinal cord segments ( = 63). Twelve dogs (14%) showed a short-strided thoracic limb gait on clinical examination. The most common diagnosis was neoplasia ( = 33), followed by anomalies ( = 22, including vertebral body malformations in 14 dogs) and degenerative disorders ( = 16, with intervertebral disc protrusion diagnosed in 9 dogs). The most common vertebrae affected were T3 and T5. Most dogs with degenerative conditions showed asymmetric clinical signs, and the majority of dogs with neoplasia showed signs of spinal hyperaesthesia on examination. The findings of this study describe the clinical signs and presumptive or final diagnoses associated with lesions affecting the cranial thoracic spinal cord. When combined with the signalment and clinical history, this information can assist in both the recognition of and problem-based approach to these cases.
本研究的目的是描述在高级影像学检查中发现患有胸段脊髓头端病变的犬只的特征、临床表现以及初步诊断或最终诊断结果。对三个兽医专科中心2009年至2021年的数据库进行回顾性评估,以确定患有影响胸段头端脊柱(T1-T6椎体)病变的犬只,这些病变是出现脊髓病和/或脊柱疼痛症状的主要原因。84只犬被纳入研究,其中大多数(n = 76)有超过4周的渐进性病史。在神经学检查中,大多数犬能够行走(n = 64),最常见的神经解剖定位是T3-L3脊髓节段(n = 63)。12只犬(14%)在临床检查中表现出胸肢短步幅步态。最常见的诊断是肿瘤(n = 33),其次是先天性异常(n = 22,包括14只犬的椎体畸形)和退行性疾病(n = 16,其中9只犬被诊断为椎间盘突出)。最常受影响的椎体是T3和T5。大多数患有退行性疾病的犬表现出不对称的临床症状,而大多数患有肿瘤的犬在检查时表现出脊柱感觉过敏的症状。本研究结果描述了与影响胸段脊髓头端病变相关的临床症状以及初步诊断或最终诊断结果。当与动物特征和临床病史相结合时,这些信息有助于识别这些病例并采取基于问题的处理方法。