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病例报告:一只年轻德国牧羊犬的硬膜内和髓内脑干异物的手术摘除

Case report: Surgical removal of an intradural and intramedullary brainstem foreign body in a young German Shepherd.

作者信息

Thamar-Torres Oscar, Shores Andy

机构信息

Especialidades Centro Veterinario, Guatemala City, Guatemala.

Department of Clinical Sciences, Neurosurgery/Neurology Section, Mississippi State University College of Veterinary Medicine, Mississippi State, MS, United States.

出版信息

Front Vet Sci. 2023 Mar 16;10:1123304. doi: 10.3389/fvets.2023.1123304. eCollection 2023.

Abstract

A young, female German Shepherd was presented for evaluation of a progressive, mildly ambulatory tetraparesis with severe neck pain. All segmental reflexes were intact, and the paresis was more severe on the right thoracic and pelvic limbs. Diagnostic imaging (radiographs and computed tomography) revealed 2 metallic linear foreign bodies lodged at the right side of the cervicomedullary junction. A modification of the previously described ventral craniectomy approach was performed and after removal of a portion of the basioccipital bone using a nitrogen powered drill, the foreign bodies were removed. Over a period of 3 months, the patient made a full recovery.

摘要

一只年轻的雌性德国牧羊犬因进行性、轻度可走动性四肢轻瘫伴严重颈部疼痛前来接受评估。所有节段性反射均正常,右侧胸肢和盆腔肢的轻瘫更为严重。诊断性影像学检查(X线片和计算机断层扫描)显示2个金属线状异物嵌顿在延髓颈髓交界处右侧。采用了对先前描述的腹侧颅骨切除术方法的改良术式,使用氮气动力钻去除部分枕骨基部后,取出了异物。在3个月的时间里,患者完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a22/10060820/74520fe51785/fvets-10-1123304-g0001.jpg

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