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一项对114只出现神经症状的猫进行磁共振成像检查以确定脑部结构病变的回顾性研究。

A retrospective study of structural brain lesions identified by magnetic resonance imaging in 114 cats with neurological signs.

作者信息

Prompinichpong Kreevith, Thengchaisri Naris, Suwanna Nirut, Tiraphut Bordin, Theerapan Wutthiwong, Steiner Jörg M, Sattasathuchana Panpicha

机构信息

Department of Companion Animal Clinical Sciences, Faculty of Veterinary Medicine, Kasetsart University, Bangkok, 10900, Thailand.

Kasetsart University Veterinary Teaching Hospital, Kasetsart University, Bangkok, 10900, Thailand.

出版信息

Vet World. 2023 Sep;16(9):1871-1879. doi: 10.14202/vetworld.2023.1871-1879. Epub 2023 Sep 17.

Abstract

BACKGROUND AND AIM

Magnetic resonance imaging (MRI) has been widely used as a non-invasive modality to evaluate neurological organ structures. However, brain MRI studies in cats with neurological signs are limited. This study evaluated the association between patient characteristics, neurological signs, and brain lesion locations identified by MRI. Blood profiles of cats with presumptive inflammatory and structural brain lesions were also determined.

MATERIALS AND METHODS

Medical records of 114 cats that underwent brain MRI were retrospectively reviewed. Cats were categorized into five groups based on the location of their lesion: Cerebrum, brainstem, cerebellum, multifocal, and non-structural. Patient characteristics, neurological signs, and hematological profiles were obtained from their medical records. Disease classification was categorized based on their etiologies. Associations were determined using Fisher's exact test. Blood parameters were compared using the Kruskal-Wallis test.

RESULTS

A total of 114 cats met the inclusion criteria. Lesions were identified in the cerebrum (21.1%), brainstem (8.8%), cerebellum (6.1%), multifocal (39.5%), and non-structural (24.6%) of the cats. Common neurological signs included seizure activity (56.1%), cerebellar signs (41.2%), and anisocoria (25.4%). The most common brain abnormality was inflammation (40.4%). There was no significant difference in hematological profiles between cats with presumptive inflammatory and non-inflammatory brain lesions. Neutrophils, platelets, total protein, and globulin concentrations were higher in cats with structural brain lesions.

CONCLUSION

The most common neurological signs and brain disease category were seizure activity and inflammation, respectively. However, the hematological profile did not predict inflammatory and structural brain lesions.

摘要

背景与目的

磁共振成像(MRI)已被广泛用作评估神经器官结构的非侵入性方法。然而,针对有神经症状的猫的脑部MRI研究有限。本研究评估了患者特征、神经症状与MRI识别出的脑损伤位置之间的关联。还确定了疑似有炎症性和结构性脑损伤的猫的血液指标。

材料与方法

对114只接受脑部MRI检查的猫的病历进行回顾性分析。根据损伤位置将猫分为五组:大脑、脑干、小脑、多灶性和非结构性。从病历中获取患者特征、神经症状和血液学指标。根据病因对疾病进行分类。使用Fisher精确检验确定关联。使用Kruskal-Wallis检验比较血液参数。

结果

共有114只猫符合纳入标准。在猫的大脑(21.1%)、脑干(8.8%)、小脑(6.1%)、多灶性(39.5%)和非结构性(24.6%)中发现了损伤。常见的神经症状包括癫痫发作(56.1%)、小脑症状(41.2%)和瞳孔不等大(25.4%)。最常见的脑部异常是炎症(40.4%)。疑似有炎症性和非炎症性脑损伤的猫的血液学指标没有显著差异。有结构性脑损伤的猫的中性粒细胞、血小板、总蛋白和球蛋白浓度较高。

结论

最常见的神经症状和脑部疾病类别分别是癫痫发作和炎症。然而,血液学指标无法预测炎症性和结构性脑损伤。

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