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4月龄幼犬颅内草籽异物的术中超声引导下成功取出

Successful intraoperative ultrasound-guided retrieval of intracranial grass seed foreign body in a 4-month-old puppy.

作者信息

Qin Nancy, Lye Gordon, Mathis Karl, Stewart Georgina

机构信息

Department of Surgery, Animal Referral Centre, Auckland, New Zealand.

Department of Diagnostic Imaging, Animal Referral Centre, Auckland, New Zealand.

出版信息

Vet Radiol Ultrasound. 2023 Nov;64(6):E88-E92. doi: 10.1111/vru.13307. Epub 2023 Oct 30.

DOI:10.1111/vru.13307
PMID:37904337
Abstract

A 4-month-old female-entire Vizsla dog was referred for progressive seizure activity, vomiting, lethargy, inappetence, and neck pain. CT revealed focal inflammation, a calvarial osseous defect, a possible foreign body within the brain, and associated vasogenic edema. A cerebrospinal fluid tap revealed marked septic neutrophilic pleocytosis. MRI findings supported diagnosis of a 1.7 cm foreign body within the brain. A right rostrotentorial craniectomy was performed, and intraparenchymal grass seed was removed in its entirety via intraoperative ultrasound guidance. The patient was discharged 2 days postoperatively, and long-term follow-up revealed no abnormal neurological signs.

摘要

一只4个月大的未绝育匈牙利维兹拉犬因进行性癫痫发作、呕吐、嗜睡、食欲不振和颈部疼痛前来就诊。CT显示局灶性炎症、颅骨骨质缺损、脑内可能存在异物以及相关的血管源性水肿。脑脊液穿刺显示明显的感染性中性粒细胞增多。MRI结果支持脑内有一个1.7厘米异物的诊断。进行了右侧额颞部颅骨切除术,并在术中超声引导下完整取出脑实质内的草籽。患者术后2天出院,长期随访未发现异常神经体征。

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