CityU Veterinary Medical Centre, Kowloon, Hong Kong.
Vet Med Sci. 2024 Mar;10(2):e1377. doi: 10.1002/vms3.1377.
Two surgically treated haematomyelia cases were documented. One dog and one cat were presented for acute progressive paraplegia following a fall from height incident. Neurological examinations suggested a L4-S3 myelopathy in both cases. Radiography and magnetic resonance imaging in both cases revealed no fracture or subluxation of the spine, but well-defined intramedullary mass lesions in lower lumbar regions compatible with haemorrhage and haematoma formation. Exploratory surgeries were performed over the lesions. Dark-red friable masses were removed via myelotomy. Histopathological examinations revealed organizing haematomas at the acute to subacute stage. Postoperatively, both cases improved and regained ambulation. The dog walked normally but remained urinary and faecal incontinent 9 months after the surgery. The cat was continent and ambulatory with a paraparetic gait 5 months after the surgery. In both cases, the outcomes and the patients' quality of life were considered satisfactory by the owners.
记录了 2 例接受手术治疗的脊髓血肿病例。1 只狗和 1 只猫从高处坠落受伤后出现急性进行性后肢瘫痪，前来就诊。神经学检查提示这 2 例均存在 L4-S3 脊髓病变。这 2 例的放射学和磁共振成像均未显示脊柱骨折或半脱位，但在较低的腰椎区域均可见明确的髓内肿块病变，符合出血和血肿形成。对病变部位进行了探查性手术。通过脊髓切开术切除了暗红色易碎的肿块。组织病理学检查显示处于急性至亚急性阶段的正在机化的血肿。术后，这 2 例均有改善并恢复了行走能力。术后 9 个月，这只狗可以正常行走，但仍存在尿失禁和大便失禁。术后 5 个月，这只猫可以控制大小便并且可以四肢瘫痪步态行走。对于这 2 例病例，主人均认为其预后和生活质量令人满意。
