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严重营养不良和低肝铜致家兔神经退行性变

Neurodegeneration in a domestic rabbit with severe malnourishment and low hepatic copper.

机构信息

California Animal Health and Food Safety Laboratory System, Davis branch, School of Veterinary Medicine, University of California-Davis, Davis, CA, USA.

Departments of Pathology, Microbiology & Immunology, School of Veterinary Medicine, University of California-Davis, Davis, CA, USA.

出版信息

J Vet Diagn Invest. 2024 Sep;36(5):765-770. doi: 10.1177/10406387241258461. Epub 2024 Aug 5.

Abstract

Copper is a trace element that plays an essential role in neurodevelopment and neurologic function. Acquired copper deficiency has a range of neurologic manifestations, with myelopathy being the most common association. We describe here the clinical, radiologic, histopathologic, and toxicologic findings of a rabbit with malnutrition, neurodegeneration, and suspected copper deficiency. A stray, adult female dwarf rabbit cross () in poor body condition developed ataxia and pelvic limb weakness progressing to lateral recumbency and urine retention. The clinical findings suggested multifocal brainstem disease with right-sided central vestibular involvement; however, microscopic examination identified thoracic and lumbosacral spinal cord myelopathy. Differentials for the spinal cord changes included neurodegenerative disease, nutritional deficiency, neurotoxin, trauma to the lumbosacral region, and ischemia. Hepatic copper levels were suboptimal at 18 ppm dry weight (RI: 24-150 ppm dry weight). While speculative, copper-deficiency myelopathy is a treatable cause of non-compressive myelopathy that may occur in this species.

摘要

铜是一种微量元素,在神经发育和神经功能中起着至关重要的作用。获得性铜缺乏症有一系列的神经系统表现,其中最常见的是脊髓病。我们在此描述了一只患有营养不良、神经退行性变和疑似铜缺乏症的兔子的临床、放射学、组织病理学和毒理学发现。一只流浪的、成年的雌性矮兔杂交()身体状况不佳,出现共济失调和后肢无力,进展为侧卧位和尿潴留。临床发现提示多灶性脑干疾病,伴有右侧中枢性前庭受累;然而,显微镜检查发现胸段和腰骶段脊髓脊髓病。脊髓变化的鉴别诊断包括神经退行性疾病、营养缺乏、神经毒素、腰骶区创伤和缺血。肝脏铜水平为 18 ppm 干重(参考范围:24-150 ppm 干重)。虽然还不确定,但铜缺乏性脊髓病是一种可治疗的非压迫性脊髓病,可能发生在这种物种中。

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