Department of Clinical Sciences, Section of Neurology, Cornell University College of Veterinary Medicine, Ithaca, New York, USA.
Department of Population Medicine and Diagnostic Sciences, Section of Anatomic Pathology, Cornell University College of Veterinary Medicine, Ithaca, New York, USA.
J Vet Intern Med. 2024 Sep-Oct;38(5):2681-2685. doi: 10.1111/jvim.17190. Epub 2024 Sep 11.
An 8-year-old female spayed German shepherd dog was presented for evaluation of a 1-week history of right thoracic limb monoparesis. Magnetic resonance imaging (MRI) identified an intraparenchymal, T2 hypointense and T1 isointense, strongly heterogeneously contrast-enhancing mass with moderate internal susceptibility artifact on T2* images at the level of the cranial extent of the C5 vertebral body. Euthanasia was elected after a rapid neurologic decline in the 24 hours after MRI. Necropsy and histopathology identified an intraparenchymal hemangiosarcoma arising from a hemangioma in the cervical spinal cord, with no evidence of neoplastic disease in any other examined organs. The spectrum of vasoproliferative disorders in the central nervous system in veterinary species has been codified recently, but hemangiosarcoma is considered metastatic to the central nervous system. Herein we describe the clinical, imaging, and histologic findings in a dog with a novel primary location of hemangiosarcoma in the cervical spinal cord.
一只 8 岁雌性去势德国牧羊犬,因右胸肢偏瘫 1 周就诊。磁共振成像(MRI)显示,在 C5 椎体颅侧水平,有一个脑实质内 T2 低信号和 T1 等信号、强烈不均匀对比增强的肿块,T2*图像上有中度内部磁化率伪影。MRI 后 24 小时内神经功能迅速恶化,选择安乐死。尸检和组织病理学发现,颈脊髓内的一个血管瘤中发生了脑实质血管肉瘤,在其他检查的器官中没有发现肿瘤性疾病的证据。最近兽医中枢神经系统血管增生性疾病的分类已经确定,但血管肉瘤被认为是中枢神经系统的转移性疾病。本文描述了一只狗的临床、影像和组织学发现,其在颈脊髓中有一个新的原发性血管肉瘤位置。