患有脊柱疾病犬的颈部肌阵挛评估:113例病例(2014 - 2023年)

Evaluation of Cervical Myoclonus in Dogs with Spinal Diseases: 113 Cases (2014-2023).

作者信息

Martinez Ana, Alcoverro Emili, Ives Edward, Alves Lisa

机构信息

Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge CB3 0ES, UK.

Department of Neurology and Neurosurgery, ChesterGates Veterinary Specialists, Chester CH1 6LT, UK.

出版信息

Animals (Basel). 2025 Aug 6;15(15):2298. doi: 10.3390/ani15152298.

Abstract

Cervical myoclonus (CM) has been associated with intervertebral disc extrusion (IVDE), with a higher prevalence in French Bulldogs. The presence of CM in other breeds and with other aetiologies has not been reported. The purpose of this study was to describe the signalment, neurological examination, neuroanatomical localisation and grade, imaging findings, diagnosis, treatment, follow-up and resolution of CM in dogs. An observational multicentred retrospective analysis identified 173 dogs with CM; of those, 113 met the inclusion criteria. French Bulldogs (n = 52/113, 46%), Beagles (n = 8/113, 7.1%), Chihuahuas and Shih-Tzus (n = 6/113 for each, 5.31%) were the most affected breeds. Apparent cervical pain was the most common finding on neurologic examination (n = 70/113, 62%). Magnetic resonance imaging (MRI) was consistent with nerve root impingement in 17% (n = 19/113) of the dogs. The most frequently diagnosed conditions were degenerative (n = 100/113, 88.5%), inflammatory (n = 8/113, 7.1%), neoplastic (n = 3/113, 2.7%), vascular (n = 1/113, 0.9%) and congenital (n = 1/113, 0.9%) in origin. Dogs with a neoplastic aetiology tended to be older than those with other causes. Follow-up was recorded in 77 dogs, and 75 of these (n = 75/77, 97.4%) had resolution of the CM. The results supported that cervical myoclonus can be caused by various underlying conditions and can affect different dog breeds.

摘要

颈肌阵挛(CM)与椎间盘突出(IVDE)有关,在法国斗牛犬中患病率较高。其他品种以及其他病因导致的CM尚未见报道。本研究的目的是描述犬CM的信号特征、神经学检查、神经解剖定位及分级、影像学表现、诊断、治疗、随访及缓解情况。一项多中心观察性回顾性分析确定了173只患有CM的犬;其中,113只符合纳入标准。受影响最严重的品种是法国斗牛犬(n = 52/113,46%)、比格犬(n = 8/113,7.1%)、吉娃娃犬和西施犬(各n = 6/113,5.31%)。明显的颈部疼痛是神经学检查中最常见的发现(n = 70/113,62%)。17%(n = 19/113)的犬磁共振成像(MRI)与神经根受压一致。最常诊断出的病因是退行性(n = 100/113,88.5%)、炎症性(n = 8/113,7.1%)、肿瘤性(n = 3/113,2.7%)、血管性(n = 1/113,0.9%)和先天性(n = 1/113,0.9%)。肿瘤性病因的犬往往比其他病因的犬年龄大。77只犬有随访记录,其中75只(n = 75/77,97.4%)的CM得到缓解。结果支持颈肌阵挛可由多种潜在疾病引起,并可影响不同犬种。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44b0/12345508/f2b069ab6546/animals-15-02298-g001.jpg

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