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椎间盘退变犬因髓核栓塞导致的急性坏死性脊髓病

Acute necrotizing myelopathy from nucleus pulposus embolism in dogs with intervertebral disk degeneration.

作者信息

Hayes M A, Creighton S R, Boysen B G, Holfeld N

出版信息

J Am Vet Med Assoc. 1978 Aug 1;173(3):289-5.

PMID:689972
Abstract

Two dogs that suddenly developed neurologic signs indicating a severe cervical spinal cord lesion were found at necropsy to have necrotizing myelopathy secondary to nucleus pulposus embolism. One dog had embolism of arteries and veins; in the other dog, veins alone were embolized. Each dog had early degeneration and extrusion of the C6--7 disk, from which emboli originated. In one dog, arterial emboli apparently entered inflammatory vasculature in the anulus fibrosus and were forced by extrusion back through the arterial system to the radicular artery and then to the cord. Venous embolism occurred secondarily to arterial embolism. In the other dog, venous embolism resulted from direct herniation of nucleus pulposus into the longitudinal venous sinus. A comparison of the pathogenesis of embolization in each case and a survey of other reported cases suggested that necrotizing myelopathy is a complication of early degeneration of intervertebral disks in large dogs.

摘要

两只突然出现神经症状提示严重颈脊髓损伤的犬,尸检发现患有继发于髓核栓塞的坏死性脊髓病。一只犬的动脉和静脉均发生了栓塞;另一只犬仅静脉发生了栓塞。每只犬均有C6-7椎间盘的早期退变和突出,栓子即来源于此。在一只犬中,动脉栓子显然进入了纤维环的炎性血管,随后因椎间盘突出被挤回动脉系统,再至根动脉,进而到达脊髓。静脉栓塞继发于动脉栓塞。在另一只犬中,静脉栓塞是由于髓核直接疝入纵行静脉窦所致。对每例栓塞发病机制的比较以及对其他报道病例的调查表明,坏死性脊髓病是大型犬椎间盘早期退变的一种并发症。

相似文献

1
Acute necrotizing myelopathy from nucleus pulposus embolism in dogs with intervertebral disk degeneration.椎间盘退变犬因髓核栓塞导致的急性坏死性脊髓病
J Am Vet Med Assoc. 1978 Aug 1;173(3):289-5.
2
Necrotizing myelopathy secondary to embolization of herniated intervertebral disk material in the dog.犬椎间盘突出物栓塞继发坏死性脊髓病
J Am Vet Med Assoc. 1976 Jul 15;169(2):222-8.
3
Necrotizing myelopathy in a cat.一只猫的坏死性脊髓病。
J Am Vet Med Assoc. 1976 Jul 15;169(2):228-9.
4
Fibrocartilaginous embolism and ischemic myelopathy in a four month old German shepherd dog.一只4个月大的德国牧羊犬的纤维软骨栓塞和缺血性脊髓病
Can J Comp Med. 1983 Oct;47(4):499-500.
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Necrotizing myelopathy in five great danes.五只大丹犬的坏死性脊髓病
J Am Vet Med Assoc. 1974 Dec 15;165(12):1080-4.
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Fibrocartilaginous embolic myelopathy in small animals.小动物纤维软骨栓塞性脊髓病
Vet Clin North Am Small Anim Pract. 2010 Sep;40(5):859-69. doi: 10.1016/j.cvsm.2010.05.003.
7
[Infarction of the spinal cord in the posterior spinal arterial supply area as a result of intervertebral disc embolism (author's transl)].
Wien Klin Wochenschr. 1979 Sep 14;91(17):578-83.
8
Association of clinical and magnetic resonance imaging findings with outcome in dogs with presumptive acute noncompressive nucleus pulposus extrusion: 42 cases (2000-2007).疑似急性非压迫性髓核突出犬的临床及磁共振成像结果与预后的相关性:42例病例(2000 - 2007年)
J Am Vet Med Assoc. 2009 Feb 15;234(4):495-504. doi: 10.2460/javma.234.4.495.
9
Case report: fibrocartilaginous embolic myelopathy in a dog.病例报告:犬纤维软骨栓塞性脊髓病
Can Vet J. 1979 Oct;20(10):273-8.
10
Fibrocartilaginous emboli as the cause of ischemic myelopathy in a dog.纤维软骨栓子作为一只犬缺血性脊髓病的病因
Cornell Vet. 1976 Apr;66(2):131-42.

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Classification of Intervertebral Disc Disease.椎间盘疾病的分类
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Posterior paralysis due to fibrocartilaginous embolism in two weaner pigs.两只断奶仔猪因纤维软骨栓塞导致的后肢麻痹
Can J Comp Med. 1983 Apr;47(2):124-6.
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Fibrocartilaginous embolism and ischemic myelopathy in a four month old German shepherd dog.一只4个月大的德国牧羊犬的纤维软骨栓塞和缺血性脊髓病
Can J Comp Med. 1983 Oct;47(4):499-500.