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成年罗威纳犬的远端感觉运动性多发性神经病

Distal sensorimotor polyneuropathy in mature Rottweiler dogs.

作者信息

Braund K G, Toivio-Kinnucan M, Vallat J M, Mehta J R, Levesque D C

机构信息

Neuromuscular Laboratory, Scott-Ritchey Research Center, Auburn University College of Veterinary Medicine, AL.

出版信息

Vet Pathol. 1994 May;31(3):316-26. doi: 10.1177/030098589403100304.

Abstract

A polyneuropathy recognized in mature Rottweiler dogs is characterized by paraparesis that progresses to tetraparesis, spinal hyporeflexia and hypotonia, and appendicular muscle atrophy. Although signs may appear acutely, the course tends to be gradually progressive (up to 12 months or longer in some dogs) and may be relapsing. Nerve and muscle biopsies were examined from eight affected Rottweilers (six male and two female) between ages 1.5 and 4 years. Pronounced neurogenic atrophy was present in skeletal muscle samples. Changes in sensory and motor peripheral nerves included loss of myelinated nerve fibers, axonal necrosis, and variable numbers of fibers with inappropriately thin myelin sheaths. Ultrastructural findings included myelinated fibers showing myelinoaxonal necrosis, demyelinated fibers often associated with macrophage infiltration, many axons with myelin-like membranous profiles, increased endoneurial collagen, occasional axonal atrophy, and numerous Büngner bands. Lesions in unmyelinated fibers included increased numbers of Schwann cell profiles and loss of axons in Schwann cell subunits. Morphologic and morphometric studies indicated preferential loss of medium (5.5-8 microns) and large (8.5-12.5 microns) fibers, which was more severe in distal parts of nerves than in more proximal regions and nerve roots. The cause was not determined; however, histopathologic studies suggest this condition is a dying-back distal sensorimotor polyneuropathy that has morphologic and morphometric similarities to hereditary motor and sensory neuropathy (HMSN) type II in humans.

摘要

在成年罗威纳犬中发现的一种多发性神经病,其特征为轻瘫逐渐发展为四肢瘫、脊髓反射减退和肌张力减退,以及肢体肌肉萎缩。尽管症状可能急性出现,但病程往往呈渐进性(有些犬长达12个月或更长时间),且可能复发。对8只年龄在1.5至4岁之间受影响的罗威纳犬(6只雄性和2只雌性)进行了神经和肌肉活检。骨骼肌样本中存在明显的神经源性萎缩。感觉和运动外周神经的变化包括有髓神经纤维的丧失、轴突坏死,以及数量不等的髓鞘异常薄的纤维。超微结构检查结果包括有髓纤维显示髓鞘轴突坏死、脱髓鞘纤维常伴有巨噬细胞浸润、许多轴突有髓鞘样膜性结构、神经内膜胶原增加、偶尔有轴突萎缩,以及大量的Büngner带。无髓纤维的病变包括施万细胞轮廓数量增加和施万细胞亚单位中轴突的丧失。形态学和形态计量学研究表明,中等(5.5 - 8微米)和大(8.5 - 12.5微米)纤维优先丧失,在神经远端比在更近端的区域和神经根更为严重。病因尚未确定;然而,组织病理学研究表明,这种病症是一种远端进行性感觉运动性多发性神经病,在形态学和形态计量学上与人类遗传性运动和感觉神经病(HMSN)II型相似。

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