Meij B P, Voorhout G, Wolvekamp W T
Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, The Netherlands.
Vet Rec. 1996 May 18;138(20):492-5. doi: 10.1136/vr.138.20.492.
A six-year-old female dachshund was examined because of intermittent lameness in its left pelvic limb and periodic back pain. Myelography, epidurography and computed tomography (CT) revealed a dorsal displacement of the dural sac in the lumbosacral region caused by a soft tissue mass which had the specific density of fat. The mass was removed via a dorsal laminectomy in the lumbosacral area and a histological examination confirmed that it was adipose tissue. The clinical signs resolved after the surgery and a follow-up CT five months later showed no evidence of compression of the dural sac. The diagnosis of epidural lipomatosis in this dog was based on the clinical findings, the results of diagnostic imaging, and the surgical and histological findings, all of which revealed many similarities with epidural lipomatosis in man.
一只六岁雌性腊肠犬因左后肢间歇性跛行和周期性背痛接受检查。脊髓造影、硬膜外造影和计算机断层扫描(CT)显示,腰骶部硬膜囊因一个具有脂肪特定密度的软组织肿块而背侧移位。通过腰骶部背侧椎板切除术切除该肿块,组织学检查证实为脂肪组织。手术后临床症状消失,五个月后的随访CT显示硬膜囊无受压迹象。这只狗硬膜外脂肪增多症的诊断基于临床症状、诊断性影像学检查结果以及手术和组织学检查结果,所有这些结果都显示与人类硬膜外脂肪增多症有许多相似之处。