Weissenböck H, Obermaier G, Dahme E
Institute of Pathology and Forensic Veterinary Medicine, University of Veterinary Medicine, Vienna, Austria.
Acta Neuropathol. 1996;91(2):200-4. doi: 10.1007/s004010050414.
We present a case of Alexander's disease (AD) in a Bernese mountain dog. The male dog had a clinical history of tremors of the hind legs and posterior weakness, which deteriorated rapidly to posterior paresis and tetraparesis. After a disease duration of 4 weeks the dog was euthanatized at 13 weeks of age. Macroscopically the brain showed moderate enlargement of the lateral ventricles. Histologically there was marked proliferation of astrocytes with abnormally large cell bodies in the white matter of the brain and the white and gray matter of the spinal cord. In these regions numerous round, club-shaped, or elongated deposits consistent with Rosenthal fibers (RFs) were found. They were most prominent in perivascular, subependymal, and subpial areas where they were perpendicularly arranged. Additionally there was considerable loss of myelin. Immunohistologically the RFs were positive for glial fibrillary acidic protein and alpha B-crystallin. Under the electron microscope the RFs were found to be located in the cell bodies and processes of astrocytes and appeared as osmiophilic irregularly formed bodies of uneven size with distinct borders that were tightly associated with glial filaments. The histological, immunohistochemical, and ultrastructural findings of this canine case of AD are identical with those in human cases.
我们报告一例伯恩山犬患亚历山大病(AD)的病例。这只雄性犬有后腿震颤和后肢无力的临床病史,病情迅速恶化至后肢轻瘫和四肢轻瘫。病程4周后,这只13周龄的犬被实施安乐死。大体检查可见大脑侧脑室中度扩大。组织学检查显示,在大脑白质以及脊髓白质和灰质中,星形胶质细胞显著增殖,细胞体异常增大。在这些区域发现了大量圆形、棒状或细长形沉积物,与罗森塔尔纤维(RFs)相符。它们在血管周围、室管膜下和软膜下区域最为明显,呈垂直排列。此外,有相当程度的髓鞘脱失。免疫组织化学检查显示,RFs对胶质纤维酸性蛋白和αB-晶状体蛋白呈阳性。在电子显微镜下,RFs位于星形胶质细胞的细胞体和突起中,表现为大小不均、边界清晰的嗜锇性不规则形物体,与胶质细丝紧密相连。这例犬类AD病例的组织学、免疫组织化学和超微结构检查结果与人类病例相同。