Wagner S O, Podell M, Fenner W R
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Ohio State University, Columbus 43210, USA.
J Am Vet Med Assoc. 1997 Sep 15;211(6):731-5.
To characterize clinical features, diagnostic evaluation, and treatment outcome for dogs with generalized tremors.
Retrospective case series.
12 white purebred and 12 nonwhite mixed-breed and purebred dogs.
Medical records of dogs examined for tremors between January 1984 and July 1995 were reviewed. History, signalment, abnormalities on physical and neurologic examinations, results of diagnostic testing, and diagnosis were recorded for each dog. Results were divided into the following 3 categories on the basis of the cause of the tremors: inflammatory, noninflammatory, and idiopathic. Cause was determined by results of CSF analyses or a history of toxin exposure.
The only noninflammatory cause of generalized tremors identified in these dogs was mycotoxin ingestion. Steroid-responsive tremor syndrome had developed in 22 of 24 dogs, half of which had abnormal results of CSF analyses. Most dogs were young adults between 1 and 5 years old. More than half of the dogs were nonwhite mixed-breeds and all weighed < 15 kg (33 lb). Eighty percent of the dogs responded to immunosuppressive treatment within 3 days.
Inflammatory and noninflammatory causes for generalized tremors in dogs result in similar clinical signs, so a logical diagnostic and treatment approach is needed. Steroid-responsive tremor syndrome should be considered in small- to medium-breed, young adult dogs, regardless of coat color. A rapid and complete response to immunosuppressive treatment is expected.
描述患有全身性震颤的犬的临床特征、诊断评估及治疗结果。
回顾性病例系列研究。
12只白色纯种犬以及12只非白色混血和纯种犬。
回顾1984年1月至1995年7月间因震颤接受检查的犬的病历。记录每只犬的病史、特征、体格检查和神经学检查异常情况、诊断性检测结果及诊断。根据震颤病因将结果分为以下3类:炎症性、非炎症性和特发性。病因通过脑脊液分析结果或毒素接触史确定。
在这些犬中确定的全身性震颤的唯一非炎症性病因是摄入霉菌毒素。24只犬中有22只出现了类固醇反应性震颤综合征,其中一半脑脊液分析结果异常。大多数犬为1至5岁的年轻成年犬。超过一半的犬是非白色混血犬,且体重均<15千克(33磅)。80%的犬在3天内对免疫抑制治疗有反应。
犬全身性震颤的炎症性和非炎症性病因导致相似的临床症状,因此需要合理的诊断和治疗方法。无论被毛颜色如何,中小型年轻成年犬都应考虑类固醇反应性震颤综合征。预计对免疫抑制治疗会有快速且完全的反应。