Clinical and diagnostic imaging findings in a bengal tiger (Panthera tigris tigris) with cervical spondylomyelopathy: A case report.

Domenico Fugazzotto, Chiara Costa Devoti, Ilaria Anna Cassano, Chiara Teani, Elisa Berti, Marta Brusati, Offer Zeira
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Abstract

An adult neutered male Bengal tiger (Panthera tigris tigris) presented with abnormal gait. Neurological examination showed poor left ambulatory hemiparesis, spontaneous proprioceptive deficit in the left anterior limb, and decreased flexor reflex in the forelimbs. The neurological symptoms suggested a caudal cervical spinal cord lesion. Pathological findings included increased cholinesterase and protein levels in the cerebrospinal fluid. Computed tomography examination revealed C2-C3 intervertebral disc herniation, C5-C6 intervertebral disc herniation associated with a reduction of the intervertebral space, and mild ventral dislocation of the C6 vertebra compared to C5. In addition, severe bilateral shoulder osteoarthritis and a hypoattenuating nodule in the left thyroid gland with an open etiology were observed. These findings were interpreted as indicating cervical spondylomyelopathy (CSM). Treatment included analgesic and steroidal anti-inflammatory therapy as well as movement restriction. Follow-up at 4 weeks showed modest improvement. Thus, CSM should be included in the differential diagnosis of tigers with neurological cervical signs.

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孟加拉虎(Panthera tigris tigris)颈椎病的临床和诊断影像学表现:1例报告。
一只成年绝育雄性孟加拉虎(Panthera tigris tigris)表现出异常步态。神经学检查显示左行性偏瘫较差,左前肢自发性本体感觉缺损,前肢屈肌反射减弱。神经学症状提示尾侧颈脊髓损伤。病理结果包括脑脊液胆碱酯酶和蛋白质水平升高。计算机断层检查显示C2-C3椎间盘突出,C5-C6椎间盘突出伴椎间隙缩小,与C5相比,C6椎体轻度腹侧脱位。此外,还观察到严重的双侧肩关节骨关节炎和左侧甲状腺低衰减结节,病因不明。这些发现被解释为颈椎病(CSM)。治疗包括止痛和类固醇抗炎治疗以及运动限制。4周的随访显示有轻微改善。因此,CSM应包括在虎的鉴别诊断与神经颈椎征象。
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