Case Report: Microchip Implantation Within the Cervical Spine, a Neurologic Evaluation, and Surgical Correction.

IF 1.5 4区 农林科学 Q2 VETERINARY SCIENCES Journal of the American Animal Hospital Association Pub Date : 2023-05-01 DOI:10.5326/JAAHA-MS-7357
Breanne Morrell, Charlotte E Gillis, Katheryn C Wolfe, James T Giles
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Abstract

A 5 mo old male Japanese chin was examined 1 mo following the sudden onset of pelvic limb weakness and ataxia immediately after microchip placement. Neurological examination revealed an ambulatory paraparesis, which was worse on the right side, with additional weakness noted in the right thoracic limb. Lesion localization was C6-T2 spinal cord segments, worse on the right. Radiographic imaging of the cervical spine revealed a microchip at the location of the C7-T1 intervertebral space. Computed tomography revealed a microchip within the spinal canal causing spinal cord compression at the level of the C7-T1 intervertebral disc space. Surgical removal of the microchip was performed, and the patient recovered well. A 6 wk follow-up neurologic examination showed persistent mild ataxia in the pelvic limbs. This case supports previously reported cases of permanent spinal cord damage caused by microchip placement. Surgical removal of the microchip resulted in the improvement of neurologic signs. Although extraction of the microchip did not resolve all neurologic deficits, surgery prevented further migration and possible damage to the spinal cord.

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病例报告:颈椎内植入微芯片,神经学评估和手术矫正。
一个5个月大的日本男性在植入微芯片后立即出现骨盆肢体无力和共济失调1个月后检查了下巴。神经学检查显示可走动性截瘫,右侧更严重,并伴有右侧胸肢的额外虚弱。病灶定位于C6-T2脊髓节段,右侧较重。颈椎x线摄影显示在C7-T1椎间隙位置有微芯片。计算机断层扫描显示椎管内的微芯片导致C7-T1椎间盘间隙水平的脊髓受压。手术取出微芯片,患者恢复良好。随访6周的神经学检查显示骨盆肢体持续轻度共济失调。该病例支持先前报道的由植入微芯片引起的永久性脊髓损伤病例。手术切除微芯片可改善神经系统症状。虽然取出微芯片并不能解决所有的神经功能缺陷,但手术可以防止进一步的迁移和可能的脊髓损伤。
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
57
审稿时长
18-36 weeks
期刊介绍: The purpose of the JAAHA is to publish relevant, original, timely scientific and technical information pertaining to the practice of small animal medicine and surgery.
期刊最新文献
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