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Resolution of megaesophagus after correction of a paraesophageal hernia. 食管旁疝矫正术后巨大食管的解决方案。
IF 0.7 Q2 Veterinary Pub Date : 2023-10-14 eCollection Date: 2023-07-01 DOI: 10.1177/20551169231199451
Kerry E Rolph, John Ryan, Donald Yool, Tiziana Liuti

Case summary: A 6-year-old female Siamese cat presented with an 8-week history of vomiting and progressive hyporexia. On presentation, the cat was found to have a hypochloremic alkalosis. Imaging demonstrated hiatal hernia and megaesophagus. Exploratory laparotomy demonstrated a paraesophageal hiatal hernia. The hernia was reduced, phrenoplasty and esophagopexy were performed, and a gastrotomy tube was placed. Treatment of the hernia led to resolution of the megaesophagus.

Relevance and novel information: Megaesophagus can occur secondarily to paraesophageal hernia in the cat. In this case, correction of the paraesophageal hernia led to complete resolution of the esophageal dilation and all associated clinical signs.

病例总结:一只6岁的雌性暹罗猫有8周的呕吐和进行性低食欲病史。经介绍,该猫被发现患有低氯性碱中毒。影像学显示有裂孔疝和巨食道。剖腹探查显示食管旁裂孔疝。疝得到缓解,进行了颅压成形术和食管固定术,并放置了胃切开管。疝的治疗使巨食道得以解决。相关性和新信息:在猫中,巨大食管可继发于食管旁疝。在这种情况下,食管旁疝的矫正导致食管扩张和所有相关临床症状的完全缓解。
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引用次数: 0
Surgical management of a laryngeal rhabdomyosarcoma in a cat. 猫喉部横纹肌肉瘤的外科治疗。
IF 0.7 Q2 Veterinary Pub Date : 2023-10-06 eCollection Date: 2023-07-01 DOI: 10.1177/20551169231194318
Akash Alexander, Katherine Hughes, Fernando Constantino-Casas, Laura Jane Owen

Case summary: An 11-year-old male castrated British Shorthair was referred for investigations into an upper respiratory tract mass. A partial laryngectomy was performed to excise the mass. Marginal resection of the mass involved excision of parts of the thyroid cartilage and left arytenoid cartilage. A tracheostomy tube was maintained for 48 h postoperatively. The cat recovered without complication and was discharged at 72 h postoperatively. Histopathology of the mass was deemed most consistent with a rhabdomyosarcoma (RMS).

Relevance and novel information: Telephone follow-up 12 months postoperatively confirmed resolution of the clinical signs. To our knowledge, this is the first report of a laryngeal RMS in a cat. RMS should be considered a differential diagnosis for a laryngeal mass in a cat. This case demonstrates that resection via a partial laryngectomy may be a viable therapeutic option.

病例摘要:一名11岁男性阉割英国短毛被转诊检查上呼吸道肿块。进行了部分喉切除术切除肿块。肿块的边缘切除包括切除部分甲状腺软骨和左杓状软骨。气管造口管维持了48 术后h。这只猫康复后没有并发症,72岁出院 术后h。肿块的组织病理学被认为与横纹肌肉瘤(RMS)最为一致。相关性和新信息:术后12个月的电话随访证实了临床症状的解决。据我们所知,这是第一例猫喉部RMS的报告。RMS应被视为猫喉部肿块的鉴别诊断。该病例表明,通过部分喉切除术进行切除可能是一种可行的治疗选择。
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引用次数: 0
Limb sparing in a cat with a humeral osteosarcoma using a customised three-dimensional printed endoprosthesis. 一只患有肱骨骨肉瘤的猫使用定制的三维打印内假体保肢。
IF 0.7 Q2 Veterinary Pub Date : 2023-10-05 eCollection Date: 2023-07-01 DOI: 10.1177/20551169231199445
Anthony Malak, William Ch Parr, Andrew S Levien, Rachel M Basa

Case summary: A 12-year-old male neutered Bengal cat presented for a left thoracic limb lameness of several weeks' duration. Abnormal advanced imaging findings depicted the presence of an irregularly marginated osteolytic lesion in the proximal-mid diaphysis of the left humerus. A histopathological evaluation of the humerus confirmed a diagnosis of osteoblastic osteosarcoma. Limb-sparing surgery was planned with a custom-designed three-dimensional printed endoprosthesis. Mild neuropraxia was noted immediately postoperatively and deemed to have resolved by the 2-week follow-up. Stereotactic radiation was planned, though pulmonary metastasis was noted on planning CT. The cat was euthanased 90 days postoperatively owing to the development of pulmonary clinical signs.

Relevance and novel information: This is the first reported case of a humeral limb salvage procedure in a cat using a custom-designed three-dimensional printed endoprosthesis. Although the survival time in this case was short, the patient maintained an adequate quality of life and limb function was preserved.

病例摘要:一只12岁的孟加拉雄性绝育猫出现了持续数周的左胸肢跛行。异常的高级影像学表现显示左肱骨近端中骨干存在边缘不规则的溶骨性病变。肱骨的组织病理学评估证实了成骨细胞性骨肉瘤的诊断。保肢手术计划使用定制设计的三维打印内假体。术后立即发现轻度神经麻痹,并在2周的随访中被认为已经缓解。计划进行立体定向放射,但在计划的CT上发现了肺转移。由于肺部临床症状的发展,猫在术后90天被安乐死。相关性和新颖信息:这是第一例报道的使用定制设计的三维打印内假体对猫进行肱骨肢体挽救手术的病例。尽管该病例的生存时间很短,但患者仍保持了足够的生活质量,肢体功能得到了保护。
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引用次数: 0
First report of Mycobacteria avium complex (Mycobacteria intracellulare) in a cat from Southeast Asia. 东南亚猫禽分枝杆菌复合体(细胞内分枝杆菌)的首次报道。
IF 0.7 Q2 Veterinary Pub Date : 2023-10-05 eCollection Date: 2023-07-01 DOI: 10.1177/20551169231194311
Hock Siew Han, Danièlle Gunn-Moore

Case summary: A 3-year-old castrated male domestic shorthaired cat, with indoor-outdoor access, was presented for chronic, progressive multinodular to generalised subcutaneous nodules covering much of its body. Previous medical treatment with doxycycline had been unhelpful. Fine-needle aspiration of the nodules revealed intra- and extracellular multibacillary negative staining rods in pyogranulomatous inflammation. Bacterial culture and susceptibility studies isolated Mycobacterium intracellulare, with zimine as the drug of choice for treatment. Initial triple therapy with rifampicin, azithromycin and pradofloxacin was ineffective, and was changed to triple therapy with clofazimine, clarithromycin and doxycycline once drug susceptibility was known, which was given for 3 months, after which long-term therapy with clofazimine and clarithromycin was continued.

Relevance and novel information: Slow growing M intracellulare, a member of the Mycobacterium avium complex (MAC), has never been reported to cause disease in cats from Singapore and, by extension, Southeast Asia. The infection in this patient resulted in subcutaneous nodules, which started on the face, then spread to the feet and much of the rest of its body. This is in contrast to that commonly reported for infection with M avium, which is also a member of MAC, and may not only present with similar signs in cats, but also progress to systemic spread. Susceptibility studies suggest clofazimine as the drug of choice when treating this infection, and this case supports its use as empirical therapy for veterinarians treating this disease in this region while awaiting culture and sensitivity results.

病例摘要:一只3岁的阉割雄性短毛家猫,可在室内外活动,因其身体大部分部位出现慢性、进行性多结节至全身皮下结节而就诊。以前使用多西环素的药物治疗是无效的。细针抽吸结节显示脓肉芽肿性炎症中的细胞内和细胞外多乳头阴性染色棒。细菌培养和药敏研究分离了细胞内分枝杆菌,齐明是治疗的首选药物。最初的利福平、阿奇霉素和普多沙星三联疗法无效,一旦发现药物敏感性,就改为氯法齐明、克拉霉素和多西环素三联疗法,为期3个月,之后继续使用氯法齐敏和克拉霉素进行长期治疗。相关性和新信息:缓慢生长的鸟分枝杆菌复合体(MAC)细胞内M从未被报道会导致新加坡乃至东南亚的猫患病。这名患者的感染导致皮下结节,从面部开始,然后扩散到脚部和身体大部分部位。这与通常报道的感染病毒形成了鲜明对比,病毒也是MAC的一员,不仅可能在猫身上出现类似的症状,而且可能发展为系统性传播。易感性研究表明,氯法齐明是治疗这种感染的首选药物,该病例支持将其作为兽医在该地区治疗这种疾病的经验疗法,同时等待培养和敏感性结果。
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引用次数: 0
Use of high-flow oxygen therapy in a cat with cardiogenic pulmonary edema. 高流量氧疗在猫心源性肺水肿中的应用。
IF 0.7 Q2 Veterinary Pub Date : 2023-10-05 eCollection Date: 2023-07-01 DOI: 10.1177/20551169231195767
Céline Pouzot-Nevoret, Leïla Hocine, Bernard Allaouchiche, Jiwoong Her

Case summary: A 7-month-old female spayed domestic shorthair cat was presented for respiratory distress due to cardiogenic pulmonary edema. Despite initial treatment and oxygen delivery in an oxygen tent, the cat still showed signs of severe respiratory effort and oxygen saturation measured via pulse oximetry was below 85%. Because the owners declined mechanical ventilation, the cat was transitioned to high-flow oxygen therapy (HFOT). HFOT allowed significant improvement of the respiration parameters within 15 mins without causing clinical complications. The cat was briefly anaesthetised for the placement of the nasal cannula on initiation of HFOT, and the interface was well tolerated thereafter. The cat was transitioned to an oxygen cage after 16 h, weaned from oxygen 4 h later and was discharged after 3 days of hospitalisation. Long-term follow-up showed no abnormalities, and the leading hypothesis was transient myocardial thickening.

Relevance and novel information: The first use of HFOT in a dyspneic cat is described in this study. HFOT could be a life-saving option for cats with severe hypoxemia or do-not-intubate orders that fail to respond to conventional oxygen therapies.

病例摘要:一只7个月大的雌性绝育短毛猫因心源性肺水肿引起呼吸窘迫。尽管进行了初步治疗并在氧气帐篷中输送了氧气,但这只猫仍然表现出严重的呼吸困难迹象,通过脉搏血氧计测得的血氧饱和度低于85%。由于主人拒绝了机械通气,这只猫被转移到了高流量氧气治疗(HFOT)。HFOT可以在15分钟内显著改善呼吸参数,而不会引起临床并发症。猫在HFOT开始时被短暂麻醉以放置鼻插管,此后接口耐受性良好。猫在16小时后被转移到氧气笼中,4小时后断奶,住院3天后出院。长期随访显示无异常,主要假设为短暂性心肌增厚。相关性和新颖信息:本研究描述了HFOT首次在一只呼吸困难的猫身上使用。HFOT可能是患有严重低氧血症或对传统氧气治疗无效而不插管的猫的救命选择。
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引用次数: 0
Fanconi syndrome with hepatorenal karyomegaly in a young Sphynx cat. 幼年Spynx猫的Fanconi综合征伴肝肾核肥大。
IF 0.7 Q2 Veterinary Pub Date : 2023-10-05 eCollection Date: 2023-07-01 DOI: 10.1177/20551169231190611
Petra Cˇerná, Michaela M Botts, Maggie Williams, Tawfik A Aboellail, Sarah Shropshire

Case summary: A 3-year-old male neutered Sphynx cat was referred for history of chronically increased liver enzymes and lower urinary tract signs that were first reported when the cat was 5 months old. Urine metabolic profile revealed increased amino aciduria and glucosuria despite normoglycemia, suggesting Fanconi syndrome. Urine sodium dodecyl sulfate-polyacrylamide gel electrophoresis revealed a banding pattern suggestive of primary tubular damage. Serial blood work showed non-regenerative normocytic normochromic anemia, persistently elevated liver enzymes, worsening azotemia and progressive hyperchloremic metabolic acidosis. Ultrasound revealed irregular kidneys and bilaterally hyperechoic cortices and medullae with a loss of normal corticomedullary distinction. Laparoscopic kidney biopsy revealed a moderate-to-severe chronic interstitial fibrosis with chronic lymphoplasmacytic inflammation, tubular degeneration and atrophy, mild glomerulosclerosis and mild large vascular amyloidosis. Tubular epithelial cell karyomegaly was multifocally evident throughout the kidney. The liver had moderate diffuse zone 1 hepatocellular atrophy, periportal fibrosis, biliary hyperplasia, mild perisinusoidal amyloidosis and hepatocyte karyomegaly in zones 2 and 3. The patient continued to decline and developed polyuria, polydipsia, lethargy and hyporexia irrespective of rigorous management, which failed to curtail the progressive anemia and azotemia. The patient was euthanized 8 months from the onset of clinical signs.

Relevance and novel information: Fanconi syndrome in cats is a rare condition, with most reports occurring secondary to chlorambucil treatment. This is the first known case of Fanconi syndrome occurring with concurrent hepatorenal epithelial karyomegaly in a young Sphynx cat.

病例总结:一只3岁的雄性绝育Spynx猫因其肝酶和下尿路症状的慢性增加史而被转诊,这些症状在猫5个月大时首次报告。尿代谢谱显示,尽管血糖正常,但氨基酸尿和葡萄糖尿增加,提示范科尼综合征。尿十二烷基硫酸钠-聚丙烯酰胺凝胶电泳显示提示原发性肾小管损伤的条带模式。一系列血液检查显示非再生性正常细胞性常铬性贫血、肝酶持续升高、氮质血症恶化和进行性高氯代谢性酸中毒。超声显示肾脏不规则,双侧皮质和髓质高回声,失去了正常的皮质-髓质区别。腹腔镜肾活检显示中度至重度慢性间质纤维化,伴有慢性淋巴浆细胞炎症、肾小管变性和萎缩、轻度肾小球硬化和轻度大血管淀粉样变性。肾小管上皮细胞核肥大在整个肾脏多灶可见。肝脏有中度弥漫性1区肝细胞萎缩、门周纤维化、胆汁增生、轻度窦周淀粉样变性和2区和3区肝细胞核肥大。患者病情持续下降,出现多尿、多饮、嗜睡和低食欲,尽管进行了严格的治疗,但未能减少进行性贫血和氮质血症。该患者在出现临床症状后8个月被实施了安乐死。相关性和新信息:猫的Fanconi综合征是一种罕见的疾病,大多数报告发生在苯甲氯胺治疗之后。这是已知的第一例Fanconi综合征,同时伴有幼年Spynx猫肝肾上皮核肥大。
{"title":"Fanconi syndrome with hepatorenal karyomegaly in a young Sphynx cat.","authors":"Petra Cˇerná,&nbsp;Michaela M Botts,&nbsp;Maggie Williams,&nbsp;Tawfik A Aboellail,&nbsp;Sarah Shropshire","doi":"10.1177/20551169231190611","DOIUrl":"10.1177/20551169231190611","url":null,"abstract":"<p><strong>Case summary: </strong>A 3-year-old male neutered Sphynx cat was referred for history of chronically increased liver enzymes and lower urinary tract signs that were first reported when the cat was 5 months old. Urine metabolic profile revealed increased amino aciduria and glucosuria despite normoglycemia, suggesting Fanconi syndrome. Urine sodium dodecyl sulfate-polyacrylamide gel electrophoresis revealed a banding pattern suggestive of primary tubular damage. Serial blood work showed non-regenerative normocytic normochromic anemia, persistently elevated liver enzymes, worsening azotemia and progressive hyperchloremic metabolic acidosis. Ultrasound revealed irregular kidneys and bilaterally hyperechoic cortices and medullae with a loss of normal corticomedullary distinction. Laparoscopic kidney biopsy revealed a moderate-to-severe chronic interstitial fibrosis with chronic lymphoplasmacytic inflammation, tubular degeneration and atrophy, mild glomerulosclerosis and mild large vascular amyloidosis. Tubular epithelial cell karyomegaly was multifocally evident throughout the kidney. The liver had moderate diffuse zone 1 hepatocellular atrophy, periportal fibrosis, biliary hyperplasia, mild perisinusoidal amyloidosis and hepatocyte karyomegaly in zones 2 and 3. The patient continued to decline and developed polyuria, polydipsia, lethargy and hyporexia irrespective of rigorous management, which failed to curtail the progressive anemia and azotemia. The patient was euthanized 8 months from the onset of clinical signs.</p><p><strong>Relevance and novel information: </strong>Fanconi syndrome in cats is a rare condition, with most reports occurring secondary to chlorambucil treatment. This is the first known case of Fanconi syndrome occurring with concurrent hepatorenal epithelial karyomegaly in a young Sphynx cat.</p>","PeriodicalId":36588,"journal":{"name":"Journal of Feline Medicine and Surgery Open Reports","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/84/45/10.1177_20551169231190611.PMC10559701.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41169366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical remission of feline sino-nasal aspergillosis despite evidence of persistent infection. 猫鼻窦曲霉菌病的临床缓解,尽管有持续感染的证据。
IF 0.7 Q2 Veterinary Pub Date : 2023-10-03 eCollection Date: 2023-07-01 DOI: 10.1177/20551169231201605
Jack Fawsitt, Oliver Russell, Akash Alexander, Anne-Lorraine Peschard, Hannah Wong, Andre Kortum

Case summary: Feline sino-nasal aspergillosis is a rare condition with only sparse heterogeneous reports in the literature regarding its treatment. This report describes the presentation, treatment and outcome of a cat with sino-nasal aspergillosis treated by meticulous debridement in combination with topical and systemic azole therapy. Diagnosis was based on MRI, in combination with rhinoscopic assessment and visualisation of fungal plaques, followed by histopathology, fungal culture and panfungal PCR. The cat was treated by debridement of fungal plaques via anterior rhinoscopy and frontal sinusotomy and local instillation of 1% clotrimazole solution, followed by a 4-week course of oral itraconazole. Histopathology confirmed fungal rhinitis and culture identified Aspergillus fumigatus and Aspergillus versicolor. Clinical remission was achieved after treatment; however, evidence of persistent infection was confirmed in the post-mortem examination 8 months after the cat was euthanased for unrelated reasons.

Relevance and novel information: Despite clinical remission, the persistence of fungal infection post mortem highlights the challenges of monitoring the response to treatment and illustrates that the resolution of clinical signs does not necessarily equate with a disease cure.

病例总结:猫鼻窦曲霉菌病是一种罕见的疾病,文献中关于其治疗的异质性报道很少。本报告描述了一只猫的鼻腔曲霉菌病的表现、治疗和结果,该病通过细致的清创术结合局部和全身唑治疗。诊断基于MRI,结合鼻镜评估和真菌斑块的可视化,然后进行组织病理学、真菌培养和全真菌PCR。猫的治疗方法是通过前鼻镜和额窦切开术清除真菌斑块,局部滴注1%克霉唑溶液,然后口服伊曲康唑4周。组织病理学证实真菌性鼻炎,培养鉴定烟曲霉和花斑曲霉。治疗后临床症状得到缓解;然而,在猫因无关原因被安乐死8个月后的尸检中,证实了持续感染的证据。相关性和新信息:尽管临床症状有所缓解,但尸检后真菌感染的持续存在凸显了监测治疗反应的挑战,并表明临床症状的解决并不一定等同于疾病的治愈。
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引用次数: 0
Osteosarcoma of the hyoid bone in a cat. 猫舌骨骨肉瘤。
IF 0.7 Q2 Veterinary Pub Date : 2023-09-28 eCollection Date: 2023-07-01 DOI: 10.1177/20551169231188642
Munekazu Nakaichi, Takuya Itamoto, Yuki Nemoto, Hiroshi Sunahara, Harumichi Itoh, Kazuhito Itamoto, Kenji Tani

Case summary: A 10-year-old male neutered Abyssinian cat was presented with the chief complaint of a right pharyngeal mass. On palpation, the mass was easily palpable; it appeared well demarcated and mobile, and oval in shape. Radiographic examination showed a radiopaque pharyngeal mass, which was revealed to be a well-demarcated mass lesion with a radiopaque marginal area on CT examination. The inside of the mass was uniformly well enhanced on contrast CT examination. A three-dimensional image reconstructed from the CT images strongly suggested that the mass originated from the right stylohyoid bone. No abnormal lesions were observed in the thoracic and abdominal CT examinations. Surgical excision of the mass was scheduled 3 weeks after the first admission. The mass was bluntly separated from the surrounding musculature and resected together with the ipsilateral epihyoid bone adjacent to the mass. Histopathological examination of the resected mass showed neoplastic cells with osteoid formation, and the mass was histopathologically diagnosed as an osteosarcoma. The postoperative recovery from anaesthesia was uneventful, and the cat began feeding on its own from the third postoperative day. The 3-month postoperative CT evaluation revealed no local recurrence or distant metastasis. The cat showed no abnormal findings at the time of writing (6 months postoperatively).

Relevance and novel information: Although osteosarcoma derived from the hyoid bone has rarely been reported in the veterinary field, this report suggests that such tumours may occur in cats. In addition, partial excision of the hyoid apparatus seems to be well tolerated in cats.

病例摘要:一只10岁的雄性绝育阿比西尼亚猫的主要主诉是右咽部肿块。触诊时,肿块很容易触及;它看起来界限分明,移动自如,呈椭圆形。射线照相检查显示咽部有一个不透射线的肿块,CT检查显示这是一个界限清晰的肿块病变,边缘有一个透射线的区域。在CT造影检查中,肿块内部均匀良好地增强。根据CT图像重建的三维图像强烈表明肿块来源于右侧柄骨。胸部和腹部CT检查未发现异常病变。计划在第一次入院后3周进行肿块的手术切除。肿块与周围肌肉组织直接分离,并与肿块附近的同侧舌骨一起切除。切除肿块的组织病理学检查显示肿瘤细胞形成了类骨,组织病理学诊断为骨肉瘤。术后麻醉恢复顺利,猫从术后第三天开始自己进食。术后3个月的CT评估显示无局部复发或远处转移。猫在写作时(术后6个月)没有表现出异常。相关性和新信息:尽管源自舌骨的骨肉瘤在兽医领域很少报道,但这份报告表明,这种肿瘤可能发生在猫身上。此外,部分切除舌骨器似乎在猫身上是可以很好地耐受的。
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引用次数: 0
Middle ear cholesteatoma in two cats diagnosed with the aid of video-otoscopy. 视频耳镜检查诊断的两只猫中耳胆脂瘤。
IF 0.7 Q2 Veterinary Pub Date : 2023-09-28 eCollection Date: 2023-07-01 DOI: 10.1177/20551169231196528
Cristiane Bazaga Botelho, Rafaella Tortoriello, Sandra Nogueira Koch, Natália Lôres Lopes, Ronaldo Lucas, Julio Israel Fernandes

Case series summary: The present report describes middle ear cholesteatoma in two cats and also the use of video-otoscopy and flushing to assist with the diagnosis. CT and video-otoscopic examination and flushing were performed in two cats, a 13-year-old mixed breed spayed female cat and a 1-year-old mixed breed male cat, with middle ear cholesteatomas. During the procedure, keratinous material from the middle ears was collected for histopathological evaluation, demonstrating findings consistent with cholesteatoma, and the middle ears were flushed extensively.

Relevance and novel information: There is little information about middle ear cholesteatoma in cats, and to the authors' knowledge, there are no reports in cats investigating the use of video-otoscopy to aid in the diagnosis of aural cholesteatoma, and this report demonstrates that it can aid in the diagnosis of this condition in cats. In addition, one of the cats had a concurrent otic polyp, which has not been previously reported in cats with cholesteatoma. Additionally, this is the first report of cholesteatoma in a young cat. The access to the cholesteatoma material was via ventral bulla osteotomy in one cat and via external canal without video-otoscopy in the other. More information regarding cholesteatoma in cats will help identify potential similarities and differences of this condition in cats compared with humans and dogs.

病例系列总结:本报告描述了两只猫的中耳胆脂瘤,以及使用视频耳镜和冲洗来帮助诊断。对两只患有中耳胆脂瘤的猫,一只13岁的杂交种绝育母猫和一只1岁的杂交品种公猫进行了CT和视频耳镜检查和冲洗。在手术过程中,收集中耳的角质物质进行组织病理学评估,结果与胆脂瘤一致,中耳被广泛冲洗。相关性和新信息:关于猫中耳胆脂瘤的信息很少,据作者所知,没有关于猫使用视频耳镜辅助诊断耳胆脂瘤,本报告表明它可以帮助诊断猫的这种情况。此外,其中一只猫同时患有耳息肉,这在胆脂瘤猫身上以前没有报道过。此外,这是首次报道幼年猫胆脂瘤。一只猫通过腹侧大疱截骨进入胆脂瘤材料,另一只猫在没有视频耳镜的情况下通过外耳道进入胆脂炎材料。更多关于猫胆脂瘤的信息将有助于确定猫与人和狗之间这种情况的潜在相似性和差异性。
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引用次数: 0
Anaesthetic management in a cat undergoing emergency craniotomy for meningioma excision. 一只接受脑膜瘤切除紧急开颅手术的猫的麻醉管理。
IF 0.7 Q2 Veterinary Pub Date : 2023-09-22 eCollection Date: 2023-07-01 DOI: 10.1177/20551169231192287
Giulia Marchionne, Emili Alcoverro, Simone Spinillo, Luis Filipe Louro

Case summary: A 15-year-old female spayed domestic shorthair cat underwent an emergency craniotomy to remove an intracranial meningioma causing marked midline shift, caudal transtentorial and foramen magnum herniation. Because intracranial structures are enclosed in the cranium, any volume-occupying lesions might raise intracranial pressure (ICP), compromising cerebral perfusion.

Relevance and novel information: This case report discusses the anaesthetic management of a cat that presented with marked bradycardia and concomitant hypotension. Cushing's reflex (CR) is a well-recognised cardiovascular reflex following sudden ICP increase, and it features an irregular breathing pattern and increased arterial blood pressure with reflex bradycardia. However, CR is reported to have a low sensitivity for the detection of raised ICP in humans with traumatic brain injury. In a previous study reporting seven cats undergoing surgical removal of intracranial meningioma, ICP was measured in four cases and, in these patients, CR was not observed during surgery. Because bradycardia was not secondary to hypertension, in this case, it might have been the result of direct compression of the nucleus of the vagus nerve. Based on the literature search, there is paucity of reports of cardiovascular changes in cats with increased ICP and their perianaesthetic management.

病例摘要:一只15岁的雌性短毛猫接受了紧急开颅手术,切除了一个颅内脑膜瘤,该脑膜瘤导致明显的中线移位、尾部经幕和大孔突出。由于颅内结构被封闭在颅骨中,任何占位性病变都可能升高颅内压(ICP),从而影响脑灌注。相关性和新信息:本病例报告讨论了一只表现为明显心动过缓和伴发低血压的猫的麻醉管理。库欣反射(CR)是一种公认的ICP突然增加后的心血管反射,其特征是呼吸模式不规则,动脉血压升高并伴有反射性心动过缓。然而,据报道,CR对检测创伤性脑损伤患者ICP升高的敏感性较低。在之前的一项研究中,报告了7只接受颅内脑膜瘤手术切除的猫,在4例病例中测量了ICP,在这些患者中,在手术期间没有观察到CR。因为心动过缓不是继发于高血压,在这种情况下,它可能是迷走神经核直接受压的结果。根据文献检索,关于ICP增加的猫的心血管变化及其肛周美容管理的报道很少。
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引用次数: 0
期刊
Journal of Feline Medicine and Surgery Open Reports
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