幼犬多发性软骨外露导致严重颈脊髓病

VCOT Open Pub Date : 2021-01-01 DOI:10.1055/s-0040-1722202
M. Menezes, A. C. Facin, L. Máximo, M. Luzzi, L. Dias, B. Minto
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摘要

摘要本研究报告一例幼犬多发性软骨外生骨病(MCE)导致的严重颈髓病。一只80日龄、体重2.2 kg的腊肠犬出现了进行性非活动性四肢瘫痪、四肢本体感觉性共济失调和颈椎感觉亢进。在C1-C2和C4-C7颈椎处发现多发钙化肿块,并伴有脊髓受压。进行腹侧寰枢椎融合术。4天后,行C1-C2和C4 - c7背椎板切除术,切除4个肿块,并行C4和C5之间的右侧面切除术。组织病理学检查证实多发性软骨外植骨。术后36个月,患者未见神经系统症状复发。寰枢椎腹侧融合术,手术切除MCE肿块并进行减压,可有效缓解中短期临床症状。
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Multiple Cartilaginous Exostoses Causing Severe Cervical Myelopathy in a Puppy Dog
Abstract This study aimed to report a case of multiple cartilaginous exostoses (MCE) causing severe cervical myelopathy in a puppy dog. An 80-day-old Dachshund cross weighing 2.2 kg presented with progressive development of non-ambulatory tetraparesis, proprioceptive ataxia in all four limbs, and cervical hyperesthesia. Multiple calcified masses in the cervical spine at the levels of C1–C2 and C4–C7, with several points of spinal cord compression, were identified. Ventral atlantoaxial fusion was performed. Four days later, four masses were surgically removed by dorsal laminectomy of C1–C2 and C4–C7, and a right facetectomy between C4 and C5 was performed. Multiple cartilaginous exostoses were confirmed by histopathological examination. Thirty-six months after surgery, the patient showed no recurrence of neurological signs. Ventral atlantoaxial fusion, and surgical removal of MCE masses followed by decompression was effective on alleviating clinical sings in the short and medium term.
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