Ischaemic paraspinal myopathy along with myelopathy due to putative fibrocartilaginous embolism in a dog
Autor: | Shenja Loderstedt, Achim D. Gruber, Julia Sehl, Kali Lazzerini |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
General Veterinary Proprioception medicine.diagnostic_test 040301 veterinary sciences business.industry Neurological examination 04 agricultural and veterinary sciences Anatomy medicine.disease Spinal cord 0403 veterinary science Lesion 03 medical and health sciences Myelopathy 0302 clinical medicine medicine.anatomical_structure Lumbar Medicine Histopathology medicine.symptom business Myopathy 030217 neurology & neurosurgery |
Zdroj: | Veterinary Record Case Reports. 5 |
ISSN: | 2052-6121 |
Popis: | A 10-year-old German shepherd dog was presented with peracute onset of non-ambulatory paraparesis. Clinical signs and neurological examination revealed lack of proprioception and reduced to absent reflexes in both hind limbs, indicating a lesion to spinal cord segments (SCS) L4–S3. In contrast, MRI identified intramedullary signal changes within the SCS T13–L2 and a sharply demarcated zone of signal changes in the adjacent dorsal lumbar musculature on the left side. The findings were consistent with ischaemic myelopathy, most likely due to fibrocartilaginous embolism (FCE). The lesion also included large areas of presumably ischaemic myopathy which was confirmed by histopathology of biopsies from adjacent muscles. On re-examination, three months after presentation, ambulatory paraparesis remained, proprioceptive deficits improved and spinal reflexes were normal. However, the affected left longissimus lumborum muscle had become markedly atrophic. FCE as the most common cause for ischaemic myelopathy obviously may also induce ischaemic paraspinal myopathy. |
Databáze: | OpenAIRE |
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