Document Detail


Magnetic resonance imaging features and clinical signs associated with presumptive and confirmed progressive myelomalacia in dogs: 12 cases (1997-2008).
MedLine Citation:
PMID:  21073387     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To characterize clinical signs and findings from magnetic resonance imaging (MRI) and CSF analysis for dogs with progressive myelomalacia (PM) diagnosed on the basis of clinical and histologic features.
DESIGN: Retrospective case series.
ANIMALS: 5 dogs with confirmed PM and 7 with presumptive PM evaluated from 1997 through 2008.
PROCEDURES: Medical records of study dogs were reviewed, and clinical signs and MRI and CSF findings were evaluated. A clinical diagnosis of PM was made on the basis of detection of disk-associated spinal cord compression via MRI and progression of clinical signs from initial paraparesis or paraplegia to thoracic limb lower motor neuron paresis to tetraplegia associated with cranial migration of the extent of cutaneous trunci reflex extinction and analgesia, terminating in death due to respiratory paralysis.
RESULTS: All dogs were paraplegic and had signs of lower motor neuron lesions. As revealed by MRI of the vertebral column, the length of abnormal signal intensity was more than 6-fold, compared with the body length of L2. In some dogs, these abnormal MRI findings were observed before PM was clinically diagnosed. The CSF examination revealed hemorrhagic xanthochromia.
CONCLUSIONS AND CLINICAL RELEVANCE: A hyperintense region of the spinal cord > 6 times the length of L2 on T2-weighted imaging might be a characteristic MRI finding of PM. In some dogs, such MRI findings were observed before PM was clinically diagnosed. Progressive myelomalacia may thus be diagnosable at the early stage through MRI and CSF examination before signs of PM develop.
Authors:
Midori Okada; Masato Kitagawa; Daisuke Ito; Takuya Itou; Kiichi Kanayama; Takeo Sakai
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Veterinary Medical Association     Volume:  237     ISSN:  0003-1488     ISO Abbreviation:  J. Am. Vet. Med. Assoc.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-15     Completed Date:  2010-12-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503067     Medline TA:  J Am Vet Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1160-5     Citation Subset:  IM    
Affiliation:
Veterinary Research Center, Nihon University, Fujisawa, Kanagawa 252-0880, Japan.
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MeSH Terms
Descriptor/Qualifier:
Animals
Dog Diseases / diagnosis*,  etiology,  pathology,  radiography
Dogs
Female
Magnetic Resonance Imaging / veterinary*
Male
Paraplegia / etiology,  veterinary
Spinal Cord Diseases / complications,  diagnosis,  radiography,  veterinary*

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