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首页> 外文期刊>Journal of feline medicine and surgery >Feline ischaemic myelopathy with a predilection for the cranial cervical spinal cord in older cats
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Feline ischaemic myelopathy with a predilection for the cranial cervical spinal cord in older cats

机译：猫性缺血性脊髓病，偏于老年猫的颅颈脊髓

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All previous studies on feline ischaemic myelopathy (IM) have reported an acute onset of a single event with no recurrence of clinical signs. This study aimed to evaluate clinical and long-term follow-up data in cats presumptively diagnosed with cervical IM in the territory of the ventral spinal artery (VSA). Eight cats (four females and four males) were included with a mean age of 14 years and 2 months. Neurological status at the time of presentation ranged from ambulatory tetraparesis to tetraplegia with nociception present. Six cats had marked cervical ventroflexion. All eight cats were diagnosed with one or more concurrent medical conditions, including chronic kidney disease (n = 2), hypertrophic cardiomyopathy (n = 2) and hypertension (n = 6). Median time to ambulation was 5.7 days (range 2-14 days). Long-term follow-up ranged from 7 months to 3 years and 3 months (median 1 year and 2 months). Five cats had no reported recurrence of clinical signs and 3/8 had a chronic relapsing disease course. One cat had an acute recurrence of clinical signs 4 months after the first event and was euthanased. Two cats had acute onsets of suspected intracranial infarctions, one of which had further suspected intracranial infarcts every 3 months and was euthanased after one of these. This study highlights the importance of performing ancillary diagnostic tests in older cats presenting with IM, particularly when VSA embolisation is suspected.
机译：以前所有关于猫缺血性脊髓病（IM）的研究均报告了单一事件的急性发作，并且没有临床症状的复发。这项研究旨在评估假定诊断为腹侧脊髓动脉（VSA）子宫颈IM的猫的临床和长期随访数据。包括八只猫（四只雌性和四只雄性），平均年龄为14岁零2个月。出现时的神经系统状况从动态四肢轻瘫到四肢瘫痪并伴有伤害感受。六只猫有明显的颈腹屈。所有八只猫均被诊断出患有一种或多种并发疾病，包括慢性肾脏疾病（n = 2），肥厚型心肌病（n = 2）和高血压（n = 6）。中位行走时间为5.7天（范围2-14天）。长期随访范围为7个月至3年零3个月（中位数为1年零2个月）。五只猫没有临床症状复发的报道，3/8只猫患有慢性复发性疾病。第一次事件发生4个月后，一只猫的临床症状急性复发，并被安乐死。两只猫有疑似颅内梗塞的急性发作，其中一只每3个月进一步怀疑颅内梗塞，并在其中一只安乐死后实施安乐死。这项研究强调了在患有IM的大龄猫中进行辅助诊断测试的重要性，尤其是在怀疑VSA栓塞的情况下。

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