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MRI findings in two West Highland White Terrier dogs with hepatic encephalopathy secondary to portosystemic shunt

机译:核磁共振的发现在两个西部高地白梗狗与肝性脑病二级门体静脉的分流

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摘要

A portosystemic shunt is an abnormal communication between the portal vascular system and the systemic circulation. a significant number of clinical signs associated with portosystemic shunting result from hepatic encephalopathy (HE); a syndrome encompassing neurological signs such as including changes in behaviour, ataxia, unresponsiveness, pacing, circling, blindness, seizures, coma and death. We present two West Highland White Terrier dogs diagnosed with He based on clinical signs, bile acid stimulation test and imaging of the abnormal vessel communicating the portal and the systemic circulation. magnetic resonance sequences of the brain revealed a poorly marginated and diffuse, bilateral and symmetric hyperintense lesions on t2-weighted, fluid attenuation inversion recovery and diffusion-weighted sequences relative to the brain parenchyma including the medial longitudinal fasciculus and reticular formation in the brainstem. No abnormalities were detected on T1-weighted sequences.
机译:门体静脉的分流器是一个不正常的沟通血管系统和之间的门户体循环。与门体静脉的临床症状相关分流导致肝性脑病(他);症状包括神经等迹象包括行为的变化、共济失调、反应迟钝,踱步,盘旋,失明,癫痫、昏迷和死亡。高地白梗狗诊断为他根据临床症状,胆汁酸刺激测试和异常血管成像交流门户和系统性循环。大脑显示差加边和扩散,双边和对称hyperintense病变t2加权,液体衰减反转恢复和diffusion-weighted序列相对于脑实质包括内侧纵向纤维束和网状结构在脑干。在t1序列。

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