共查询到20条相似文献，搜索用时 31 毫秒
1.
CLINICAL AND MAGNETIC RESONANCE IMAGING CHARACTERISTICS OF THORACOLUMBAR INTERVERTEBRAL DISK EXTRUSIONS AND PROTRUSIONS IN LARGE BREED DOGS 
下载免费PDF全文
下载免费PDF全文 Sergio A Gomes Holger A Volk Rowena MA Packer Patrick J Kenny Elsa Beltran Steven De Decker 《Veterinary radiology & ultrasound》2016,57(4):417-426
Treatment recommendations differ for dogs with intervertebral disk extrusion vs. intervertebral disk protrusion. The aim of this retrospective, cross‐sectional study was to determine whether clinical and magnetic resonance imaging (MRI) variables could be used to predict a diagnosis of thoracolumbar intervertebral disk extrusion or protrusion in dogs. Dogs were included if they were large breed dogs, had an MRI study of the thoracolumbar or lumbar vertebral column, had undergone spinal surgery, and had the type of intervertebral disk herniation (intervertebral disk extrusion or protrusion) clearly stated in surgical reports. A veterinary neurologist unaware of surgical findings reviewed MRI studies and recorded number, location, degree of degeneration and morphology of intervertebral disks, presence of nuclear clefts, disk space narrowing, extent, localization and lateralization of herniated disk material, degree of spinal cord compression, intraparenchymal intensity changes, spondylosis deformans, spinal cord swelling, spinal cord atrophy, vertebral endplate changes, and presence of extradural hemorrhage. Ninety‐five dogs were included in the sample. Multivariable statistical models indicated that longer duration of clinical signs (P = 0.01), midline instead of lateralized disk herniation (P = 0.007), and partial instead of complete disk degeneration (P = 0.01) were associated with a diagnosis of intervertebral disk protrusion. The presence of a single intervertebral herniation (P = 0.023) and dispersed intervertebral disk material not confined to the disk space (P = 0.06) made a diagnosis of intervertebral disk extrusion more likely. Findings from this study identified one clinical and four MRI variables that could potentially facilitate differentiating intervertebral disk extrusions from protrusions in dogs. 相似文献
2.
F. Kološ Š. Bodeček M. Vyvial Š. Krisová M. Mráčková 《Equine Veterinary Education》2020,32(8):e116-e124
Transnasal endoscopic sinus treatment was used in four horses diagnosed with primary sinusitis and 10 horses with dental sinusitis. Pre-existing (n = 5) or surgically created (n = 9) sinonasal fistulae were used as portals for transnasal endoscopic exploration, debridement and lavage of the inflamed sinus cavities. Endoscopic sinonasal fistulation was performed using either trans-endoscopic diode laser fibre (four cases) or an electrocautery instrument under endoscopic control (five cases). All procedures were performed on standing sedated horses with the use of local anaesthesia. In six cases, the ventral concha was fenestrated in order to gain a portal into the ventral conchal and rostral maxillary sinus. In two cases the dorsal concha was fenestrated to access the caudal group of the paranasal sinuses. One case required fenestration of the ventral conchal bulla due to its empyema. Post-operative bleeding was controlled with a nasal cavity tamponade for 24 h. Endoscopic lavage and debridement of the inflamed sinuses were performed every 2–3 days. Medical treatment consisted of antibiotic and anti-inflammatory drugs. In the cases of dental sinusitis, the underlying dental pathology was addressed. Median hospitalisation time was 10 days (range 5–25 days) and the median number of endoscopic procedures (including the initial procedure) was 4 (range 3–7). Cases were followed-up by telephone consultations with their owners. Intervals between discharge and last follow-up ranged from 4 to 22 months (median 9.5 months). Complete recovery was reported in 10 cases, clinical improvement (occasional nonpurulent discharge) in two cases. Two cases were readmitted due to recurrence of the purulent nasal discharge; both subsequently underwent trephination of the affected sinuses and made a full recovery after removal of the remaining pathological sinus content. 相似文献
3.
EVALUATION OF MAGNETIC RESONANCE IMAGING GUIDELINES FOR DIFFERENTIATION BETWEEN THORACOLUMBAR INTERVERTEBRAL DISK EXTRUSIONS AND INTERVERTEBRAL DISK PROTRUSIONS IN DOGS 下载免费PDF全文
下载免费PDF全文 Steven De Decker Sergio A. Gomes Rowena MA Packer Patrick J. Kenny Elsa Beltran Birgit Parzefall Joe Fenn Devi Nair George Nye Holger A. Volk 《Veterinary radiology & ultrasound》2016,57(5):526-533
Four MRI variables have recently been suggested to be independently associated with a diagnosis of thoracolumbar intervertebral disk extrusion or protrusion. Midline intervertebral disk herniation, and partial intervertebral disk degeneration were associated with intervertebral disk protrusion, while presence of a single intervertebral disk herniation and disk material dispersed beyond the boundaries of the intervertebral disk space were associated with intervertebral disk extrusion. The aim of this retrospective, cross‐sectional study was to determine whether using these MRI variables improves differentiation between thoracolumbar intervertebral disk extrusions and protrusions. Eighty large breed dogs with surgically confirmed thoracolumbar intervertebral disk extrusions or protrusions were included. Randomized MRI studies were presented on two occasions to six blinded observers, which were divided into three experience categories. During the first assessment, observers made a presumptive diagnosis of thoracolumbar intervertebral disk extrusion or protrusion without guidelines. During the second assessment they were asked to make a presumptive diagnosis with the aid of guidelines. Agreement was evaluated by Kappa‐statistics. Diagnostic accuracy significantly improved from 70.8 to 79.6% and interobserver agreement for making a diagnosis of intervertebral disk extrusion or intervertebral disk protrusion improved from fair (κ = 0.27) to moderate (κ = 0.41) after using the proposed guidelines. Diagnostic accuracy was significantly influenced by degree of observer experience. Intraobserver agreement for the assessed variables ranged from fair to excellent and interobserver agreement ranged from fair to moderate. The results of this study suggest that the proposed imaging guidelines can aid in differentiating thoracolumbar intervertebral disk extrusions from protrusions. 相似文献
4.
OBJECTIVE: To describe a technique for thoracolumbar lateral corpectomy and to evaluate its use for treatment of chronic thoracolumbar disk disease in dogs. STUDY DESIGN: Retrospective study. ANIMALS: Fifteen dogs with signs of chronic thoracolumbar disk herniation. METHODS: After a dorsal or lateral approach to the spine, a lateral slot was created in 2 adjacent vertebral bodies on either side of the herniated disk and extruded/protruded material was removed. Data collected included history, duration of clinical signs, presurgical assessment of neurologic status, postsurgical neurologic status, complications, and outcome. RESULTS: Ambulatory capacity was maintained or regained, and neurologic status improved by 1 grade (3 dogs), 2 grades (8), 3 grades (2), or 4 grades (2). Eleven dogs were considered free of disease. A seroma in 1 dog was the sole complication observed. CONCLUSIONS: Lateral corpectomy permits relatively easy removal of protruded-extruded disk material from within the vertebral canal in chronic disk disease without further iatrogenic injury to the spinal cord. CLINICAL RELEVANCE: Lateral corpectomy is an alternative to dorsal decompression for treatment of ventral and lateroventral thoracolumbar chronic disk disease in dogs. 相似文献
5.
6.
7.
通过对３３例腰椎间盘突出症患者临床用神蜂精涂于患部及相关穴位,用刮板刮疗,同时早晚服用蜂王浆。结果有效率达９３．９％,表明神蜂精对腰椎间盘突出症有显著疗效。 相似文献
8.
Jocelyn J. Cooper Benjamin D. Young John F. Griffin IV Geoffrey T. Fosgate Jonathan M. Levine 《Veterinary radiology & ultrasound》2014,55(2):182-189
Magnetic resonance imaging (MRI) and computed tomography (CT) are commonly used to evaluate dogs with thoracolumbar myelopathy; however, relative diagnostic sensitivities for these two modalities have not been previously reported. The purpose of this prospective study was to compare diagnostic sensitivity and observer agreement for MRI and CT in a group of dogs with thoracolumbar myelopathy due to surgically confirmed intervertebral disk herniation (IVDH). All included dogs had magnetic resonance (MR) imaging followed by noncontrast CT using standardized protocols. Three experienced observers interpreted each imaging study independently without knowledge of clinical or surgical findings. The operating surgeon was aware of MR findings but not CT findings at the time surgical findings were recorded. Forty‐four dogs met the inclusion criteria. The sensitivity of CT was 88.6% (79.5%–94.2%) and of MR was 98.5% (95% confidence interval, 94.1%–99.7%) for diagnosis of intervertebral disk herniation. Specificity was not calculated, as all dogs had IVDH at surgery. Magnetic resonance imaging was more accurate than CT for identifying the site of intervertebral disk herniation‐associated spinal cord compression and differentiating disk extrusion vs. protrusion. Computed tomography was less accurate for lesion localization in per acute cases, as well as for chondrodystrophic, female, older and smaller (<7 kg) dogs. Inter‐rater agreement was good for lesion lateralization for both MR and CT (κ = 0.687, 95% CI = 0.552, 0.822, P = 0.002, and κ = 0.692, 95% CI = 0.542, 0.842, P = 0.003). Findings from the current study indicated that MR imaging was more sensitive and accurate than noncontrast CT for diagnosis and characterization of thoracolumbar myelopathy due to IVDH in dogs. 相似文献
9.
采用滤纸片(直径9.5mm)取定量血样,风干,通过浸泡、萃取,进行雌二醇(17β—Estradiol)放射免疫测定(RIA),经与小塑料管微量法对比,二者标准曲线基本平行.微量法Y=4.27-2.24x,纸片法Y=4.35-2.11x,平均回收率为91.3%,批内CV=7.6%～9.8%(n=10),批间CV=15.1%～19.3%(n=4).纸片法与微量法相比,具有同样准确性、特异性,还具有完整性和可行性,其灵敏度可达10~(-12)～10~(-15)g.干血点纸片法采血量少,方法简便,样品易于保存和运输,可用于畜禽及牛奶中激素含量测定. 相似文献
10.
11.
12.
OBJECTIVE: To describe removal of guttural pouch chondroids through a laser fenestrated mesial septum in a pony with an obstructed pharyngeal ostium of the left guttural pouch. STUDY DESIGN: Case report. ANIMALS: Pony. METHODS: Transendoscopic laser neodymium:yttrium aluminum garnet (Nd:YAG) fenestration of the mesial guttural pouch septum was made by contact method (bare fiber, 15-25 W, exposure time 4 seconds). Dissected tissue was removed by transendoscopic monopolar electrosurgery (loop electrode, cutting blade) and multiple chondroids of varying size were removed from the left guttural pouch through the fenestration. RESULTS: After removing all chondroids and repeated flushing of the left guttural pouch via the right side, inflammation of the guttural pouch membranes decreased remarkably. The pony was discharged with instructions for transendoscopic lavage once weekly and was reevaluated at 2 months. A permanent septal fenestration was observed and the pony was free of abnormal clinical signs and being used for carriage driving competitions. CONCLUSION: Nd:YAG laser fenestration of the mesial septum is an approach for access to guttural pouch chondroids. CLINICAL RELEVANCE: When guttural pouch empyema and/or chondroids is associated with adhesion of the pharyngeal ostium, laser fenestration of the mesial septum from the opposite guttural pouch should be considered as an alternative approach for access, rather than classic external surgical approaches. 相似文献
13.
14.
山东省鸡大肠杆菌血清型分布及耐药性分析 总被引：1，自引：0，他引：1
为了研究山东省鸡大肠杆菌的血清型分布及其耐药性,从山东省17地市48个种鸡场及商品鸡场分离出176株鸡源大肠杆菌,血清型鉴定结果表明,在分离到的13个血清型中,O78、O1、O8、O143分离率最高,分别为13.5%、7.2%、3.2%和3.0%。按NCCLS推荐的纸片扩散法测定了其对20种抗菌药物的敏感性。结果表明,细菌耐药性严重,以多药耐药为主,分离菌对四环素、萘啶酸的耐药率最高,分别为93.2%、89.8%,对喹诺酮类抗菌药物的耐药率普遍较高,而对氨苄西林-棒酸无一例耐药。 相似文献
15.
SILKE HECHT WILLIAM B. THOMAS KATIA MARIONI-HENRY RITA L. ECHANDI REA R. MATTHEWS WILLIAM H. ADAMS 《Veterinary radiology & ultrasound》2009,50(4):353-359
Myelography and/or computed tomography (CT) are commonly used to evaluate acute intervertebral disk extrusion in chondrodystrophic dogs. The purpose of this study was to evaluate the sensitivity of myelography and two different CT protocols in determining level and lateralization of acute thoracolumbar intervertebral disk extrusion in comparison with surgical findings, investigate interobserver variability, and determine examination duration times. Results of conventional CT, helical CT, and myelography were compared with surgical findings in 19 chondrodystrophic dogs with acute thoracolumbar intervertebral disk extrusion. Agreement among investigators was determined for different imaging modalities, and examination times were recorded. In the diagnosis of level of disk extrusion there was agreement of myelography, conventional CT, and helical CT with surgical findings in 94.7%, 100%, and 94.7% of dogs, respectively ( P =0.144). In the diagnosis of level and lateralization of disk extrusion there was agreement of myelography, conventional CT, and helical CT with surgical findings in 78.9%, 87.4%, and 85.3% of dogs, respectively ( P =0.328). Interobserver agreement was very good for all imaging modalities (myelography κ=0.87; conventional CT κ=0.86; helical CT κ=0.95). There were significant differences in median examination duration times between helical CT (4 min), conventional CT (8 min), and myelography (32 min) ( P <0.001). Both helical and conventional CT appear to be accurate for evaluation of acute thoracolumbar intervertebral disk extrusion in chondrodystrophic dogs and are faster to perform than myelography. 相似文献
16.
17.
Prognostic Factors Associated with Recovery of Ambulation and Urinary Continence in Dogs with Acute Lumbosacral Spinal Cord Injury 下载免费PDF全文
下载免费PDF全文 T.A. Shaw L. De Risio E.J. Laws J.H. Rose T.R. Harcourt‐Brown N. Granger 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》2017,31(3):825-831
18.
Electro-acupuncture and Chinese herbs for treatment of cervical intervertebral disk disease in a dog
Ayne Murata Hayashi Júlia Maria Matera Tatiana Soares da Silva Ana Carolina Brand?o de Campos Fonseca Pinto Sílvia Renata Gaido Cortopassi 《Journal of veterinary science (Suw?n-si, Korea)》2007,8(1):95-98
A non-ambulatory dog with tetraparesis following a pain episode that had evolved over 2 months was submitted for medical treatment and diagnosed with intervertebral disk disease at C3-C4 and dorsal extradural compression at C1-C2 and C3-C4 using myelography and computed tomography. The dog experienced ambulation recovery after 15 days of treatment with only electroacupuncture and Chinese herbal medicine, with marked improvement occurring after only 10 treatments. Six months of follow-up demonstrated that the dog was stable and had no recurrence of symptoms. Therefore, it was concluded that the combination of electroacupuncture and Chinese herbal medicine was responsible for motor rehabilitation. 相似文献
19.
BackgroundMultifidus muscle stiffness decreases in patients with lumbar intervertebral disk herniation; however, age-related changes in humans have not been reported.ObjectivesThe reliability of ultrasound shear wave elastography in dogs, and changes in the shear elastic modulus of the thoracolumbar multifidus muscle with aging in dogs, were investigated.MethodsTwelve beagle dogs were divided into 2 groups based on the age of onset of intervertebral disk herniation: young (aged not exceeding 2 years; 1.3 ± 0.6 years old, n = 5) and adult (4.9 ± 1.2 years old, n = 7). The shear elastic modulus of the multifidus muscle, from the thirteenth thoracic spine to the fourth lumbar spine, was measured using ultrasound shear wave elastography. The length, cross-sectional area and muscle to fat ratio of the multifidus muscle, and the grade of intervertebral disk degeneration, were assessed using radiographic and magnetic resonance imaging examinations.ResultsThe length and cross-sectional area of the multifidus muscle increased caudally. In the young group, the shear elastic modulus of the multifidus muscle of the thirteenth thoracic spine was less than that of the third lumbar spine. In the adult group, the shear elastic modulus of the multifidus muscle of first and third lumbar spine was lower than that of the same site in the young group.ConclusionsUltrasound can be used to measure shear wave elastography of the thoracolumbar multifidus in dogs. If the multifidus muscle stiffness decreases, we should consider age-related change. 相似文献
20.
SARAH K. ISRAEL JONATHAN M. LEVINE SHARON C. KERWIN GWENDOLYN J. LEVINE GEOFFREY T. FOSGATE 《Veterinary radiology & ultrasound》2009,50(3):247-252
We compared the relative sensitivity of computed tomography (CT) and myelography for identification of disk herniation in dogs. Criteria for patient selection included presurgical CT, myelography, or both and surgical or necropsy confirmation of disk herniation between the T3 and L6 vertebral articulations. Imaging findings were described as positive or inconclusive. Adverse events such as hypotension, cardiac arrhythmias, seizures, death, and lower urinary tract infection were compared between imaging groups. One hundred and eighty-two dogs met the inclusion criteria, with 116 dogs having myelography performed as the initial diagnostic imaging modality and 66 dogs having CT performed as the initial modality. The relative sensitivity for locating the site of disk herniation was 83.6% when myelography was the first test performed and 81.8% when CT was the first test performed. CT was more sensitive than myelography at detecting lesions in chronically affected dogs ( P =0.025). Myelography was more sensitive than CT at detecting lesions in smaller dogs (<5 kg; P =0.004). Dogs that received both imaging modalities were significantly more likely to die or be euthanized compared with myelography alone ( P <0.001). Both myelography and CT are reasonable diagnostic imaging modalities for locating the site of disk herniation. CT should be considered especially in heavier, more chronically affected dogs. The major limitations of this study include lack of randomization to imaging modality and the use of surgical exploration or necropsy as the gold standard. 相似文献