論文

査読有り 国際誌
2020年6月1日

Surgical treatment of rostrotentorial meningioma complicated by foraminal herniation in the cat.

Journal of feline medicine and surgery
  • Shigenori Kouno
  • ,
  • Masakazu Shimada
  • ,
  • Asaka Sato
  • ,
  • Nobuo Kanno
  • ,
  • Shuji Suzuki
  • ,
  • Yasuji Harada
  • ,
  • Daisuke Hasegawa
  • ,
  • Yasushi Hara

開始ページ
1098612X20924314
終了ページ
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1177/1098612X20924314

OBJECTIVES: This study was performed to evaluate retrospectively the clinical signs, complications and postoperative outcomes of feline intracranial meningioma (IM) with concurrent cingulate, transtentorial and foramen magnum herniations. METHODS: The medical records and MRI scans of cats with IM and cerebral herniation were reviewed. Cases involving concurrent cingulate, transtentorial and foramen magnum herniations were included. Owners were contacted to obtain long-term follow-up information. RESULTS: Seven cats (four castrated males and three spayed females) met the inclusion criteria. Median age was 13.0 years (range 9.9-16.1 years) and median duration of clinical signs was 35 days (range 21-163 days). The clinical signs of cats with cerebral herniation included visual impairment (n = 5 [71.4%]), ataxia (n = 4 [57.1%]), impaired consciousness (n = 2 [28.6%]), head pressing (n = 2 [28.6%]), paresis (n = 1 [14.3%]), torticollis (n = 1 [14.3%]) and personality changes (n = 1 [14.3%]). Median tumour volume, cranial cavity volume and tumour volume: intracranial volume ratio before surgery were 3.37 cm3 (range 3.23-11.5 cm3), 32.6 cm3 (range 29.8-78.3 cm3) and 10.4% (range 5.3-35.3%), respectively. Median overall tumour excision rate was 90.6%. Preoperative intracranial pressure (ICP) ranged from 15 to 32 mmHg (median 29 mmHg). In all cases, the ICP dropped to 0 mmHg immediately after tumour removal. No adjuvant therapy was required after surgery. The median survival period was 612 days (range 55-1453 days). CONCLUSIONS AND RELEVANCE: The results of this study indicate that surgical treatment of rostrotentorial IM is effective and allows prolonged survival, even in cats with concurrent cingulate, transtentorial and foramen magnum herniations.

リンク情報
DOI
https://doi.org/10.1177/1098612X20924314
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32478635
ID情報
  • DOI : 10.1177/1098612X20924314
  • PubMed ID : 32478635

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