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Peer-reviewed veterinary case report

Miniature Dachshund with spinal cord inflammatory pseudotumour

By Yamashita, Masamichi et al.·Published in BMC veterinary research·2019·Joint Department of Veterinary Clinical Medicine, Japan·View original on PubMed

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Original publication title: Imaging and pathological findings of intramedullary inflammatory pseudotumour in a miniature dachshund: a case report.

Species:
dog

Plain-English summary

A 10-year-old female Miniature Dachshund was brought in for worsening coordination and weakness in all four legs over the past two months. An MRI showed a mass in her cervical spinal cord, leading to surgery to remove it. Unfortunately, while her symptoms improved initially after the operation, she later developed breathing difficulties and urinary problems, and sadly, she passed away 42 days after the surgery. This case highlights the challenges in diagnosing and treating inflammatory pseudotumors in dogs, especially those affecting the spinal cord.

People also search for: Miniature Dachshund ataxia treatment · dog spinal cord tumor symptoms · dog surgery recovery issues

Abstract

BACKGROUND: Inflammatory pseudotumours (IPTs) are distinctive lesions consisting of myofibroblastic spindle cells and a variety of inflammatory cells. The aetiology of IPTs is unknown. Reports of IPTs in veterinary medicine have been scarse. Moreover, only one case of intradural extramedullary IPT has been previously reported. In this report, we introduce the first known case of canine IPT, which occurred in the parenchyma of the spinal cord. CASE PRESENTATION: A 10-year-old female Miniature Dachshund presented with a 2-month-long history of progressively worsening ataxia and tetraparesis. Neurological examination was consistent with a lesion involving the cervical spinal cord. Magnetic resonance imaging revealed an intradural space-occupying lesion in the region of the fourth cervical vertebra. Dorsal laminectomy and resection of the mass were performed. Histopathological examination revealed the proliferation of immature spindle cells (fibroblasts/myofibroblasts and glial cells) and a highly cellular mixture of neutrophils, macrophages and lymphocytic cells. The mass was located in the parenchyma of the spinal cord and was diagnosed as an IPT occurring in the parenchyma of the spinal cord. No causative pathogen was detected. The dog's symptoms improved, during the first month after surgery. However, neurological symptoms, such as laboured breathing and dysuria, subsequently worsened and the dog died 42 days after surgery. CONCLUSIONS: The present study describes a canine case of IPT occurring in the parenchyma of the spinal cord. The diagnosis and determination of the site of the mass was difficult solely based on preoperative imaging in the present case. The outcome of this case was poorer than that observed in cases of canine extramedullary IPT and human intramedullary IPT, in which the patients exhibited recovery. The prognosis after surgical resection cannot be decided from the present case alone. However, patients should be monitored for potential serious complications and recurrence.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/31856853/