Correlation of MRI with the Neuropathologic Changes in Two Cats with Bromethalin Intoxication

2019 ◽  
Vol 55 (3) ◽  
Author(s):  
Marc Kent ◽  
Eric N. Glass ◽  
Lindsay Boozer ◽  
Rachel B. Song ◽  
Elyshia J. Hankin ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Differential Diagnosis ◽  
White Matter ◽  
Cervical Spinal Cord ◽  
Spongy Degeneration ◽  
Intramyelinic Edema ◽  
Apparent Diffusion ◽  
The Central Nervous System ◽  
Uncoupling Of Oxidative Phosphorylation ◽  
T2 Hyperintensity

ABSTRACT Two cats were presented with multifocal neurological signs. One cat’s signs progressed over 2 wk; the other cat progressed over 5 days. Examinations were consistent with a process involving the prosencephalon, vestibular system, and general proprioceptive/upper motor neuron systems. MRI of the brain and cervical spinal cord reveal widespread T2 hyperintensity of the white matter. Affected areas included the cerebrum, cerebral peduncles, corticospinal tracts of the pons and medulla, and the cerebellum. T2 hyperintensity was present in all funiculi of the spinal cord. Diffusion-weighted imaging (DWI) and apparent diffusion coefficient (ADC) maps were consistent with cytotoxic or intramyelinic edema. Differential diagnosis included toxic or metabolic/degenerative leukoencephalopathies. Necropsies revealed widespread spongy degeneration of the central nervous system white matter. Toxicologic assays of liver specimens revealed desmethylbromethalin, a metabolite of bromethalin. Bromethalin is a rodenticide that causes uncoupling of oxidative phosphorylation. Antemortem diagnosis is challenging. DWI and ADC maps were instrumental in narrowing the differential diagnosis and raised the index of suspicion for bromethalin. Bromethalin intoxication should be considered in all animals with a progressive course of multifocal neurologic deficits. MRI, specifically, DWI and ADC maps, may serve as a biomarker of cytotoxic or intramyelinic edema associated with spongiform leukoencephalomyelopathy.

Numerical Investigation of Spinal Cord Injury After Flexion-Distraction Injuries At the Cervical Spine

2021 ◽  
Author(s):  
Marie-Helene Beausejour ◽  
Eric Wagnac ◽  
Pierre-Jean Arnoux ◽  
Jean-Marc Mac-Thiong ◽  
Yvan Petit
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spine ◽  
White Matter ◽  
Cervical Spinal Cord ◽  
Element Model ◽  
Von Mises Stress ◽  
Study Objective ◽  
Cord Injury ◽  
Post Traumatic

Abstract Flexion-distraction injuries frequently cause traumatic cervical spinal cord injury (SCI). Post-traumatic instability can cause aggravation of the secondary SCI during patient's care. However, there is little information on how the pattern of disco-ligamentous injury affects the SCI severity and mechanism. This study objective was to analyze how different flexion-distraction disco-ligamentous injuries affect the SCI mechanisms during post-traumatic flexion and extension. A cervical spine finite element model including the spinal cord was used and different combinations of partial or complete intervertebral disc (IVD) rupture and disruption of various posterior ligaments were modeled at C4-C5, C5-C6 or C6-C7. In flexion, complete IVD rupture combined with posterior ligamentous complex rupture was the most severe injury leading to the most extreme von Mises stress (47 to 66 kPa), principal strains p1 (0.32 to 0.41 in white matter) and p3 (-0.78 to -0.96 in white matter) in the spinal cord and to the most important spinal cord compression (35 to 48 %). The main post-trauma SCI mechanism was identified as compression of the anterior white matter at the injured level combined with distraction of the posterior spinal cord during flexion. There was also a concentration of the maximum stresses in the gray matter after injury. Finally, in extension, the injuries tested had little impact on the spinal cord. The capsular ligament was the most important structure in protecting the spinal cord. Its status should be carefully examined during patient's management.

Peripheral and brain tissue catecholamine content in intact and anti-NGF-treated fetal sheep

1987 ◽  
Vol 252 (1) ◽  
pp. R7-R12 ◽  
Author(s):  
J. A. Schuijers ◽  
D. W. Walker ◽  
C. A. Browne ◽  
G. D. Thorburn
Keyword(s):  
Spinal Cord ◽  
Central Nervous System ◽  
Nervous System ◽  
Gestational Age ◽  
Adrenal Glands ◽  
Matched Control ◽  
Cervical Spinal Cord ◽  
Fetal Sheep ◽  
Catecholamine Content ◽  
The Central Nervous System

Fetal lambs were treated with a single dose of anti-mouse nerve growth factor (anti-NGF) at 80 days gestational age. The catecholamine content of tissues was determined at 135 days gestational age. There was a reduction of either norepinephrine, epinephrine, or both, in the thymus, thyroid, atrium (but not ventricle), lung, liver, kidney, and jejunum when compared with age-matched control fetuses. The spleen, ileum, colon, and the adrenal glands were not affected by anti-NGF. In treated fetuses there was a reduction in catecholamine content of the thalamus, hypothalamus, hippocampus, medulla, cerebellum, and cervical spinal cord. These results show that some tissues are sensitive to, and some are refractory to, the action of anti-NGF at 80 days gestation. Also the results suggest that NGF may play a role in the development of catecholamine-containing neurons within the central nervous system.

The Development of Pneumostrongylus tenuis in the Central Nervous System of White-tailed Deer

1965 ◽  
Vol 2 (4) ◽  
pp. 360-379 ◽  
Author(s):  
Roy C. Anderson
Keyword(s):  
Spinal Cord ◽  
White Matter ◽  
Medulla Oblongata ◽  
Grey Matter ◽  
Plasma Cells ◽  
Central Canal ◽  
Surrounding Tissue ◽  
Parasite Relationship ◽  
Central Nervous Systems ◽  
The Central Nervous System

The central nervous systems of five fawns (Odocoileus virginianus borealis), infected experimentally with Pneumostrongylus tenuis, were studied histologically 10, 20, 25, 30, and 40 days after infection. In the 10–30 day fawns young developing worms were found in dorsal horns of the grey matter of all regions of the spinal cord. A few worms were found in white matter and in the medulla oblongata. In the fawn autopsied 40 days after infection all but one of about 25 worms found were in the subdural space. Worms in the grey matter usually lay in cell-free tunnels surrounded by compressed neural tissue. There was little reaction of, or cellular infiltration in, surrounding tissue. Malacia was absent in all parts of grey matter. The central canal was normal and the brain, other than the medulla oblongata, was not involved. In the white matter, scattered single myelin sheath degeneration as well as degeneration and disappearance of axis cylinders were common. Occasionally there were tiny malacic areas in white matter, especially near worms. Infiltrations of eosinophils, lymphocytes, and plasma cells were commonly observed in and on the dura mater, the epineurium, ganglion capsules, and other tissues of the epidural space. The relative dearth of histopathologic findings helps to explain the rarity and slightness of neurologic signs in infected fawns and is indicative perhaps of a long and well established host-parasite relationship. This is in contrast to the situation in moose (Alces a. americana) where severe traumatic damage to the spinal cord by P. tenuis is associated with ataxia and paralysis.

scholarly journals Multiple nocardial abscesses of the brainstem and spinal cord diagnosed after an open biopsy through a cervical partial central corpectomy: case report

2015 ◽  
Vol 23 (3) ◽  
pp. 290-293 ◽  
Author(s):  
Ian Peeters ◽  
Jan W. Casselman ◽  
Stefaan J. Vandecasteele ◽  
Alexander Janssen ◽  
Bart Regaert ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Cervical Spinal Cord ◽  
Emission Tomography ◽  
Open Biopsy ◽  
Difficult Diagnosis ◽  
Positron Emission ◽  
The Central Nervous System ◽  
Walking Difficulty ◽  
Brain And Spinal Cord ◽  
The Brain

Nocardiosis of the central nervous system is a challenging and difficult diagnosis for the clinician. The combination of infections of the brain and spinal cord is even more rare. The authors report on a patient with multiple lesions in the brainstem and cervical spinal cord. This 81-year-old immunocompetent woman presented with symptoms of progressive walking difficulty and ataxia. The results of an extensive workup with laboratory investigation, MRI, lumbar puncture, positron emission tomography (PET), and bone marrow biopsy remained inconclusive. Only after an open biopsy of a cervical lesion by an anterior approach through a partial central corpectomy of the cervical spine, was the diagnosis of nocardiosis made, allowing for specific antibiotic treatment.

scholarly journals A Neuropathy in Goats Caused by Experimental Coyotillo (Karwinskia humboldtiana) Poisoning

1970 ◽  
Vol 7 (5) ◽  
pp. 435-447 ◽  
Author(s):  
K. M. Charlton ◽  
K. R. Pierce ◽  
R. W. Storts ◽  
C. H. Bridges
Keyword(s):  
Spinal Cord ◽  
Central Nervous System ◽  
Nervous System ◽  
White Matter ◽  
Light Microscopy ◽  
Clinical Signs ◽  
Close Correlation ◽  
Axonal Dystrophy ◽  
The Central Nervous System ◽  
Oral Doses

Twenty-two goats were poisoned with daily oral doses of ground coyotillo fruits and were killed at various times after the first day of dosing. The morphologic features and distribution of lesions in the central nervous system were studied by light microscopy. An axonal dystrophy occurred in several of the goats given high daily doses. Swellings occurred along axons of Purkinje cells in the cerebellum and in the white matter of the spinal cord. There was a fairly close correlation between the occurrence of clinical signs suggestive of the neocerebellar syndrome and the occurrence and distribution of lesions in the cerebellum.

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