• 제목/요약/키워드: IVDD

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척수연화증 개에서 전통 수의학적 방법을 이용한 치료 시도: 증례 보고 (Therapeutic Approach by Traditional Veterinary Medicine in a Case with Canine Myleomalacia: Case Report)

  • 전형규;오현욱;이현화;한지원;이병곤;박진호;이영원;정성목;김덕환
    • 한국임상수의학회지
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    • 제24권4호
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    • pp.608-612
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    • 2007
  • 4년령의 중성화한 수컷 코커 스파니엘이 후지 마비와 진전 때문에 내원 하였다. 본 환축은 X-ray와 MRI를 이용하여 추간판탈출증이 합병된 척수연화증으로 진단되었다. 환축의 치료를 위하여 봉독 약침, 뜸 및 한약제의 투여를 이용하였다. 사용 혈위는 GV02-1, GV04, GV11, GV12, GV13, GV14, BL11, BL18, BL23, BL25, BL28, GB21, HT07, KI03, LI04, LU07, SI03, SI06, ST36, ST38, ST39, ST40, ST41, GB30, GB31, GB34, LIV03, SP06 및 압통점($T1{\sim}T4\;and\;T9{\sim}L1$) 이었다. 그 결과, 1차 치료 시 환축은 기립이 불가능하였으며, 사지를 움직이지 못하였다. 그러나 7차, 14차 및 21차 치료 시 점차적인 임상증상의 개선이 관찰되었다. 비록 한방수의학적 방법으로 임상 증상이 완치된 것은 아니지만, 21차 치료 후 임상증상이 일부 호전된 증례이었다.

추간판 질환 3례에서의 진단영상 (Diagnostic Imaging of Intervertebral Disk Disease in 3 Dogs)

  • 엄기동;장동우;서민호;정주현;최호정;이기창;이희천;이영원;최민철
    • 한국임상수의학회지
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    • 제18권3호
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    • pp.284-287
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    • 2001
  • Three dogs referred to Veterinary Medical Teaching Hospital, Seoul National University were diagnosed as intervertebral disc disease. Physical examination, neurologic examination, survey radiograph, and myelography were performed in patients. Case 1 showed narrowing intervertebral space and calcified intervertebral disc material in survey radiograph. Case 2 showed increased opacity in the intervertebral opacity in survey radiograph. All of 3 cases showed extradural pattern during myelography. In survey radiography, radiographic signs consistent with intervertebral disc herniations include narrowing of the disc space and the dorsal intervertebral articular process joint space, small intervertebral foramen, increase opacity in the intervertebral foramen and extruded, mineralized disc material within the vertebral canal. Myelography is useful for evaluating the spinal cord and the cauda equina. Indication for myelography includes confirming a spinal lesion seen or suspected on survey radiograph, defining the extent of a survey lesion, finding a lesion not observed on survey radiograph, and distinguishing between surgical and nonsurgical lesion. In presentcases, two of three cases show radiographic signs of IVDD with survey radiograph and all of three case show extradural pattern during myelography. It is observed that intervertebral disc disease is one of the most important indication for radiographic examination and myelography of the vertebral column of small animals.

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개에서 발생한 특발성 면역매개성 다발성관절염의 치료 증례 (A Case of Treatment of Idiopathic Immune-Mediated Polyarthritis in a Dog)

  • 엄나영;이희천;장효미;정동인
    • 한국임상수의학회지
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    • 제32권4호
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    • pp.366-369
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    • 2015
  • A 12-year-old, castrated male, mixed-breed dog was referred to us with a history of depression, lameness, neck and multiple joints pain. Clinical signs had been deteriorating from rear limbs lameness leading to pain on all four limbs lameness for 7 days. Mild leukocytosis and increased C-reactive protein concentration were revealed in blood work. On radiography, degenerative change of humerus and cervical intervertebral space narrowing were found. The results of synovial fluid analysis revealed severe neutrophilic pleocytosis, decreased viscosity, increased turbidity and bacterial culture was negative. The antinuclear antibody test was negative and MRI results revealed mild cervical intervertebral disk disease (IVDD). Based on all tests, we diagnosed this case as idiopathic immune-mediated polyarthritis (IMPA). Prednisolone and mycophenolate mofetil were administered and clinical signs were resolved after 7 days. This case report demonstrated that clinical, diagnostic imaging and synovial fluid analysis findings and successful treatment result with prednisolone and mycophenolate mofetil in canine idiopathic IMPA.

Duration of Regain of Deep Pain Perception after Decompression Surgery as a Parameter of Surgical Outcome for Acute Thoracolumbar Disc Herniation Hansen Type I with Loss of Deep Pain Perception in Dogs

  • Park, Sung-Su;Lim, Ji-Hey;Byeon, Ye-Eun;Jang, Byung-Jun;Ryu, Hak-Hyun;Uhm, Ji-Yong;Kang, Byung-Jae;Kim, Wan-Hee;Kweon, Oh-Kyeong
    • 한국임상수의학회지
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    • 제25권6호
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    • pp.529-532
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    • 2008
  • The object of this study was to evaluate the durations from onset of neurological sign until surgery and regaining of the deep pain perception (DPP) after decompression as prognostic indicators for the outcome of decompression surgery in dogs with thoracolumbar intervertebral disc disease (IVDD). The compression lesions in the thoracolumbar vertebrae were localized by plain radiograph, computed tomography and neurological examination in 28 dogs with hindlimb paralysis. The follow up was carried out for 6 months after laminectomy. During the follow up, regaining DPP and walking ability were evaluated. Improvement to normal or paretic gait after surgery was judged as success of the surgical treatment.The success rate of surgical treatment was 70 % (7 out of 10 dogs) when surgical intervention was carried out within 24 hours but 38.9 % (7 out of 18) over 24 hours (P<0.05). The success rate of surgical treatment was 87.5 % (14 out of 16 dogs) when DDP was regained within 5 weeks after surgery but there was 0 % (0 out of 12 dogs) when DDP was not regained within 5 weeks after surgery (P<0.05). Other parameters such as compression rate in CT scan and laminectomy methods did not related with the success of the surgery. These results suggested that the time of surgery after onset and duration of regaining of DPP after decompression were useful parameter to predict the success of surgical treatment for thoracolumbar disc herniation in dogs.