Non-invasive monitoring of intracranial pressure waveforms using Braincare® BCMM 2000 monitor in dogs with myelopathies undergoing myelography / Monitoramento não invasivo do formato das ondas de pressão intracraniana usando o monitor Braincare® BCMM 2000 em cães com mielopatias submetidos à mielografia

ABSTRACT: Intracranial pressure (ICP) monitoring is considered the gold standard for optimizing the treatment of humans in intensive care units. However, this procedure is not commonly performed in veterinary medicine because of the limitations and complications of the method. There are some new promising non-invasive techniques for monitoring ICP, but they have not been validated in veterinary medicine. This study aimed to correlate the non-invasive intracranial pressure (NI-ICP) waveforms obtained with the BCMM-2000 Brain4care monitor during myelography in dogs with myelopathies undergoing this exam for diagnostic purposes with the waveforms obtained through invasive monitoring of the subarachnoid pressure (SP). The NI-ICP waveform was monitored in six dogs with myelopathies before (M1), during (M2), and after (M3) contrast medium injection into the subarachnoid space. Cerebrospinal fluid (CSF) was collected before contrast injection. The SP waveform was simultaneously monitored in three of the six dogs. Correlations between the two methods were performed using Pearson's coefficient. The analysis of the morphology and amplitude of the waves at each moment was performed, and at M2, an increase in the P2:P1 ratio (p<0.05) was observed in both monitoring methods. In M3, the values were similar to those of M1, demonstrating the return of cerebral compliance. The comparison of the NI-ICP and SP had a positive correlation in those moments (Pearson's coefficient r=0.76; p=0.027). The speed of contrast administration, degree of spinal cord compression, and volume of CSF previously collected may affect P2:P1 and ICP dynamics. The BCMM-2000 Brain4care monitor was effective in detecting changes in ICP dynamics and abnormal pulse waveforms in dogs with meningoencephalitis of unknown origin, vertebral neoplasm and intervertebral disc disease with and without hemorrhagic myelomalacia, suggesting increased ICP induced by myelography.

RESUMO: A monitorização da pressão intracraniana (PIC) é considerada o padrão ouro para otimizar o tratamento de humanos em unidades de terapia intensiva, entretanto, esse procedimento não é comumente realizado na medicina veterinária devido às limitações e complicações do método. Existem algumas técnicas não invasivas promissoras de monitoramento da PIC, mas elas não foram validadas na medicina veterinária. Este estudo teve como objetivo correlacionar os formatos das ondas não invasivas da PIC (NI-PIC), obtidas com o monitor BCMM-2000 Brain4care, antes e após a injeção de meio de contraste no espaço subaracnóideo de cães com mielopatias submetidos à mielografia para fins diagnósticos, com as formas de onda obtidas por meio de monitoração invasiva da pressão subaracnóidea (PS). O formato das ondas NI-PIC foram monitoradas em seis cães com mielopatias antes (M1), durante (M2) e após (M3) injeção de meio de contraste no espaço subaracnóideo. O líquido cefalorraquidiano (LCR) foi coletado antes da injeção de contraste. A forma da onda da PS foi monitorada simultaneamente em três dos seis cães. As correlações entre os dois métodos foram feitas usando o coeficiente de Pearson. Foi realizada a análise da morfologia e amplitude das ondas em cada momento, e em M2 observou-se aumento da relação P2:P1 (p<0,05) em ambos os métodos de monitoramento. Em M3, os valores foram semelhantes aos de M1, demonstrando o retorno da complacência cerebral. A comparação do NI-PIC e PS apresentou correlação positiva nesses momentos (coeficiente de Pearson r=0,76; p=0,027). A velocidade de administração do contraste, o grau de compressão da medula espinhal e o volume de LCR coletado anteriormente podem afetar a dinâmica P2:P1 e PIC. O monitor BCMM-2000 Brain4care foi eficaz na detecção de alterações na dinâmica da PIC e dos formatos das ondas de pulso anormais em cães com meningoencefalite de origem desconhecida, neoplasia vertebral e doença do disco intervertebral com e sem mielomalácia hemorrágica, sugerindo aumento da PIC induzida pela mielografia.

Pituitary carcinoma in a bitch: clinical, tomographic, histopathological and immunohistochemistry findings

Background: Primary pituitary carcinoma is rarely reported in dogs and only few reports describe its malignancy. In veterinary literature, primary pituitary carcinomas correspond up to 2.4% to 3.4% of intracranial neoplasms found in dogs andinformation regarding its biological behavior is quite limited. In humans, primary pituitary carcinomas represent less than1.0% of all tumors found in the pituitary gland. The proposed classification for pituitary carcinoma in humans and dogsdetermines that the tumor must have its origin in adenohypophyseal region and disseminated metastasis by cerebrospinalfluid or systemically to other organs must be observed. In dogs, a few reports have described primary pituitary carcinoma.The goal of this report was to describe clinical, tomographic, histopathological and immunohistochemistry features of abitch with primary pituitary carcinoma with adjacent invasion.Case: A 7-year-old female spayed Golden Retriever dog was assessed by general practice due progressive weight loss,muscular atrophy, lethargy, blindness, head pressing, and hyporexia for 21 days. Computed tomography (CT) showeda cerebral parenchyma with expansive extra-axial base formation, originating from sella turcica topography, measuringabout 2.0 cm dorsally, displacing the third ventricle, suggesting the diagnosis of pituitary neoplasia. The hormones thyroidstimulating hormone (TSH) and total thyroxine (T4) as well as stimulation ACTH test were unremarkable. After 7 days,neurological clinical signs progressed and unfortunately the patient died ten days later after hospitalization. A necropsyexam revealed pituitary gland with increased dimensions (2.5 x 2.0 cm). Histopathological fi ndings revealed tumor proliferation in pituitary gland. The neoplasm showed invasion to the nervous parenchyma and metastatic foci between the brainlobes. Immunohistochemistry was positive for keratin and neuron-specifi c enolase...

Brain teratoma in a free-ranging mallard (Anas platyrhynchos) - case report / [Teratoma cerebral em um pato-real (Anas platyrhynchos) de vida livre - relato de caso]

Teratoma is a rare neoplasia with differentiation in two or three germ cell lines. Intracranial teratoma in birds has rarely been reported, especially affecting the brain. This is the first report of a brain teratoma in a mallard with neurological clinical signs. The neoplasm was characterized as a mature brain teratoma, extending from the cerebellum to the brainstem, and with one nodule in the cortex.(AU)

O teratoma é uma neoplasia rara, com diferenciação em duas ou três linhagens de células germinativas. Teratomas intracranianos, em aves, são raramente relatados, principalmente, com localização cerebral. Este é o primeiro relato de teratoma cerebral em um pato-real com sinais clínicos neurológicos. A neoplasia foi caracterizada como um teratoma cerebral maduro, estendendo do cerebelo ao tronco encefálico e com um nódulo no córtex.(AU)

Ophthalmological and neurological manifestations of a dog with intracranial anaplastic ependymoma. Case report / Manifestações oftalmológicas e neurológicas em um cão com ependimoma anaplásico intracranial: relato de caso

The objective is to report ependymoma associated with uveitis in a four-month-old male boxer crossbreed. The dog initially presented in both eyes conjunctival hyperemia, blepharospasm, projection of the nictitating membrane, and photophobia, characteristic of uveitis.Traumatic uveitis was rejected. Six days after onset of ophthalmic symptoms, vomiting, incoordination, and behavior changes occurred. Neurological symptoms and eyebrow contraction suggesting head pain and brain injury were investigated by computed tomography (CT) nine days after, when the dog showed spasms of the limbs and neck followed by respiratory arrest with reversal and stabilization. The scans revealed extensive amorphic neoformation in the diencephalon, midbrain, and within the right lateral ventricle, along with sinistral displacement of the cerebral sickle. The animal was euthanized, and necropsy of the head revealed hydrocephalus and an intracerebral tumor mass consistent with the CT imaging. Histopathological evaluation by hematoxylin and eosin staining revealed tissue alterations in several CNS segments, showing several pseudorosettes in the neuropil, mitosis, and a high degree of cell atypia, indicating ependymoma. Inflammatory, hemorrhagic, and necrotic tissue lesions were observed in the brainstem and cerebellum due to compression by tumor tissue and hydrocephalus. The neoplasia was phenotyped by Immunohistochemistry (IHC), and tested positive for the tumoral markers vimentin and glial fibrillary acid protein, confirming intracranial anaplastic ependymoma. Behavior changes and neurological signs resulted from vascular, inflammatory, and degenerative processes in the neuropil caused by neoplasm compression and invasion of brain tissue. Although dogs with ependymoma often present with neurological disease, in the present case, blepharospasm was the first symptom noticed by the owner, and it persisted until euthanasia. According to the literature, and confirmed in the evolution of the current case, the symptoms are related to tumor location and extent and to secondary lesions due to tumor expansion. Clinical symptomatology and complementary laboratory testing, CT, necropsy, histology, and IHC characterized ependymoma, a rare condition in young dogs.

Objetiva-se relatar um caso de ependimoma anaplásico associado a uveíte em cão macho de quatro meses de idade, mestiço Boxer. O cão apresentou, inicialmente, hiperemia conjuntival, blefaroespasmo, projeção da membrana nictitante e fotofobia bilaterais, sinais característicos de uveíte. Uveíte por causa traumática foi descartada. Seis dias após o início dos sintomas oftálmicos ocorreram vômito, incoordenação motora e alterações de comportamento. Sinais neurológicos e contração das sobrancelhas sugeriram algia na região cefálica. Injúria cerebral foi investigada por tomografia computadorizada (TC) nove dias após o início dos sintomas, quando o cão demonstrou espasmos dos membros e pescoço, seguido por parada respiratória com reversão e estabilização. A TC revelou extensa e amórfica neoformação no diencéfalo, mesencéfalo, e dentro do ventrículo lateral direito, com deslocamento à esquerda da foice cerebral. O animal foi eutanasiado e a necropsia revelou hidrocefalia e uma massa tumoral intracerebral condizente com a imagem da TC. A avaliação histopatológica por coloração hematoxilina e eosina, revelou alterações teciduais em várias áreas do Sistema Nervoso Central (SNC), mostrando várias pseudorosetas no neurópilo, mitose, e um elevado grau de atipia celular, indicando ependimoma.Lesões teciduais inflamatórias, hemorrágicas e necróticas foram observadas no tronco encefálico e cerebelo, devido à compressão do tumor e à hidrocefalia. Amostras da neoplasia foram submetidas à análise imuno-histoquímica (IHQ), sendo positiva a expressão dos marcadores tumorais vimentina e proteína glial fibrilar ácida, confirmando ependimoma anaplásico intracranial. As mudanças comportamentais e sinais neurológicos resultaram do processo vascular, inflamatório e degenerativo no neurópilo, causados pela compressão e invasão do tecido cerebral pela neoplasia. Embora cães com ependimoma frequentemente apresentem manifestações neurológicas, no presente caso, blefaroespasmo foi o primeiro sinal clínico observado pelo proprietário, e persistiu até a eutanásia do paciente. Os sinais neurológicos estão relacionados à localização do tumor e extensão das lesões secundárias devidas à sua expansão. Sintomatologia clínica e testes laboratoriais complementares, TC, necropsia, histologia e IHQ caracterizaram ependimoma, que é raro em animais jovens.

Ophthalmological and neurological manifestations of a dog with intracranial anaplastic ependymoma. Case report / Manifestações oftalmológicas e neurológicas em um cão com ependimoma anaplásico intracranial: relato de caso

The objective is to report ependymoma associated with uveitis in a four-month-old male boxer crossbreed. The dog initially presented in both eyes conjunctival hyperemia, blepharospasm, projection of the nictitating membrane, and photophobia, characteristic of uveitis.Traumatic uveitis was rejected. Six days after onset of ophthalmic symptoms, vomiting, incoordination, and behavior changes occurred. Neurological symptoms and eyebrow contraction suggesting head pain and brain injury were investigated by computed tomography (CT) nine days after, when the dog showed spasms of the limbs and neck followed by respiratory arrest with reversal and stabilization. The scans revealed extensive amorphic neoformation in the diencephalon, midbrain, and within the right lateral ventricle, along with sinistral displacement of the cerebral sickle. The animal was euthanized, and necropsy of the head revealed hydrocephalus and an intracerebral tumor mass consistent with the CT imaging. Histopathological evaluation by hematoxylin and eosin staining revealed tissue alterations in several CNS segments, showing several pseudorosettes in the neuropil, mitosis, and a high degree of cell atypia, indicating ependymoma. Inflammatory, hemorrhagic, and necrotic tissue lesions were observed in the brainstem and cerebellum due to compression by tumor tissue and hydrocephalus. The neoplasia was phenotyped by Immunohistochemistry (IHC), and tested positive for the tumoral markers vimentin and glial fibrillary acid protein, confirming intracranial anaplastic ependymoma. Behavior changes and neurological signs resulted from vascular, inflammatory, and degenerative processes in the neuropil caused by neoplasm compression and invasion of brain tissue. Although dogs with ependymoma often present with neurological disease, in the present case, blepharospasm was the first symptom noticed by the owner, and it persisted until euthanasia. According to the literature, and confirmed in the evolution of the current case, the symptoms are related to tumor location and extent and to secondary lesions due to tumor expansion. Clinical symptomatology and complementary laboratory testing, CT, necropsy, histology, and IHC characterized ependymoma, a rare condition in young dogs.(AU)

Objetiva-se relatar um caso de ependimoma anaplásico associado a uveíte em cão macho de quatro meses de idade, mestiço Boxer. O cão apresentou, inicialmente, hiperemia conjuntival, blefaroespasmo, projeção da membrana nictitante e fotofobia bilaterais, sinais característicos de uveíte. Uveíte por causa traumática foi descartada. Seis dias após o início dos sintomas oftálmicos ocorreram vômito, incoordenação motora e alterações de comportamento. Sinais neurológicos e contração das sobrancelhas sugeriram algia na região cefálica. Injúria cerebral foi investigada por tomografia computadorizada (TC) nove dias após o início dos sintomas, quando o cão demonstrou espasmos dos membros e pescoço, seguido por parada respiratória com reversão e estabilização. A TC revelou extensa e amórfica neoformação no diencéfalo, mesencéfalo, e dentro do ventrículo lateral direito, com deslocamento à esquerda da foice cerebral. O animal foi eutanasiado e a necropsia revelou hidrocefalia e uma massa tumoral intracerebral condizente com a imagem da TC. A avaliação histopatológica por coloração hematoxilina e eosina, revelou alterações teciduais em várias áreas do Sistema Nervoso Central (SNC), mostrando várias pseudorosetas no neurópilo, mitose, e um elevado grau de atipia celular, indicando ependimoma.Lesões teciduais inflamatórias, hemorrágicas e necróticas foram observadas no tronco encefálico e cerebelo, devido à compressão do tumor e à hidrocefalia. Amostras da neoplasia foram submetidas à análise imuno-histoquímica (IHQ), sendo positiva a expressão dos marcadores tumorais vimentina e proteína glial fibrilar ácida, confirmando ependimoma anaplásico intracranial. As mudanças comportamentais e sinais neurológicos resultaram do processo vascular, inflamatório e degenerativo no neurópilo, causados pela compressão e invasão do tecido cerebral pela neoplasia. Embora cães com ependimoma frequentemente apresentem manifestações neurológicas, no presente caso, blefaroespasmo foi o primeiro sinal clínico observado pelo proprietário, e persistiu até a eutanásia do paciente. Os sinais neurológicos estão relacionados à localização do tumor e extensão das lesões secundárias devidas à sua expansão. Sintomatologia clínica e testes laboratoriais complementares, TC, necropsia, histologia e IHQ caracterizaram ependimoma, que é raro em animais jovens.(AU)

Mediastinal extraskeletal osteosarcoma in a canine with pulmonary and cerebral metastasis

Background: Extraskeletal osteosarcoma (EOS), a rare variant of osteosarcoma (OS), is a malignant neoplasm that develops insoft tissues without primary bone involvement. This study aims to describe a case of EOS with a mediastinal location in a canine.Case: A 10-year-old male Uruguayan Cimarron dog, was presented to the Laboratório Regional de Diagnóstico, Faculdadede Veterinária, Universidade Federal de Pelotas (LRD/FV/UFPel) for necropsy. The dog had a history of submandibularswelling, progressive hind limb paralysis, muscle atrophy, and breathing difficulties. During necropsy, in the thoracic cavity,approximately 900 mL of serosanguinous exudate and a reddish-brown, bossed mediastinal mass measuring 15.0 cm in thelongest axis were also noted. The lung exhibited multifocal to coalescent, white, firm nodules extending from the pleurato the parenchyma and measuring up to 4.5 cm in diameter. In the parietal and occipital region of the brain, a matte winemass measuring 2.3 cm in the longest axis was observed. Fragments of the neoplastic mass, organs of the abdominal andthoracic cavities, and the brain were harvested and fixed in 10% buffered formalin. After 48 h, the samples were routinelyprocessed, incorporated in paraffin, cut into 3 µm-thick sections, and stained using Hematoxylin and Eosin (HE). Selectedsections of the neoplasm, the lung, and the brain were subjected to Von Kossa staining and immunohistochemical (IHC)analysis. For IHC, primary anti-cytokeratin monoclonal antibodies (clone AE1 / AE3, BioCare Medical) at a 1:100 dilution, vimentin (clone V9, BioCare Medical) at a 1:100 dilution, S100 Protein (clone 15E2E2, BioCare Medical) at a 1:100dilution, and Ki67 (SP6 clone, BioCare Medical) at a 1:50 dilution were used. Immunostaining ...

Mediastinal extraskeletal osteosarcoma in a canine with pulmonary and cerebral metastasis

Background: Extraskeletal osteosarcoma (EOS), a rare variant of osteosarcoma (OS), is a malignant neoplasm that develops insoft tissues without primary bone involvement. This study aims to describe a case of EOS with a mediastinal location in a canine.Case: A 10-year-old male Uruguayan Cimarron dog, was presented to the Laboratório Regional de Diagnóstico, Faculdadede Veterinária, Universidade Federal de Pelotas (LRD/FV/UFPel) for necropsy. The dog had a history of submandibularswelling, progressive hind limb paralysis, muscle atrophy, and breathing difficulties. During necropsy, in the thoracic cavity,approximately 900 mL of serosanguinous exudate and a reddish-brown, bossed mediastinal mass measuring 15.0 cm in thelongest axis were also noted. The lung exhibited multifocal to coalescent, white, firm nodules extending from the pleurato the parenchyma and measuring up to 4.5 cm in diameter. In the parietal and occipital region of the brain, a matte winemass measuring 2.3 cm in the longest axis was observed. Fragments of the neoplastic mass, organs of the abdominal andthoracic cavities, and the brain were harvested and fixed in 10% buffered formalin. After 48 h, the samples were routinelyprocessed, incorporated in paraffin, cut into 3 µm-thick sections, and stained using Hematoxylin and Eosin (HE). Selectedsections of the neoplasm, the lung, and the brain were subjected to Von Kossa staining and immunohistochemical (IHC)analysis. For IHC, primary anti-cytokeratin monoclonal antibodies (clone AE1 / AE3, BioCare Medical) at a 1:100 dilution, vimentin (clone V9, BioCare Medical) at a 1:100 dilution, S100 Protein (clone 15E2E2, BioCare Medical) at a 1:100dilution, and Ki67 (SP6 clone, BioCare Medical) at a 1:50 dilution were used. Immunostaining ...(AU)

Leiomiossarcoma metastático em ganso africano (Anser cygnoides) / Metastatic leiomyosarcoma in African goose (Anser cygnoides)

Background: In birds, neoplasms are more frequently observed in Psittaciformes and Galliformes and rarely seen in Columbiformes and Anseriformes, with few reports of the occurrence of mesenchymal neoplasms such as leiomyosarcoma affecting birds. Therefore, the objective of this study was to describe a case of metastatic leiomyosarcoma in an African goose (Anser cygnoides), analyzing the epidemiological, clinical and pathological aspects. Case: A 10-month-old male African goose, was referred to the Veterinary Hospital, Universidade Federal de Campina Grande, Patos, Paraiba, Brazil, whit ataxia, tremors of intention in the head, and nystagmus about one month ago, progressing to lateral decubitus. Due to the unfavorable prognosis, animal was euthanized. Samples of the organs of the coelomic cavity and central nervous system were collected for histologic examination. The samples were fixed in 10% buffered formalin. After fixation, the organs were embedded in paraffin, cut into 4-5 µm sections, and then stained with hematoxylin and eosin. Paraffin blocks with liver, kidney and encephalon fragments were selected and sent for immunohistochemical analysis. The primary antibodies used were: alpha-smooth muscle actin (monoclonal 1A4), anti-vimentin (monoclonal, V9), CD57 (monoclonal, NK1) and cytokeratin (monoclonal, AE1/AE3) and incubated for 18 h at 4Cº. As an amplification and detection system polymer and labeled by addition of the liquid diaminobenzidine+substratechromogen system and counterstained with Harris hematoxylin. Macroscopically were observed in the liver nodular multifocal areas yellowish, sometimes coalescing, firm, and elevated to the surface that at the cut deepened to the parenchyma. In the left kidney there was a similar tumor mass. In the left frontal lobe, there was nodular focal area, well circumscribed, yellowish and protruding. To cutting surface it compressed the parietal and temporal lobe and showed surface yellowish and smooth. Microscopically, the liver was diffusely infiltrated by mesenchymal neoplasia, expansive, infiltrative, poorly circumscribed and not encapsulated, constituted by spindle cells arranged in interlaced bundles. The cells were elongated with sparse cytoplasm, slightly eosinophilic and indistinct borders with rounded to elongated nuclei, with coarse chromatin and evident nucleoli. In fragments of kidney and brain, neoplastic infiltration similar to that described in the liver was observed. In immunohistochemistry, neoplastic cells were positive with antibodies anti-vimentin and alpha-smooth muscle actin. Discussion: The diagnosis of metastatic leiomyosarcoma in an African goose was based on epidemiological, clinical and pathological findings and confirmed by immunohistochemistry. Reports of neoplasms in birds are relatively rare, however the occurrence of metastatic leiomyosarcoma affecting goose in the most varied locations has been described, from skin to organs of the coelomic cavity like kidney, ovary and intestinal wall. In this case, there is the unusual occurrence of dissemination in the liver, kidney and cerebral cortex, progressing to a neurological clinic condition. There are rare cases of metastatic leiomyosarcoma in geese African goose (Anser cygnoides). The main differential diagnoses include fibrosarcomas, neurofibrosarcomas and histiocytic sarcomas, which are similar macroscopically and histologically.

Meningioma microcístico com metástase pulmonar em canino: relato de caso / Microcystic meningioma with pulmonary metastasis in canine: case report

Meningiomas são os principais tumores primários do sistema nervoso central (SNC) que afetam cães e gatos. Na maioria dos casos, são neoplasias benignas, geralmente expansivas, causando compressão do SNC, e raramente fazem metástase para outros órgãos. O presente trabalho tem como objetivo relatar a ocorrência de um meningioma microcístico com metástase pulmonar em um canino de 11 anos de idade, com sinais clínicos de andar cambaleante, compressão da cabeça contra objetos, agitação, salivação e agressividade. Na necropsia, foram observadas, no encéfalo, massas bem delimitadas pardo-avermelhadas, firmes, de aspecto granular, localizadas no córtex parietal e nos núcleos da base. Inúmeras micronodulações de aspecto semelhante foram observadas no pulmão. Histologicamente observaram-se nódulos formados por células neoplásicas fusiformes, com núcleos grandes e alongados e nucléolos evidentes, dispostas de forma frouxa, formando vacúolos e microcistos. À imuno-histoquímica, o meningioma apresentou marcação fortemente positiva para citoqueratina e negativa para vimentina. Por meio da histopatologia e da imuno-histoquímica, foi possível estabelecer a classificação histológica de meningioma microcístico, bem como diferenciá-lo de outras doenças que cursam com sinais nervosos.(AU)

Meningiomas are the main tumors of the central nervous system (CNS) affecting dogs and cats. In most of the cases they are benign neoplasms, usually expansive, causing compression of the CNS and rarely metastasize to other organs. We describe the occurrence of a microcystic meningioma with pulmonary metastasis in an 11 - year - old canine with clinical signs of staggering gait, head compression against objects, agitation, salivation and aggressiveness. At necropsy, well-defined, firm, granular-looking masses located in the parietal cortex and nuclei of the base were observed in the encephalon. Numerous micronodulations of similar appearance were observed in the lung. Histologically, nodules formed by spindle neoplastic cells with large, elongated nuclei and evident nuclei were loosely arranged, forming vacuoles and microcysts. Immunohistochemistry were strongly positive for cytokeratin and negative for vimentin. Through the histopathology and immunohistochemistry, it was possible to establish the histological classification of microcystic meningioma, as well as to differentiate from other diseases that present with nervous signals.(AU)

Meningioma microcístico com metástase pulmonar em canino: relato de caso / Microcystic meningioma with pulmonary metastasis in canine: case report

Meningiomas são os principais tumores primários do sistema nervoso central (SNC) que afetam cães e gatos. Na maioria dos casos, são neoplasias benignas, geralmente expansivas, causando compressão do SNC, e raramente fazem metástase para outros órgãos. O presente trabalho tem como objetivo relatar a ocorrência de um meningioma microcístico com metástase pulmonar em um canino de 11 anos de idade, com sinais clínicos de andar cambaleante, compressão da cabeça contra objetos, agitação, salivação e agressividade. Na necropsia, foram observadas, no encéfalo, massas bem delimitadas pardo-avermelhadas, firmes, de aspecto granular, localizadas no córtex parietal e nos núcleos da base. Inúmeras micronodulações de aspecto semelhante foram observadas no pulmão. Histologicamente observaram-se nódulos formados por células neoplásicas fusiformes, com núcleos grandes e alongados e nucléolos evidentes, dispostas de forma frouxa, formando vacúolos e microcistos. À imuno-histoquímica, o meningioma apresentou marcação fortemente positiva para citoqueratina e negativa para vimentina. Por meio da histopatologia e da imuno-histoquímica, foi possível estabelecer a classificação histológica de meningioma microcístico, bem como diferenciá-lo de outras doenças que cursam com sinais nervosos.(AU)

Meningiomas are the main tumors of the central nervous system (CNS) affecting dogs and cats. In most of the cases they are benign neoplasms, usually expansive, causing compression of the CNS and rarely metastasize to other organs. We describe the occurrence of a microcystic meningioma with pulmonary metastasis in an 11 - year - old canine with clinical signs of staggering gait, head compression against objects, agitation, salivation and aggressiveness. At necropsy, well-defined, firm, granular-looking masses located in the parietal cortex and nuclei of the base were observed in the encephalon. Numerous micronodulations of similar appearance were observed in the lung. Histologically, nodules formed by spindle neoplastic cells with large, elongated nuclei and evident nuclei were loosely arranged, forming vacuoles and microcysts. Immunohistochemistry were strongly positive for cytokeratin and negative for vimentin. Through the histopathology and immunohistochemistry, it was possible to establish the histological classification of microcystic meningioma, as well as to differentiate from other diseases that present with nervous signals.(AU)

Melanoma oral amelanótico metastático com acometimento neurológico e gonadal em um cão fêmea - relato de caso / [Metastatic oral amelanotic melanoma with neurologic and gonadal involvement in a female dog - case report]

Relata-se um caso de melanoma oral disseminado em uma cadela de dois anos, com protrusão de bulbo ocular unilateral e quadro convulsivo progressivo. Os exames de imagem revelaram aumento de volume nas regiões submandibular, maxilar e cerebral, padrão nodular pulmonar e aumento das dimensões ovarianas. A citologia da massa submandibular indicou proliferação epitelial maligna, enquanto a biópsia excisional foi sugestiva de melanoma amelanótico. Na necropsia, havia uma massa gengival localmente infiltrativa e nodulações brancas nos linfonodos, nos rins, no pulmão, no cérebro e nos ovários, indicativas de metástase. O diagnóstico histopatológico consistiu de neoplasia maligna metastática indiferenciada, indicativo de melanoma amelanótico. Células caracterizadas por núcleo com cromatina espessa, múltiplos nucléolos bem evidentes, mitoses atípicas e multinucleações consistiram nos principais critérios de malignidade. No espaço peritrabecular ósseo facial, havia rara diferenciação pigmentar melanocítica, confirmada histoquimicamente pela técnica de Fontana-Massom e Giemsa. Algumas células foram positivas pela imuno-histoquímica para PNL-2 e Melan-A, e o diagnóstico de melanoma amelanótico disseminado foi firmado. A indiferenciação neoplásica marcante, com disseminação metastática multissistêmica e acometimento mútuo de sítios anatômicos pouco comuns, conjuntamente com a ampla variação dos padrões celulares, foi responsável pelo desafio diagnóstico do presente caso, ressaltando o papel decisivo da imuno-histoquímica para confirmação diagnóstica. A importância clínica deste trabalho consiste ainda em alertar a comunidade clínica e científica acerca da dificuldade diagnóstica, devendo-se considerar o melanoma amelanótico como diferencial mesmo em casos de lesões orais menos perceptíveis e/ou desprovidas de pigmentação.(AU)

A case of disseminated oral melanoma in a two year old female dog with unilateral protuberance of the eye bulb and progressive seizure is described. Imaging exams revealed increase of the submandibular, maxillary and cerebral regions, nodular pattern in lungs and increased ovarian dimensions. The cytology of the submandibular mass indicated a malignant epithelial proliferation, whereas the excisional biopsy indicated an amelanotic melanoma. At necropsy, a locally infiltrating gingival mass and white nodules in the lymph nodes, kidneys, lung, brain and ovaries were observed, indicative of metastases. Histopathological diagnosis consisted of an undifferentiated malignant metastatic neoplasm. Nucleus with coarse chromatin, prominent nucleoli, bizarre mitotic figures and multinucleated cells were the major malignant features. There was a poor melanocytic pigment differentiation in the peritrabecular space of facial bones, confirmed by Fontana-Masson and Giemsa histochemical techniques. Only a few cells were immunohistochemically positive for PNL-2 and Melan-A and the diagnosis of a disseminated amelanotic melanoma was performed. The diagnostic challenge was based on marked neoplastic undifferentiation, with multisystemic metastasis and mutual involvement of uncommon anatomic sites, associated with a large variability of cellular patterns, highlighting the decisive role of immunohistochemistry for diagnostic confirmation. Therefore, the clinical importance of this study is to warn the clinical and scientific community about the diagnostic challenge, considering the amelanotic melanoma as a differential even in cases of poorly apparent and/or nonpigmented oral lesions.(AU)

Laminotomia dorsal do áxis para excisão de meningioma em cão / Axis dorsal laminotomy for excision of a meningioma in a dog

Background: Surgical access to the spinal cord at the level of C2 vertebra presents technical limitations, due to anatomical particularities in this region. The ventral slot technique does not allow space for the removal of dorsolateral masses. The axis hemilaminectomy technique provides limited access to the dorsal aspect of spinal cord and there is a risk of damaging the vertebral arteries. The axis dorsal laminotomy technique allows good access to spinal cord and preserves the atlantoaxial and nuchal ligaments, however few papers describe this technique. The objective of this paper is to report the axis dorsal laminotomy performed in a dog with a meningioma at this level. Case: An 11-year-old male, Maltese dog, was presented with a 15-day history of progressive weakness, intense cervical pain and difficulty in locomotion of the four limbs. He was being treated with painkillers without improvement. On clinical examination, the physiological parameters were normal. Neurological examination showed tetraparesis with the syndrome localized in the cranial cervical region. The main differential diagnoses were intervertebral disc disease, neoplasia, inflammatory or infectious disease. Computed tomography was performed and the evaluation of images allowed the visualization of an intradural-extramedullary neoplastic process, promoting important spinal compression, with approximate dimensions of the lesion 0.70 cm high x 0.67 cm wide x 0.78 cm long, with apparent involvement of the meninges, with a more lateralized location on the left, with meningioma being the main differential diagnosis. Thus, exploratory surgery, through the technique of dorsal laminotomy of the axis was performed. After the removal of the mass, the spinous process was repositioned in its anatomical location and fixed with 0.6 mm steel cerclage wire that was passed through the holes made in the dorsal lamina of the...

Laminotomia dorsal do áxis para excisão de meningioma em cão / Axis dorsal laminotomy for excision of a meningioma in a dog

Background: Surgical access to the spinal cord at the level of C2 vertebra presents technical limitations, due to anatomical particularities in this region. The ventral slot technique does not allow space for the removal of dorsolateral masses. The axis hemilaminectomy technique provides limited access to the dorsal aspect of spinal cord and there is a risk of damaging the vertebral arteries. The axis dorsal laminotomy technique allows good access to spinal cord and preserves the atlantoaxial and nuchal ligaments, however few papers describe this technique. The objective of this paper is to report the axis dorsal laminotomy performed in a dog with a meningioma at this level. Case: An 11-year-old male, Maltese dog, was presented with a 15-day history of progressive weakness, intense cervical pain and difficulty in locomotion of the four limbs. He was being treated with painkillers without improvement. On clinical examination, the physiological parameters were normal. Neurological examination showed tetraparesis with the syndrome localized in the cranial cervical region. The main differential diagnoses were intervertebral disc disease, neoplasia, inflammatory or infectious disease. Computed tomography was performed and the evaluation of images allowed the visualization of an intradural-extramedullary neoplastic process, promoting important spinal compression, with approximate dimensions of the lesion 0.70 cm high x 0.67 cm wide x 0.78 cm long, with apparent involvement of the meninges, with a more lateralized location on the left, with meningioma being the main differential diagnosis. Thus, exploratory surgery, through the technique of dorsal laminotomy of the axis was performed. After the removal of the mass, the spinous process was repositioned in its anatomical location and fixed with 0.6 mm steel cerclage wire that was passed through the holes made in the dorsal lamina of the...(AU)

Hemorrhagic stroke in a dog with anaplastic carcinoma of the mammary gland

Background: Anaplastic carcinoma of the mammary gland is considered a highly invasive and malignant neoplasia, whichusually leads to neoplastic thrombosis and epidermal ulceration due to invasiveness of lymphatic vessels by tumor emboli.Loss of epidermal barrier predisposes to secondary bacterial infection, mainly by commensal bacteria of the skin, andsepticemia can be observed in cases of systemic dissemination. Neoplastic emboli and septic thrombi can lead to vascularobstruction, which can predispose to infarction in multiple organs. The aim of this case report is to describe a case ofhemorrhagic stroke in a dog with anaplastic carcinoma of the mammary gland.Case: A 12-year-old, mixed breed, female spayed canine presented with mammary tumor with plaque formation, associatedwith skin ulceration which extended to the medial region of pelvic limbs. The animal also displayed neurologic clinicalsigns characterized by stupor, opisthotonos and apathy. Due to poor prognosis, the canine was euthanized and submittedto necropsy. During external examination, the animal was in a good body condition, had moderately pale mucosae, andit was noted a nodular plaque in the abdominal ventral area extending from thoracic to inguinal mammary gland. Themass was firm and white, extensively ulcerated, and extending from the thoracic to inguinal mammary gland. There wasa well circumscribed area of infarction in the spleen and kidney. In the cerebral cortex it was observed an extensive areaof hemorrhage with adhered blood clot from frontal to temporal lobe. There were multiple well circumscribed, firm, andwhite areas in the myocardium. Histologically, the neoplastic proliferation was composed by epithelial cells with high pleomorphism, features of malignancy, and no delimitations, leading to the diagnosis of anaplastic carcinoma of the mammarygland. Admixed with tumor cells there were multiple areas of hemorrhage, necrosis and thrombosis...

Hemorrhagic stroke in a dog with anaplastic carcinoma of the mammary gland

Background: Anaplastic carcinoma of the mammary gland is considered a highly invasive and malignant neoplasia, whichusually leads to neoplastic thrombosis and epidermal ulceration due to invasiveness of lymphatic vessels by tumor emboli.Loss of epidermal barrier predisposes to secondary bacterial infection, mainly by commensal bacteria of the skin, andsepticemia can be observed in cases of systemic dissemination. Neoplastic emboli and septic thrombi can lead to vascularobstruction, which can predispose to infarction in multiple organs. The aim of this case report is to describe a case ofhemorrhagic stroke in a dog with anaplastic carcinoma of the mammary gland.Case: A 12-year-old, mixed breed, female spayed canine presented with mammary tumor with plaque formation, associatedwith skin ulceration which extended to the medial region of pelvic limbs. The animal also displayed neurologic clinicalsigns characterized by stupor, opisthotonos and apathy. Due to poor prognosis, the canine was euthanized and submittedto necropsy. During external examination, the animal was in a good body condition, had moderately pale mucosae, andit was noted a nodular plaque in the abdominal ventral area extending from thoracic to inguinal mammary gland. Themass was firm and white, extensively ulcerated, and extending from the thoracic to inguinal mammary gland. There wasa well circumscribed area of infarction in the spleen and kidney. In the cerebral cortex it was observed an extensive areaof hemorrhage with adhered blood clot from frontal to temporal lobe. There were multiple well circumscribed, firm, andwhite areas in the myocardium. Histologically, the neoplastic proliferation was composed by epithelial cells with high pleomorphism, features of malignancy, and no delimitations, leading to the diagnosis of anaplastic carcinoma of the mammarygland. Admixed with tumor cells there were multiple areas of hemorrhage, necrosis and thrombosis...(AU)

Ependimoma anaplásico em cão / Anaplasic ependymoma in a dog

Background: Anaplastic ependymoma is a rare primary intracranial neoplasm in dogs and cats, which originates fromependymal cells that line the ventricular system of the brain and spinal cord. Normally, this neoplasm occurs as a single,expansive mass that develops mainly in the lateral ventricles, and neurological changes are due to local tissue impairmentand peritumoral tissue compression. This article reports a case of anaplastic ependymoma in a dog treated at the VeterinaryHospital of the Federal University of Mato Grosso do Sul (UFMS), emphasizing and describing the neurological signsand histopathology of this tumor.Case: This article reports the case of a 11-year-old mongrel dog with a history of butting its head against obstacles, ofcompulsive walking, and altered proprioception of the right side limbs. The condition evolved to positional strabismus ofthe left eye, left lateral deviation of the head, vertical nystagmus, decreased level of consciousness, and constant lateraldecubitus. Due to the suspicion of intracranial neoplasia and worsening of its clinical condition, the animal was euthanized. Necropsy of its body revealed a mass of approximately 3 cm in diameter in the third ventricle (in the left lateralregion). A histological examination revealed random clusters of ependymal cells with a few rosettes and pseudorosettes.The cells were cuboid to cylindrical in shape, with moderate eosinophilic cytoplasm with indistinct borders, and round tooval moderately hyperchromatic nuclei with 1-2 visible nucleoli. Based on these findings, the tumor was characterized asanaplastic ependymoma.Discussion: Intracranial tumors occur more frequently in older animals, and usually neurological signs tend to evolve progressively. Most affected dogs are mongrels, like the dog described in this report, but Golden Retrievers, Boxers, LabradorRetrievers...(AU)

Ependimoma anaplásico em cão / Anaplasic ependymoma in a dog

Background: Anaplastic ependymoma is a rare primary intracranial neoplasm in dogs and cats, which originates fromependymal cells that line the ventricular system of the brain and spinal cord. Normally, this neoplasm occurs as a single,expansive mass that develops mainly in the lateral ventricles, and neurological changes are due to local tissue impairmentand peritumoral tissue compression. This article reports a case of anaplastic ependymoma in a dog treated at the VeterinaryHospital of the Federal University of Mato Grosso do Sul (UFMS), emphasizing and describing the neurological signsand histopathology of this tumor.Case: This article reports the case of a 11-year-old mongrel dog with a history of butting its head against obstacles, ofcompulsive walking, and altered proprioception of the right side limbs. The condition evolved to positional strabismus ofthe left eye, left lateral deviation of the head, vertical nystagmus, decreased level of consciousness, and constant lateraldecubitus. Due to the suspicion of intracranial neoplasia and worsening of its clinical condition, the animal was euthanized. Necropsy of its body revealed a mass of approximately 3 cm in diameter in the third ventricle (in the left lateralregion). A histological examination revealed random clusters of ependymal cells with a few rosettes and pseudorosettes.The cells were cuboid to cylindrical in shape, with moderate eosinophilic cytoplasm with indistinct borders, and round tooval moderately hyperchromatic nuclei with 1-2 visible nucleoli. Based on these findings, the tumor was characterized asanaplastic ependymoma.Discussion: Intracranial tumors occur more frequently in older animals, and usually neurological signs tend to evolve progressively. Most affected dogs are mongrels, like the dog described in this report, but Golden Retrievers, Boxers, LabradorRetrievers...

Neoplasmas encefálicos em cães idosos / Brain neoplasms in elderly dogs

Background: The prevalence of intracranial neoplasms in dogs represents 2.1 to 4.0% of the cases. Brain tumors may beprimary or metastatic. The objective of this study was to describe two cases of intra encephalic neoplasia in elderly dogsreceived for necropsy by the Veterinary Oncology Service in the Federal University of Pelotas.Cases: Case 1: A 12-year-old female canine, without breed and medium size, was received for necropsy. The animal hashad behavioral changes. Macroscopic examination of the encephalus revealed asymmetry and congestion. The organs werecollected and fixed in 10% formalin. In the brain cleavage we noticed an extensive brown-gray mass with reddish areas,expansive, moderately demarcated, soft to cut and discrete hydrocephalus. Serial fragments of the brain and fragmentsof the organs were sent for processing. The slides were stained with the hematoxylin and eosin technique for histopathological analysis. At the microscopic examination, cuboidal cells were observed in the encephalus sometimes in acinar arrangements, of extensive and very limited pattern, diagnosed as ependymoma. Case 2: It is a 15-year-old, female Poodledog, with several tumors. During necropsy multiple subcutaneous nodules, mesentery, intestinal serosa, stomach and liverwere noticed. At the cut these were firm and whitish. No macroscopic changes were observed in the other organs. Fragments of organs and brain were collected and a serial section of the encephalus was performed for further processing andhistological analysis. In the histopathological analysis the masses were constituted by proliferation of sometimes roundedcells, elongated, with rounded nuclei and eosinophilic cytoplasm, allowing the diagnosis of mesothelioma. The samecell pattern was observed in other organs. In the frontal cortex of the encephalus there were small foci of cells similar tothose observed in the mesentery, as well as metastatic...(AU)

Neoplasmas encefálicos em cães idosos / Brain neoplasms in elderly dogs

Background: The prevalence of intracranial neoplasms in dogs represents 2.1 to 4.0% of the cases. Brain tumors may beprimary or metastatic. The objective of this study was to describe two cases of intra encephalic neoplasia in elderly dogsreceived for necropsy by the Veterinary Oncology Service in the Federal University of Pelotas.Cases: Case 1: A 12-year-old female canine, without breed and medium size, was received for necropsy. The animal hashad behavioral changes. Macroscopic examination of the encephalus revealed asymmetry and congestion. The organs werecollected and fixed in 10% formalin. In the brain cleavage we noticed an extensive brown-gray mass with reddish areas,expansive, moderately demarcated, soft to cut and discrete hydrocephalus. Serial fragments of the brain and fragmentsof the organs were sent for processing. The slides were stained with the hematoxylin and eosin technique for histopathological analysis. At the microscopic examination, cuboidal cells were observed in the encephalus sometimes in acinar arrangements, of extensive and very limited pattern, diagnosed as ependymoma. Case 2: It is a 15-year-old, female Poodledog, with several tumors. During necropsy multiple subcutaneous nodules, mesentery, intestinal serosa, stomach and liverwere noticed. At the cut these were firm and whitish. No macroscopic changes were observed in the other organs. Fragments of organs and brain were collected and a serial section of the encephalus was performed for further processing andhistological analysis. In the histopathological analysis the masses were constituted by proliferation of sometimes roundedcells, elongated, with rounded nuclei and eosinophilic cytoplasm, allowing the diagnosis of mesothelioma. The samecell pattern was observed in other organs. In the frontal cortex of the encephalus there were small foci of cells similar tothose observed in the mesentery, as well as metastatic...

Infiltrative lipoma causing lumbar nerve root compression in a dog

Background: Lipomas are benign soft tissue mesenchymal neoplasms composed of adipose cells and are usually foundin the subcutaneous tissue. Occasionally, lipomas may invade muscles or grow between them, in which case they arecharacterized as infiltrative lipomas. Clinical signs resulting from an intermuscular lipoma compressing peripheral nervesare rarely encountered in dogs. This case report aims to describe the neurological signs, diagnosis, and clinical evaluationof a dog diagnosed with infiltrative lipoma compressing a lumbar spinal nerve root.Case: A 12-year-old neutered male Fox Paulistinha, weighing 10.5 kg, was presented with difficulties in walking for thepast 15 days with no previous history of trauma. On physical examination, the presence of three cutaneous nodules wasnoted in the ventral thoracic region, with onset of one year and slow and progressive growth. A cytological evaluation ofthe nodules was performed, and lipoma was diagnosed. At the neurological examination, the patient presented ambulatoryparaparesis with marked motor deficit and atrophy of the quadriceps muscles of the left pelvic limb. Conscious proprioceptive deficit, the absence of patellar reflex, and diminished withdrawal reflex were observed in the left hind limb, in additionto diffuse pain on epaxial palpation of the lumbar region. Electroneuromyography showed increased insertion activity inthe left gastrocnemius muscle and moderate spontaneous activity (fibrillation). Persistence of 10% was observed in theF-wave study of the left tibial nerve. These findings indicate partial involvement of the roots of the left sciatic-tibial nerve.Magnetic resonance imaging (MRI) showed the presence of a mass measuring 3.18 × 1.04 × 1.4 cm, interspersed withthe paravertebral muscles, and located adjacent to the L2 and L3 spinous processes...