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1.
J Transl Genet Genom ; 5(4): 423-442, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35342877

RESUMO

Aim: To molecularly characterize the tumor microenvironment and evaluate immunologic parameters in canine glioma patients before and after treatment with oncolytic human IL-12-expressing herpes simplex virus (M032) and in treatment naïve canine gliomas. Methods: We assessed pet dogs with sporadically occurring gliomas enrolled in Stage 1 of a veterinary clinical trial that was designed to establish the safety of intratumoral oncoviral therapy with M032, a genetically modified oncolytic herpes simplex virus. Specimens from dogs in the trial and dogs not enrolled in the trial were evaluated with immunohistochemistry, NanoString, Luminex cytokine profiling, and multi-parameter flow cytometry. Results: Treatment-naive canine glioma microenvironment had enrichment of Iba1 positive macrophages and minimal numbers of T and B cells, consistent with previous studies identifying these tumors as immunologically "cold". NanoString mRNA profiling revealed enrichment for tumor intrinsic pathways consistent with suppression of tumor-specific immunity and support of tumor progression. Oncolytic viral treatment induced an intratumoral mRNA transcription signature of tumor-specific immune responses in 83% (5/6) of canine glioma patients. Changes included mRNA signatures corresponding with interferon signaling, lymphoid and myeloid cell activation, recruitment, and T and B cell immunity. Multiplexed protein analysis identified a subset of oligodendroglioma subjects with increased concentrations of IL-2, IL-7, IL-6, IL-10, IL-15, TNFα, GM-CSF between 14 and 28 days after treatment, with evidence of CD4+ T cell activation and modulation of IL-4 and IFNγ production in CD4+ and CD8+ T cells isolated from peripheral blood. Conclusion: These findings indicate that M032 modulates the tumor-immune microenvironment in the canine glioma model.

2.
J Vet Intern Med ; 24(2): 372-8, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20102497

RESUMO

BACKGROUND: Vector-transmitted microorganisms in the genera Ehrlichia, Anaplasma, Rickettsia, Bartonella, and Borrelia are commonly suspected in dogs with meningoencephalomyelitis (MEM), but the prevalence of these pathogens in brain tissue and cerebrospinal fluid (CSF) of dogs with MEM is unknown. HYPOTHESIS/OBJECTIVES: To determine if DNA from these genera is present in brain tissue and CSF of dogs with MEM, including those with meningoencephalitis of unknown etiology (MUE) and histopathologically confirmed cases of granulomatous (GME) and necrotizing meningoencephalomyelitis (NME). ANIMALS: Hundred and nine dogs examined for neurological signs at 3 university referral hospitals. METHODS: Brain tissue and CSF were collected prospectively from dogs with neurological disease and evaluated by broadly reactive polymerase chain reaction (PCR) for Ehrlichia, Anaplasma, Spotted Fever Group Rickettsia, Bartonella, and Borrelia species. Medical records were evaluated retrospectively to identify MEM and control cases. RESULTS: Seventy-five cases of MUE, GME, or NME, including brain tissue from 31 and CSF from 44 cases, were evaluated. Brain tissue from 4 cases and inflammatory CSF from 30 cases with infectious, neoplastic, compressive, vascular, or malformative disease were evaluated as controls. Pathogen nucleic acids were detected in 1 of 109 cases evaluated. Specifically, Bartonella vinsonii subsp. berkhoffii DNA was amplified from 1/6 dogs with histopathologically confirmed GME. CONCLUSION AND CLINICAL IMPORTANCE: The results of this investigation suggest that microorganisms in the genera Ehrlichia, Anaplasma, Rickettsia, and Borrelia are unlikely to be directly associated with canine MEM in the geographic regions evaluated. The role of Bartonella in the pathogenesis of GME warrants further investigation.


Assuntos
Encéfalo/microbiologia , Doenças do Cão/microbiologia , Bactérias Gram-Negativas/isolamento & purificação , Infecções por Bactérias Gram-Negativas/veterinária , Meningoencefalite/veterinária , Reação em Cadeia da Polimerase/veterinária , Animais , DNA Bacteriano/classificação , DNA Bacteriano/isolamento & purificação , Doenças do Cão/líquido cefalorraquidiano , Cães , Feminino , Infecções por Bactérias Gram-Negativas/líquido cefalorraquidiano , Infecções por Bactérias Gram-Negativas/microbiologia , Masculino , Meningoencefalite/microbiologia
3.
Vet Pathol ; 46(4): 684-7, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19276068

RESUMO

Degenerative myelopathy (DM) is a common, slowly progressive, debilitating disease reported in several dog breeds, including the German Shepherd Dog and Pembroke Welsh Corgi. Boxer dogs present occasionally for a thoracolumbar myelopathy for which no cause is identified on MRI or cerebrospinal fluid analysis. Despite a lack of a histologic description of DM in the Boxer in the veterinary literature, such dogs are presumed to have DM. Here we report 2 histologically confirmed cases of DM in the Boxer breed in which histologic studies disclosed marked degenerative changes in the spinal cord that were most prominent in the thoracic and cranial lumbar segments. Lesions consisted of myelin vacuolation and degeneration, myelophagocytosis, reactive astrocytosis, and ellipsoid formation most prominent in the lateral and ventral funiculi. We present a detailed histologic description of DM in the Boxer dog and compare it to DM in other purebred dogs.


Assuntos
Doenças do Cão/patologia , Doenças Neurodegenerativas/veterinária , Doenças da Medula Espinal/veterinária , Animais , Cães , Doenças Neurodegenerativas/patologia , Especificidade da Espécie , Doenças da Medula Espinal/patologia
4.
J Vet Intern Med ; 23(6): 1220-6, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19780928

RESUMO

BACKGROUND: Magnetic resonance imaging (MRI) is a correlate to physical examination in various myelopathies and a predictor of functional outcome. OBJECTIVES: To describe associations among MRI features, neurological dysfunction before MRI, and functional outcome in dogs with disk herniation. ANIMALS: One hundred and fifty-nine dogs with acute thoracolumbar disk herniation. METHODS: Retrospective case series. Signalment, initial neurological function as assessed by a modified Frankel score (MFS), and ambulatory outcome at hospital discharge and >3 months (long-term) follow-up were recorded from medical records and telephone interview of owners. Associations were estimated between these parameters and MRI signal and morphometric data. RESULTS: Dogs with intramedullary T2W hyperintensity had more severe pre-MRI MFS (median 2, range 0-4) and lower ambulatory proportion at long-term follow-up (0.76) than those dogs lacking hyperintensity (median MFS 3, range 0-5; ambulatory proportion, 0.93) (P=.001 and .013, respectively). Each unit of T2W length ratio was associated with a 1.9 times lower odds of long-term ambulation when adjusted for pre-MRI MFS (95% confidence interval 1.0-3.52, P=.05). Dogs with a compressive length ratio >1.31 (which was the median ratio within this population) had more severe pre-MRI MFS (median 3, range 0-5) compared with those with ratios < or =1.31 (median MFS 3, range 0-4; P=.006). CONCLUSIONS AND CLINICAL IMPORTANCE: MRI features were associated with initial injury severity in dogs with thoracolumbar disk herniation. Based on results of this study, the T2W length ratio and presence of T2W intramedullary hyperintensity appear to be predictive of long-term ambulatory status.


Assuntos
Doenças do Cão/patologia , Deslocamento do Disco Intervertebral/veterinária , Vértebras Lombares/patologia , Imageamento por Ressonância Magnética/veterinária , Animais , Doenças do Cão/etiologia , Doenças do Cão/cirurgia , Cães , Feminino , Deslocamento do Disco Intervertebral/complicações , Deslocamento do Disco Intervertebral/patologia , Deslocamento do Disco Intervertebral/cirurgia , Masculino , Compressão da Medula Espinal/patologia , Compressão da Medula Espinal/cirurgia , Compressão da Medula Espinal/veterinária , Vértebras Torácicas
5.
J Vet Intern Med ; 23(1): 146-51, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19175733

RESUMO

BACKGROUND: Tumor proliferation in human intracranial meningiomas can be defined by the reactivity of the monoclonal antibody MIB-1 to the Ki-67 antigen. Vascular endothelial growth factor (VEGF), a pro-angiogenic factor, is a predictive marker for survival of dogs with intracranial meningiomas. HYPOTHESIS: Ki-67 is expressed in canine intracranial meningiomas and is associated with VEGF expression. Ki-67 expression is a prognostic marker for patient outcome. ANIMALS: Seventy client-owned dogs with WHO grade I intracranial meningiomas. METHODS: Retrospective study assessing the degree of immunostaining for Ki-67 by MIB-1 and VEGF expression in intracranial meningioma tissue from dogs. MIB-1 Labeling Index (LI) was calculated with Image J NIH-software. Extent, intensity, and distribution of VEGF-expression was assessed semiquantitatively. Cross tabulations with Fisher's exact tests and nonparametric Spearman's rank correlations were performed to identify associations between VEGF expression and MIB-1 LI. Fifteen dogs underwent postsurgical radiotherapy and were included in survival analysis. The effect of MIB-1 LI on survival was examined by Kaplan-Meier and Cox proportional hazards regression procedures. RESULTS: Ki-67 staining was positive in 91% (64/70) and VEGF expression was detected in 96% (67/70). There was no significant association between VEGF expression and MIB-1 LI. MIB-1 LI was not associated with survival. CONCLUSIONS AND CLINICAL IMPORTANCE: MIB-1 antibody can be used to document cell proliferation in intracranial meningiomas in dogs, but does not predict outcome. No association between VEGF as a marker of angiogenesis and tumor proliferation was found. Angiogenesis might be a more important predictor of meningioma activity in dogs than is Ki-67.


Assuntos
Doenças do Cão/metabolismo , Regulação Neoplásica da Expressão Gênica/fisiologia , Antígeno Ki-67/metabolismo , Meningioma/veterinária , Fator A de Crescimento do Endotélio Vascular/metabolismo , Animais , Cães , Antígeno Ki-67/genética , Fator A de Crescimento do Endotélio Vascular/genética
6.
J Small Anim Pract ; 50(4): 186-93, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19320813

RESUMO

OBJECTIVES: To describe the clinical and magnetic resonance imaging features of cervical vertebral malformation-malarticulation in Bernese mountain dogs. METHODS: Seven Bernese mountain dogs (four males and three females) were diagnosed with cervical vertebral malformation-malarticulation by magnetic resonance imaging. The following data were evaluated retrospectively: (1) abnormalities of the cervical vertebral column and spinal cord, (2) spinal cord compression, (3) intervertebral disc degeneration and herniation, (4) severity of clinical signs pretreatment and after treatment, (5) type of treatment and (6) outcome. RESULTS: Spin echo T1-weighted and T2-weighted images disclosed multi-level, extradural compressive spinal cord lesions (ventral, dorsolateral or both) spanning from intervertebral disc spaces C3-4 to C6-7. In all seven dogs, T2-weighted images disclosed one or more intramedullary hyperintensities associated with extradural spinal cord compression. Surgery was performed in five dogs. Two dogs were managed medically. The prognosis for surgical or conservative management in Bernese mountain dogs was similar to cervical vertebral malformation-malarticulation in other breeds. CLINICAL SIGNIFICANCE: Cervical vertebral malformation-malarticulation is an important differential diagnosis for young to middle-aged Bernese mountain dogs with a C1-5 or C6-T2 neuroanatomic localisation. Dorsolateral spinal cord compression associated with articular process hypertrophy was the most common feature of cervical vertebral malformation-malarticulation in the seven Bernese mountain dogs evaluated.


Assuntos
Vértebras Cervicais/anormalidades , Vértebras Cervicais/patologia , Doenças do Cão/diagnóstico , Doenças da Medula Espinal/veterinária , Animais , Anti-Inflamatórios/administração & dosagem , Colúmbia Britânica , Vértebras Cervicais/diagnóstico por imagem , Vértebras Cervicais/cirurgia , Diagnóstico Diferencial , Doenças do Cão/terapia , Cães , Feminino , Georgia , Deslocamento do Disco Intervertebral/diagnóstico , Deslocamento do Disco Intervertebral/terapia , Deslocamento do Disco Intervertebral/veterinária , Imageamento por Ressonância Magnética/métodos , Imageamento por Ressonância Magnética/veterinária , Masculino , Prednisona/administração & dosagem , Prognóstico , Radiografia , Compressão da Medula Espinal/diagnóstico , Compressão da Medula Espinal/terapia , Compressão da Medula Espinal/veterinária , Doenças da Medula Espinal/diagnóstico , Doenças da Medula Espinal/terapia , Resultado do Tratamento
7.
IEEE Trans Inf Technol Biomed ; 12(1): 66-75, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18270038

RESUMO

Long-term human space exploration will require contingencies for emergency medical procedures including some capability to perform surgery. The ability to perform minimally invasive surgery (MIS) would be an important capability. The use of small incisions reduces surgical risk, but also eliminates the ability of the surgeon to view and touch the surgical environment directly. Robotic surgery, or telerobotic surgery, may provide emergency surgical care in remote or harsh environments such as space flight, or extremely forward environments such as battlefields. However, because current surgical robots are large and require extensive support personnel, their implementation has remained limited in forward environments, and they would be difficult, or impossible, to use in space flight or on battlefields. This paper presents experimental analysis of miniature fixed-base and mobile in vivo robots to support MIS surgery in remote and harsh environments. The objective is to develop wireless imaging and task-assisting robots that can be placed inside the abdominal cavity during surgery. Such robots will provide surgical task assistance and enable an on-site or remote surgeon to view the surgical environment from multiple angles. This approach is applicable to long-duration space flight, battlefield situations, and for traditional medical centers and other remote surgical locations.


Assuntos
Miniaturização , Robótica , Humanos , Procedimentos Cirúrgicos Minimamente Invasivos/métodos
8.
Vet Rec ; 163(1): 11-5, 2008 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-18603629

RESUMO

The medical records and magnetic resonance images of 33 dogs with surgically confirmed Hansen type I cervical intervertebral disc disease were reviewed. Fourteen of the dogs were chondrodystrophic and 19 were not chondrodystrophic. The most common clinical sign was neck pain, which affected 28 of the dogs, and 23 of the dogs were able to walk. Fifteen of the dogs had developed clinical signs acutely, within the previous 24 hours. On cross-sectional images the median area of spinal cord compression was 26 per cent (range 11 to 71 per cent) of the normal spinal cord area. The degree of spinal cord compression was significantly associated with the dogs' presurgical neurological status but not with their postsurgical neurological status. The dogs with an acute onset of clinical signs had more severe neurological dysfunction before surgery, but their condition improved more as a result of surgery.


Assuntos
Vértebras Cervicais/patologia , Doenças do Cão/diagnóstico , Deslocamento do Disco Intervertebral/veterinária , Imageamento por Ressonância Magnética/veterinária , Compressão da Medula Espinal/veterinária , Animais , Cães , Feminino , Deslocamento do Disco Intervertebral/diagnóstico , Masculino , Prognóstico , Estudos Retrospectivos , Compressão da Medula Espinal/diagnóstico
9.
J Small Anim Pract ; 49(12): 634-40, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18684139

RESUMO

OBJECTIVES: To compare the value of different magnetic resonance sequences in the detection of brain lesions in dogs with multi-focal intracranial neurolocalised lesions and abnormal cisternal cerebrospinal fluid analysis. METHODS: T2-weighted, T1-weighted, T1-weighted-Gd, FLAIR (fluid attenuated inversion recovery) images of 73 dogs with multi-focal intracranial localised lesions were reviewed retrospectively. Control dogs (19) were selected on the basis of normal neurological examination, magnetic resonance images and cerebrospinal fluid analysis. Two board-certified radiologists blindly reviewed the magnetic resonance images. Magnetic resonance sequence sensitivities were compared using the chi-squared test and logistic regression, accounting for clustering at the patient level. Statistical significance was set at the 5 per cent level. RESULTS: The FLAIR sequence was found to have the highest sensitivity (84 per cent, 61 of 73), followed by T2-weighted (63 per cent, 46 of 73), T1-weighted postcontrast (62 per cent, 45 of 73) and T1-weighted (23 per cent, 17 of 73) (P<0.001). FLAIR images were 106.1 times (95 per cent confidence interval 25.2 to 447.5) more likely to correctly identify cerebrospinal fluid-positive patients than T1-weighted, 6.4 times (95 per cent confidence interval 2.2 to 18.2) than T1-weighted postcontrast and 5.8 times (95 per cent confidence interval 2.0 to 16.4) than T2-weighted. FLAIR identified 14 per cent of cases that were classified as normal based on the three others sequences. CLINICAL SIGNIFICANCE: Routine use of FLAIR sequence should be encouraged in dogs undergoing a brain magnetic resonance imaging and probably more specifically in cases of suspected inflammatory brain disease.


Assuntos
Encefalopatias/veterinária , Encéfalo/patologia , Cistos/veterinária , Doenças do Cão/diagnóstico , Imageamento por Ressonância Magnética/veterinária , Animais , Encefalopatias/diagnóstico , Encefalopatias/patologia , Estudos de Casos e Controles , Meios de Contraste , Cistos/diagnóstico , Cistos/patologia , Doenças do Cão/patologia , Cães , Feminino , Masculino , Reprodutibilidade dos Testes , Estudos Retrospectivos , Sensibilidade e Especificidade
11.
Sci Rep ; 8(1): 5818, 2018 04 11.
Artigo em Inglês | MEDLINE | ID: mdl-29643404

RESUMO

Canine leukoencephalomyelopathy (LEMP) is a juvenile-onset neurodegenerative disorder of the CNS white matter currently described in Rottweiler and Leonberger dogs. Genome-wide association study (GWAS) allowed us to map LEMP in a Leonberger cohort to dog chromosome 18. Subsequent whole genome re-sequencing of a Leonberger case enabled the identification of a single private homozygous non-synonymous missense variant located in the highly conserved metallo-beta-lactamase domain of the N-acyl phosphatidylethanolamine phospholipase D (NAPEPLD) gene, encoding an enzyme of the endocannabinoid system. We then sequenced this gene in LEMP-affected Rottweilers and identified a different frameshift variant, which is predicted to replace the C-terminal metallo-beta-lactamase domain of the wild type protein. Haplotype analysis of SNP array genotypes revealed that the frameshift variant was present in diverse haplotypes in Rottweilers, and also in Great Danes, indicating an old origin of this second NAPEPLD variant. The identification of different NAPEPLD variants in dog breeds affected by leukoencephalopathies with heterogeneous pathological features, implicates the NAPEPLD enzyme as important in myelin homeostasis, and suggests a novel candidate gene for myelination disorders in people.


Assuntos
Doenças Desmielinizantes/genética , Doenças do Cão/genética , Leucoencefalopatias/veterinária , Bainha de Mielina/patologia , Fosfolipase D/genética , Animais , Doenças Desmielinizantes/patologia , Modelos Animais de Doenças , Doenças do Cão/sangue , Doenças do Cão/patologia , Cães , Estudo de Associação Genômica Ampla , Haplótipos , Humanos , Leucoencefalopatias/sangue , Leucoencefalopatias/genética , Leucoencefalopatias/patologia , Mutação de Sentido Incorreto , Polimorfismo de Nucleotídeo Único , Sequenciamento Completo do Genoma
12.
Vet Rec ; 160(23): 795-9, 2007 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-17558027

RESUMO

This retrospective study evaluated the magnetic resonance (mr) images of traumatic disc extrusions in 11 dogs. The findings included a reduction in the volume and signal intensity of the nucleus pulposus, focal hyperintensity within the overlying spinal cord on T (2)-weighted mr images, and subtle spinal cord compression, extraneous material or signal change within the vertebral canal. The largest area of hyperintensity in the spinal cord was directly over or close to the affected disc space, appeared asymmetrical and in the majority of cases was less than one vertebra in length. Parenchymal spinal cord haemorrhage was identified in four of the dogs. Vacuum phenomena, evident as a signal void in the centre of the disc, were identified in two of the dogs. The mr images were distinct from those reported for other causes of spinal cord dysfunction.


Assuntos
Doenças do Cão/diagnóstico , Deslocamento do Disco Intervertebral/veterinária , Imageamento por Ressonância Magnética/veterinária , Traumatismos da Medula Espinal/veterinária , Animais , Diagnóstico Diferencial , Discotomia/métodos , Discotomia/veterinária , Doenças do Cão/patologia , Cães , Feminino , Deslocamento do Disco Intervertebral/complicações , Deslocamento do Disco Intervertebral/diagnóstico , Deslocamento do Disco Intervertebral/patologia , Imageamento por Ressonância Magnética/métodos , Masculino , Prognóstico , Estudos Retrospectivos , Compressão da Medula Espinal/diagnóstico , Compressão da Medula Espinal/etiologia , Compressão da Medula Espinal/patologia , Compressão da Medula Espinal/veterinária , Traumatismos da Medula Espinal/diagnóstico , Traumatismos da Medula Espinal/patologia
13.
J Vet Intern Med ; 31(1): 60-68, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27914106

RESUMO

BACKGROUND: Dogs with spinal cord injury are at increased risk of developing bacteriuria due to increased residual urine volume. Cranberry extract inhibits binding of E. coli to uroepithelial cells, potentially reducing risk of bacteriuria. HYPOTHESIS: Cranberry extract reduces risk of bacteriuria in dogs after acute TL-IVDH. ANIMALS: Client-owned dogs with acute onset TL-IVDH causing nonambulatory status. METHODS: Randomized, placebo-controlled, blinded, prospective clinical trial. Dogs with acute TL-IVDH were recruited 48 hours postoperatively and randomized to receive cranberry extract or placebo in a masked fashion. Urine cultures and neurological examinations were performed 2, 4, and 6 weeks postoperatively. The number of dogs with bacteriuria (all bacterial species) and bacteriuria (E. coli) were primary and secondary outcome measures and were evaluated using chi-squared test. Urine antiadhesion activity (AAA) was measured in a subset (N = 47) and examined in a secondary analysis evaluating additional risk factors for bacteriuria. RESULTS: Bacteriuria was detected 17 times in 94 dogs (6 placebo, 11 cranberry, P = .12). There were 7 E. coli. positive cultures (1 placebo, 6 cranberry, P = .09). Dogs in both groups had positive urine AAA (14/21: placebo, 16/26: cranberry), and dogs with urine AAA had significantly fewer E. coli positive cultures (n = 1) than dogs without it (n = 4) (P = .047). CONCLUSIONS AND CLINICAL IMPORTANCE: This clinical trial did not show a benefit of oral cranberry extract but had low power. Cranberry extract supplementation did not impact urine AAA, but a possible association between urine AAA and lower risk of E. coli bacteriuria was identified. Other doses could be investigated.


Assuntos
Doenças do Cão/tratamento farmacológico , Deslocamento do Disco Intervertebral/veterinária , Extratos Vegetais/uso terapêutico , Vértebras Torácicas , Infecções Urinárias/veterinária , Vaccinium macrocarpon , Administração Oral , Animais , Anti-Infecciosos/administração & dosagem , Anti-Infecciosos/uso terapêutico , Bacteriúria/complicações , Bacteriúria/tratamento farmacológico , Bacteriúria/urina , Bacteriúria/veterinária , Cães , Feminino , Deslocamento do Disco Intervertebral/complicações , Masculino , Extratos Vegetais/administração & dosagem , Estudos Prospectivos , Método Simples-Cego , Resultado do Tratamento , Infecções Urinárias/complicações , Infecções Urinárias/tratamento farmacológico , Infecções Urinárias/urina
14.
Surg Endosc ; 20(1): 135-8, 2006 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-16333551

RESUMO

The use of small incisions in laparoscopy reduces patient trauma, but also limits the surgeon's ability to view and touch the surgical environment directly. These limitations generally restrict the application of laparoscopy to procedures less complex than those performed during open surgery. Although current robot-assisted laparoscopy improves the surgeon's ability to manipulate and visualize the target organs, the instruments and cameras remain fundamentally constrained by the entry incisions. This limits tool tip orientation and optimal camera placement. The current work focuses on developing a new miniature mobile in vivo adjustable-focus camera robot to provide sole visual feedback to surgeons during laparoscopic surgery. A miniature mobile camera robot was inserted through a trocar into the insufflated abdominal cavity of an anesthetized pig. The mobile robot allowed the surgeon to explore the abdominal cavity remotely and view trocar and tool insertion and placement without entry incision constraints. The surgeon then performed a cholecystectomy using the robot camera alone for visual feedback. This successful trial has demonstrated that miniature in vivo mobile robots can provide surgeons with sufficient visual feedback to perform common procedures while reducing patient trauma.


Assuntos
Abdome/cirurgia , Colecistectomia/métodos , Fotografação/instrumentação , Robótica/instrumentação , Animais , Retroalimentação , Miniaturização , Suínos
15.
Vet J ; 172(2): 258-64, 2006 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16014332

RESUMO

Retrospective analysis of magnetic resonance imaging and clinical findings in a referral population of dogs was used to determine the relationship between rostrotentorial space-occupying lesions and the development of secondary neurological signs. Brain herniation was detected in 54/153 cases of uni-focal rostrotentorial space-occupying lesions; of these 30 had caudal transtentorial herniation (CTH) and 24 had both transtentorial and foramen magnum herniation (CTH/FMH). Masses associated with herniation were larger and situated more dorsally and caudally within the cranial vault. Clinical signs classically associated with CTH, e.g., oculomotor nerve palsy, were seen in only one case of isolated CTH and seven (14%) of all herniation cases. Deficits in caudal cranial nerve function were detectable in 39% of cases with FMH. We conclude that severe shifts in brain parenchyma can exist in the absence of detectable localising signs.


Assuntos
Neoplasias Encefálicas/veterinária , Doenças do Cão/patologia , Encefalocele/veterinária , Meningocele/veterinária , Animais , Neoplasias Encefálicas/diagnóstico , Neoplasias Encefálicas/patologia , Doenças do Cão/diagnóstico , Cães , Encefalocele/diagnóstico , Encefalocele/patologia , Forame Magno/patologia , Imageamento por Ressonância Magnética/veterinária , Meningocele/diagnóstico , Meningocele/patologia , Doenças do Nervo Oculomotor/veterinária , Estudos Retrospectivos
16.
J Vet Intern Med ; 20(2): 311-21, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16594588

RESUMO

Medical records of 40 dogs presented for evaluation of acute-onset, nonprogressive, intracranial dysfunction by means of magnetic resonance imaging (MRI) diagnosis of brain infarction were reviewed. Location of the brain infarcts was: 11 of 38, telencephalic; 8 of 38, thalamic/midbrain; 18 of 38, cerebellar; and 3 of 38, multifocal. Telencephalic infarcts developed within the territory of the middle cerebral (4/11), rostral cerebral (2/11), and striate (5/11) arteries. Thalamic/midbrain infarcts developed within the territory of perforating arteries of the caudal portion of the thalamus and rostral portion of the brainstem (8/8). All cerebellar infarcts (18/38) were within the territory of the rostral cerebellar artery or one of its branches. All infarcts appeared nonhemorrhagic, with marked contrast enhancement observed in only 3 of 38 dogs, all of which were imaged more than 7 days after the onset of signs of neurologic dysfunction. Diffusion-weighted imaging (DWI) sequences were available from 6 dogs, all imaged within 5 days of the onset of signs of neurologic dysfunction. Suspected infarcts were hyperintense on DWI sequences and were hypointense on the apparent diffusion coefficient map. Telencephalic infarcts caused abnormal mental status, contralateral postural reaction deficit, contralateral nasal hypalgesia, contralateral menace deficit, and ipsilateral circling. Thalamic/midbrain infarcts caused contralateral or ipsilateral postural reaction deficit, contralateral menace deficit, ipsilateral head tilt or turn, nystagmus, ventrolateral strabismus, and anisocoria. Cerebellar infarcts caused ipsilateral asymmetric cerebellar quality ataxia, head tilt, intermittent opisthotonus, nystagmus, and ipsilateral menace deficit with apparent normal vision.


Assuntos
Infarto Encefálico/veterinária , Doenças do Cão/patologia , Imageamento por Ressonância Magnética/veterinária , Animais , Encéfalo/irrigação sanguínea , Encéfalo/patologia , Infarto Encefálico/diagnóstico , Infarto Encefálico/patologia , Doenças do Cão/diagnóstico , Cães , Feminino , Masculino , Estudos Retrospectivos
17.
Vet Rec ; 159(4): 110-5, 2006 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-16861389

RESUMO

The characteristics of magnetic resonance imaging (mri) of the brains and spinal cords of 11 dogs with histologically confirmed granulomatous meningoencephalomyelitis (gme) were determined. The lesions were in the brain of eight of the dogs, in the brain and spinal cord of two, and in the spinal cord alone in one dog. A single lesion was present in four of the dogs and multiple lesions were found in six. In one dog with intracranial signs, no visible lesions could be detected on mri. No meningeal enhancement was detected in T1-weighted images post-contrast, or in fluid attenuation inversion recovery (flair) images, but there were histological lesions in the meninges in nine of the dogs. The T2-weighted images and flair sequences were characterised in all cases by hyperintensity, whereas the signal intensity of the lesions on T1-weighted images was variable. After the administration of paramagnetic contrast, some of the lesions showed no enhancement, but others showed marked patterns of enhancement. The lesions in 10 of the dogs were easily identifiable by mri and the images had several unifying characteristics, but they could not be considered disease-specific.


Assuntos
Encéfalo/patologia , Doenças do Cão/diagnóstico , Encefalomielite/veterinária , Granuloma/veterinária , Meningoencefalite/veterinária , Medula Espinal/patologia , Animais , Doenças do Cão/patologia , Cães , Encefalomielite/diagnóstico , Encefalomielite/patologia , Feminino , Granuloma/diagnóstico , Granuloma/patologia , Imageamento por Ressonância Magnética/métodos , Imageamento por Ressonância Magnética/veterinária , Masculino , Meningoencefalite/diagnóstico , Meningoencefalite/patologia
18.
Vet Rec ; 159(26): 881-4, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17189599

RESUMO

Eleven dogs diagnosed with refractory idiopathic epilepsy were treated orally with gabapentin for a minimum of three months at an initial dose of 10 mg/kg every eight hours. They were all experiencing episodes of generalised tonic-clonic seizures and had been treated chronically with a combination of phenobarbital and potassium bromide at doses sufficient to reach acceptable therapeutic serum levels without causing significant side effects. In each dog, the number of seizures per week, the average duration of the seizures and the number of days on which seizures occurred were compared for the three months before and after they were treated with gabapentin. A minimum 50 per cent reduction in the number of seizures per week was interpreted as a positive response to gabapentin, and six of the dogs showed a positive response. After the addition of gabapentin, both the number of seizures per week (P= 0.005) and the number of days with any seizures in a one-week period (P=0.03) were significantly reduced. Mild side effects of ataxia and sedation were observed in five of the dogs, but they were not severe enough to warrant the treatment being discontinued during the trial.


Assuntos
Aminas/uso terapêutico , Anticonvulsivantes/uso terapêutico , Ácidos Cicloexanocarboxílicos/uso terapêutico , Doenças do Cão/tratamento farmacológico , Epilepsia/veterinária , Convulsões/veterinária , Ácido gama-Aminobutírico/uso terapêutico , Aminas/efeitos adversos , Animais , Anticonvulsivantes/efeitos adversos , Ácidos Cicloexanocarboxílicos/efeitos adversos , Doenças do Cão/epidemiologia , Cães , Epilepsia/tratamento farmacológico , Epilepsia/epidemiologia , Feminino , Gabapentina , Masculino , Convulsões/tratamento farmacológico , Convulsões/epidemiologia , Resultado do Tratamento , Ácido gama-Aminobutírico/efeitos adversos
19.
J Small Anim Pract ; 47(10): 620-4, 2006 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17004957

RESUMO

Moxidectin is a macrocyclic lactone related to ivermectin used in horses and dogs for endoparasite treatment and prophylaxis. The clinical and neurological presentation of moxidectin toxicity in two dogs following inadvertent poisoning with a moxidectin-containing equine de-worming medication is reported here. In both the dogs, the predominant clinical signs were generalised tremors and ataxia. Moxidectin exerts its neurotoxic effects in mammals by potentiating the effect of gamma-aminobutyric acid and, consistent with this, both the dogs demonstrated a poor response to treatment with diazepam. It would be more appropriate to avoid gamma-aminobutyric acid agonists, such as benzodiazepines and barbiturates, in dogs with moxidectin toxicity and consider using anaesthetic agents with a different mode of action, such as propofol. The prognosis in dogs accidentally exposed to moxidectin-containing equine de-worming medication appears to be excellent if the cause of the neurotoxicity is correctly identified and the case is appropriately managed.


Assuntos
Anti-Helmínticos/intoxicação , Doenças do Cão/induzido quimicamente , Hipnóticos e Sedativos/uso terapêutico , Propofol/uso terapêutico , Animais , Ataxia/induzido quimicamente , Ataxia/tratamento farmacológico , Ataxia/patologia , Ataxia/veterinária , Diagnóstico Diferencial , Doenças do Cão/tratamento farmacológico , Doenças do Cão/patologia , Cães , Feminino , Macrolídeos/intoxicação , Masculino , Prognóstico , Resultado do Tratamento
20.
J Small Anim Pract ; 47(11): 644-50, 2006 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-17076787

RESUMO

OBJECTIVES: To determine whether there is an association between the degree of transverse spinal cord compression detected by magnetic resonance imaging following thoracolumbar Hansen type 1 intervertebral disc disease in dogs and their presenting and postsurgical neurological status. METHODS: Medical records of 67 dogs with surgically confirmed Hansen type 1 intervertebral disc disease (2000 to 2004) were reviewed to obtain the rate of onset of disease, duration of clinical signs and presurgical and postsurgical neurological grade. Percentage of spinal cord compression was determined on transverse T2-weighted magnetic resonance images. Linear regression was used to examine the association between spinal cord compression and each of the above variables. Chi-squared tests were used to examine associations among postsurgical outcome and presurgical variables. RESULTS: Eighty-five per cent (57 of 67) of dogs were chondrodystrophoid. Mean spinal cord compression was 53 per cent (sd=219.7, range 14.3 to 84.9 per cent). There was no association between the degree of spinal cord compression and the neurological grade at presentation, rate of onset of disease, duration of clinical signs or postsurgical outcome, with no difference between chondrodystrophoid and non-chondrodystrophoid dogs. CLINICAL SIGNIFICANCE: The degree of spinal cord compression documented with magnetic resonance imaging in dogs with thoracolumbar Hansen type 1 intervertebral disc disease was not associated with the severity of neurological signs and was not a prognostic indicator in this study.


Assuntos
Doenças do Cão/patologia , Deslocamento do Disco Intervertebral/veterinária , Imageamento por Ressonância Magnética/veterinária , Compressão da Medula Espinal/veterinária , Vértebras Torácicas , Animais , Doenças do Cão/epidemiologia , Doenças do Cão/etiologia , Cães , Inglaterra/epidemiologia , Deslocamento do Disco Intervertebral/patologia , Prontuários Médicos , Linhagem , Valor Preditivo dos Testes , Estudos Retrospectivos , Índice de Gravidade de Doença , Compressão da Medula Espinal/patologia
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