Spelling suggestions: "subject:"intervertebral diss disease"" "subject:"intervertebral disk disease""
1 |
Spinal stenosis and intervertebral disc disease:the role of sequence variations in collagen IX and XI, and inflammatory factors in spinal disordersNoponen-Hietala, N. (Noora) 16 May 2005 (has links)
Abstract
Genetic factors have been implicated to play a role in both degenerative lumbar spinal stenosis (LSS) and intervertebral disc disease (IDD). Sequence variations in the genes coding for collagen IX and inflammatory mediators have been indicated as risk factors for IDD.
Nine genes coding for intervertebral disc (IVD) collagens I, II, IX and XI and aggrecan (AGC1) were analyzed for sequence variations in 29 Finnish individuals with LSS. In addition, two polymorphisms in the vitamin D receptor gene and one in the matrix metalloproteinase-3 gene were studied. Study subjects were analyzed both clinically and radiologically. Results indicated an association between the COL11A2 IVS6-4 a to t polymorphism and LSS (p = 0.0016). Moreover, the t/t genotype was found more often in the patient group compared to controls (p = 0.0011). A novel splicing mutation, likely resulting in the synthesis of a truncated protein, was identified in COL9A2.
Eight hundred four Chinese individuals were screened for the presence of the Trp2 and Trp3 alleles. The Trp2 allele was found in 20% of the individuals compared to the previously reported 5% in Finnish patients with IDD characterized by sciatica. The Trp2 allele was found to predispose to IVD degeneration and end plate herniations, increasing the risk by 2.4-fold from 40 to 49 years of age. In addition, the degeneration was worse in individuals with the Trp2 allele. The risk for annular tears was 4-fold greater in study subjects from 30 to 39 years of age who were Trp2 positive. Surprisingly, the Trp3 allele was absent even though it was found in about 9% of Finnish individuals.
One hundred fifty-five Finnish individuals with IDD characterized by sciatica were analyzed for sequence variations in four genes coding for inflammatory mediators IL1A, IL1B, IL6, and TNFA. In addition, sixteen polymorphisms in inflammatory mediator genes were analyzed. The results identified an association between sciatica and the E5+15T>A polymorphism in IL6 (p = 0.007). A significant association was also seen in the IL6 haplotype analysis (-597 g>a, -572 g>c, -174 g>c and E5+15T>A). The association of the GGGA haplotype with the disease was highly significant (p = 0.0033).
|
2 |
Genetic risk factors for lumbar intervertebral disc disease characterized by sciaticaDaavittila, I. (Iita) 13 February 2007 (has links)
Abstract
Genetic factors have been shown to have an important role in intervertebral disc disease. The associations of known genetic risk factors and whole-body vibration, a proposed environmental risk factor, for intervertebral disc disease (IDD) were evaluated. Eleven variations in eight genes (COL9A2, COL9A3, COL11A2, IL1A, IL1B, IL6, MMP-3 and VDR) were genotyped in 150 male train engineers with an average of 21-year exposure to whole-body vibration and 61 male paper mill workers with no occupational exposure to vibration. The number of individuals belonging to the IDD group was significantly higher among train engineers (42% of train engineers vs. 17.5% of sedentary workers; p = 0.005). In addition, the IL1A-889T allele represented a risk factor for the IDD-phenotype.
In order to clarify the role of genetic variations in the genes coding for several proinflammatory mediators, hundred fifty-five Finnish individuals with IDD were analyzed for mutations in the genes coding for inflammatory mediators IL-1α, IL-1β, IL-6 and TNF-α. In addition, sixteen single nucleotide polymorphisms (SNPs) in inflammatory mediator genes were genotyped. An association was identified between IDD and IL6 polymorphism +15T>A in exon 5 (p = 0.007). In addition, IL6 haplotype GGGA of -597G>A, -572G>C, -174G>C and +15T>A in exon 5 associated with IDD (p = 0.0033).
A functional SNP in the CILP gene has been suggested to cause IDD in the Japanese population. This functional variation was analyzed in 243 Finnish IDD patients and 259 controls, and in 348 Chinese individuals with degenerative MRI findings and 343 Chinese individuals with normal MRI. No association was found in the Finnish and Chinese study populations.
In order to reveal chromosomal susceptibility loci and new candidate gene(s) for IDD a genome-wide scan was performed on 14 Finnish families with 186 individuals. Genome-wide and fine mapping analysis provided maximum two-point LOD scores of 2.71, 2.36 and 2.04 for chromosomes 21, 4, and 6, respectively. Second fine mapping confirmed the susceptibility of chromosome 21. Two candidate genes, ADAMTS-1 and ADAMTS-5, were analyzed in the region suggesting linkage, leading to the identification of thirteen sequence variations. However, none of the variations were disease causing.
|
3 |
Prävalenz und Risikofaktoren bei der Entstehung akuter Pankreatitiden bei Hunden mit einem BandscheibenvorfallMüller, Marie-Kerstin 17 May 2017 (has links) (PDF)
Einleitung: Der Verdacht, dass Hunde mit einem Bandscheibenvorfall eine Prädisposition für die Entstehung
einer Pankreatitis haben könnten, wurde in der Veterinärmedizin bereits in den frühen 1980er Jahren
diskutiert. Trotz dieser bereits vor vielen Jahren erhobenen Vermutungen, wurde der Zusammenhang
zwischen der Entstehung einer Pankreatitis und einem zeitgleich vorliegenden Bandscheibenvorfall auch im
Hinblick auf mögliche Risikofaktoren wie dem Einfluss der Narkose oder dem Einsatz von Medikamenten
(v. a. Glukokortikoide und nichtsteroidale Antiphlogistika) bisher nicht näher untersucht.
Ziele der Untersuchungen: Im Rahmen der vorliegenden prospektiven Studie sollte untersucht werden, ob
Bandscheibenvorfälle ein Risikofaktor für die Entstehung einer Pankreatitis beim Hund darstellen. Ferner
sollte geklärt werden, ob die Narkose und die Gabe von Glukokortikoiden und/oder nichtsteroidalen
Antiphlogistika zusätzlich das Risiko der Entstehung einer Pankreatitis bei Hunden mit einem
Bandscheibenvorfall erhöhen.
Material und Methoden: Insgesamt wurden 106 Hunde, bei denen aufgrund der klinischen Symptome der
Verdacht einer Rückenmarksläsion bestand, an fünf aufeinander folgenden Tagen klinisch untersucht.
Besonderes Augenmerk wurde hierbei auf Symptome gelegt, welche typischerweise bei Pankreatitiden zu
beobachten sind (reduziertes Allgemeinbefinden, Schwäche, Anorexie, dolentes Abdomen, Vomitus,
Regurgitieren, Diarrhoe, Fieber, Dehydratation). Ferner wurde am Tag 0 und Tag 4 der stationären
Aufnahme die Konzentration der caninen pankreasspezifischen Lipase im Serum gemessen (Spec cPL und
Snap cPL). Am Tag 0 wurde von dem Vorliegen einer Pankreatitis ausgegangen, wenn klinische Befunde im
Sinne einer Pankreatitis sowie eine abnorm erhöhte Konzentration der caninen pankreasspezifischen Lipase
im Serum (>400 μg/L) auffällig waren. Am Tag 4 erfolgte zudem eine sonographische Untersuchung des
Abdomens. Somit basierte die Diagnosestellung einer Pankreatitis an diesem Tag auf dem Vorliegen von
zwei der folgenden drei Kriterien: klinische Befunde im Sinne einer Pankreatitis, abnorm erhöhte
Konzentration der caninen pankreasspezifischen Lipase im Serum, sonographische Hinweise für das
Vorliegen einer Pankreatitis. Im Rahmen der statistischen Auswertung wurden zudem auch Patienten
erfasst, welche in einem oder in mehreren der oben genannten Kriterien ein fragliches Ergebnis aufwiesen.
Entsprechend ihrer neurologischen Ausfallserscheinungen sowie der Befunde im Rahmen der bildgebenden
Diagnostik (Myelographie, Computertomographie, Kernspintomographie) wurden die Patienten in eine der
folgenden drei Untersuchungsgruppen eingeteilt: 1. Hunde mit einem chirurgisch versorgten
Bandscheibenvorfall (n = 71) 2. Hunde mit einem konservativ therapierten Bandscheibenvorfall (n = 20) und
3. Hunde mit einer akuten intramedullären Läsion (n = 15).
Die statistische Auswerte erfolgte aufgrund der geringen Stichprobengrößen vorwiegend deskriptiv. Die
Daten wurden mittels des Shapiro-Wilk-Tests auf Normalverteilung überprüft, die durchgeführten
Gruppenvergleiche erfolgten unter Verwendung des Kruskal-Wallis und Mann-Whitney-U-Tests. Zudem
wurden die betrachteten Merkmale mit dem Fisher Test und dem Chi-Quadrat-Test auf Unabhängigkeit
überprüft. Das Signifikanzniveau wurde für alle Tests mit p < 0,05 festgelegt.
Ergebnisse: Basierend auf den klinischen Symptomen und der Konzentration der caninen
pankreasspezifischen Lipase im Serum konnte insgesamt am Tag 0 bei vier Hunden (3,8 %) eine Pankreatitis
diagnostiziert werden. Am Tag 4 waren es, basierend auf den drei Kriterien, welche für die
Diagnosestellung einer Pankreatitis herangezogen werden, insgesamt acht Patienten (7,5 %). Hunde mit
einem Bandscheibenvorfall (chirurgisch beziehungsweise konservativ therapiert) wiesen am Tag 0
beziehungsweise Tag 4 in 4,3 % (n = 4) beziehungsweise 7,7 % (n = 7) der Fälle eine Pankreatitis auf.
Aufgrund der geringen Häufigkeiten in den einzelnen Untersuchungsgruppen, war eine Berechnung eines
signifikanten Unterschieds zwischen den Gruppen nicht möglich. Hinsichtlich einer möglichen Korrelation
zwischen einer Narkose und der Entstehung einer Pankreatitis bei Hunden mit einer Rückenmarksläsion
konnte kein signifikanter Zusammenhang festgestellt werden. Auch die Gabe von Glukokortikoiden
und/oder nichtsteroidalen Antiphlogistika hatte hier keinen signifikanten Einfluss auf die Entstehung einer
Pankreatitis.
Schlussfolgerung: Vergleicht man die Ergebnisse der vorliegenden Studie mit der in der Literatur
angegebenen Prävalenz für akute Pankreatitiden beim Hund (0,7-3,5 %), so kann geschlussfolgert werden,
dass eine Rückenmarksläsion, insbesondere ein Bandscheibenvorfall, als Risikofaktor für die Entstehung
einer akuten Pankreatitis beim Hund in Betracht gezogen werden muss. Demgegenüber erhöhen weder die
Narkose noch die Gabe von Glukokortikoiden und/oder nichtsteroidalen Antiphlogistika zusätzlich das
Risiko der Entstehung einer Pankreatitis bei Hunden mit einer Rückenmarksläsion. / Objective: The suspicion that dogs with intervertebral disc disease are at greater risk of developing
pancreatitis is being discussed in veterinary medicine since the early 1980s. So far no study has been
published examining the correlation between intervertebral disk disease and the development of
pancreatitis in dogs, especially in combination with general anaesthesia and anti-inflammatory medication
(glucocorticoids and/or nonsteroidal anti-inflammatory drugs). The aim of this study was therefore 1) to
evaluate intervertebral disk disease as possible risk factor of pancreatitis and 2) to ascertain if general
anaesthesia and the administration of glucocorticoids and/or nonsteroidal anti-inflammatory drugs further
increase the risk of pancreatitis in dogs with intervertebral disk disease.
Material and methods: One hundred and six dogs with symptoms associated with spinal cord injury were
clinically examined over a period of five days. Special attention was payed to symptoms usually seen with
pancreatitis such as anorexia, vomitus and abdominal pain. Furthermore the concentration of canine
pancreatic lipase in the blood serum was measured with Spec cPL and Snap cPL at day 0 and day 4 after
admission. At day 0 the diagnosis of pancreatitis was based on clinical symptoms associated with
pancreatitis in combination with an increased concentration of canine pancreatic lipase in the blood serum
(>400 μg/L). A sonography of the pancreas was performed at day 4 to evaluate the organ itself and the
surrounding tissue for lesions associated with pancreatitis. Therefore the diagnosis of pancreatitis at day 4
was based on positive results in at least two of the three following criteria: symptoms associated with
pancreatitis, elevation of the concentration of canine pancreatic lipase in the blood serum, sonographic
changes of the pancreas parenchyma and the surrounding tissue associated with pancreatitis. For statistical
analysis questionable results in one or more of these criteria were also documented.
According to the neurologic symptoms and the findings of diagnostic imaging (myelography, computed
tomography and magnetic resonance imaging), dogs were categorized in one of the following groups: 1.
dogs with surgically treated intervertebral disk disease (n = 71), 2. dogs with medically treated
intervertebral disk disease (n = 20), 3. dogs with an acute intramedullary lesion (n = 15).
Due to the small sample size, statistics were primarily performed descriptively. Data were tested for normal
distribution using the Shapiro-Wilk test. If Group comparisons were feasible, they were performed using the Kruskal-Wallis test and the Mann-Whitney-U test. Fisher test and the Chi-Square test were used to test
for association between group affiliation and possible risk factors for the development of pancreatitis. A
value of P < 0.5 was considered significant for all analysis.
Results: Based on clinical symptoms and an elevated concentration of the canine pancreatic lipase
(> 400μg/l) at day 0, four dogs (3.8 %) were diagnosed with pancreatitis. According to the clinical
symptoms, the concentration of the canine pancreatic lipase and sonographic changes, a total number of
eight dogs (7.5 %) were diagnosed with pancreatitis at day 4. Considering only the dogs with intervertebral
disk disease (surgically and medically treated) 4.3 % (n = 4) and 7.7 % (n = 7) were diagnosed with
pancreatitis at day 0 and day 4, respectively. Due to the small sample size, the calculation of significant
differences between the three subgroups was not feasible. There was no significant correlation between
general anaesthesia and the development of pancreatitis. Furthermore, the administration of
glucocorticoids and/or nonsteroidal anti-inflammatory drugs is not significantly associated with the genesis
of pancreatitis.
|
4 |
Comparison of Hemilaminectomy and Mini-hemilaminectomy in Dogs with Thoracolumbar Intervertebral Disc Extrusion Using Computed Tomography and Magnetic Resonance Imaging: An Anatomical and Radiological StudyHuska, Jonathan 15 January 2013 (has links)
This thesis is an investigation of the access provided to the vertebral canal in dogs by the hemilaminectomy and mini-hemilaminectomy surgical techniques using computed tomography (CT), and the completeness of evacuating extruded material in dogs with intervertebral disc (IVD) extrusion using magnetic resonance imaging (MRI).
Hemilaminectomy and mini-hemilaminectomy were performed on opposite sides of the spine at T11-T12, T13-L1, and L2-L3 in 10 cadavers. Measurements of the vertebral canal height, defect height, and any dorsal and ventral remnants of the vertebral arch were obtained by CT. A covariate analysis was used to compare measurements with the surgical technique, surgical site, and side of the vertebral column.
Defect height was greater with hemilaminectomy due to a smaller dorsal lamina remnant. There was no statistical difference in the height of the ventral remnant, or with surgical site.
Nineteen prospectively recruited dogs with suspected IVD extrusion were randomly assigned to hemilaminectomy (10 dogs) or mini-hemilaminectomy (9 dogs) groups. Intervertebral disc extrusion was identified pre-operatively with MRI and later confirmed surgically, and immediate post-operative MRI was performed at the surgical site. The volume of extruded IVD material pre- and post-operative was calculated from transverse T2 images.
Although residual IVD material was present in post-operative images from all dogs in the hemilaminectomy group and only 4 in the mini-hemilaminectomy group, there was no statistically significant difference between the proportionate volumes of material removed by either technique. The median residual volume with hemilaminectomy was 13.6% (confidence interval: 7.8 – 23.6%), and with mini-hemilaminectomy was 7.7% (4.3 – 13.8%).
The results of this study confirm that the difference in the defect height between techniques is related to the removal of the articular processes creating a larger defect along the dorsal vertebral canal, while no difference in access to the ventral canal was observed. No effect of vertebral site was detected suggesting neither procedure provides an advantage over the other due to location of the lesion along the thoracolumbar spine. Residual extruded IVD material occurs with both techniques; while no statistical difference was noted, a larger population should be examined. / Ontario Veterinary College Pet Trust
|
5 |
Characterization of Spinal Shock in Dogs with Acute Spinal Cord InjuryMcBride, Rebecca January 2021 (has links)
No description available.
|
6 |
Utility and repeatability of quantitative outcome measures to assess recovery after canine spinal cord injurySong, Rachel B. 27 May 2015 (has links)
No description available.
|
7 |
The Canine Cervical Spine - Kinematics and MicromorphometryJohnson, Jacqueline Anne 25 August 2010 (has links)
No description available.
|
8 |
Efeitos da terapia com células tronco mesenquimais em afecções do sistema nervoso de cãesMonteiro, Bianca Andriolo. January 2017 (has links)
Orientador: Fernanda da Cruz Landim-Alvarenga / Resumo: O trauma raquimedular, a discopatia e a cinomose são distúrbios que se caracterizam por sinais neurológicos, os quais muitas vezes são de difícil tratamento. Nesse contexto, a terapia celular busca minimizar os sinais e as sequelas neurológicas adquiridas pelas afecções, com objetivo de melhorar a qualidade de vida dos pacientes. Desta forma, o objetivo deste trabalho foi avaliar o resultado do tratamento com células tronco mesenquimais de tecido adiposo nas afecções de trauma rquimedular, sequela de cinomose e discopatia de cães atendidos no serviço de Acupuntura e Dor Crônica da FMVZ-UNESP. Foram utilizados 62 animais, sendo 14 com trauma raquimedular, 17 com discopatias e 31 com sequela de cinomose, todos submetidos ao exame neurológico prévio seguido de terapia celular. A comparação entre os graus antes e após o tratamento com CTMs alogênicas de tecido adiposo para cada tipo de lesão foi realizada utilizando o teste de Mann-Whitney para medidas repetidas. Foi observada diferença entre as medianas referentes ao grau de gravidade das enfermidades tratadas. Nos casos de sequela de cinomose 43.3% (13/30) dos animais tratados apresentaram diminuição dos sinais neurológicos com melhora da graduação da doença. Nos animais com trauma raquimedulares a melhora foi observada em 50% (7/14), e 66.7% dos animais (12/18) que apresentavam discopatias tiveram uma melhora de quadro clínico. Concluiu-se que as aplicações de células tronco mesenquimais em animais com distúrbios neurológicos... (Resumo completo, clicar acesso eletrônico abaixo) / Doutor
|
9 |
Efeitos da terapia com células tronco mesenquimais em afecções do sistema nervoso de cães / Effects of mesenchymal stem cells therapy in canine nervous system diseasesMonteiro, Bianca Andriolo [UNESP] 04 August 2017 (has links)
Submitted by BIANCA ANDRIOLO MONTEIRO null (bia_andriolo@hotmail.com) on 2017-09-04T17:12:55Z
No. of bitstreams: 1
tese_impressão pós.pdf: 1200489 bytes, checksum: d6d576511877e132bd55c9b142323dcf (MD5) / Approved for entry into archive by Luiz Galeffi (luizgaleffi@gmail.com) on 2017-09-06T12:51:59Z (GMT) No. of bitstreams: 1
monteiro_ba_dr_bot.pdf: 1200489 bytes, checksum: d6d576511877e132bd55c9b142323dcf (MD5) / Made available in DSpace on 2017-09-06T12:51:59Z (GMT). No. of bitstreams: 1
monteiro_ba_dr_bot.pdf: 1200489 bytes, checksum: d6d576511877e132bd55c9b142323dcf (MD5)
Previous issue date: 2017-08-04 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O trauma raquimedular, a discopatia e a cinomose são distúrbios que se caracterizam por sinais neurológicos, os quais muitas vezes são de difícil tratamento. Nesse contexto, a terapia celular busca minimizar os sinais e as sequelas neurológicas adquiridas pelas afecções, com objetivo de melhorar a qualidade de vida dos pacientes. Desta forma, o objetivo deste trabalho foi avaliar o resultado do tratamento com células tronco mesenquimais de tecido adiposo nas afecções de trauma rquimedular, sequela de cinomose e discopatia de cães atendidos no serviço de Acupuntura e Dor Crônica da FMVZ-UNESP. Foram utilizados 62 animais, sendo 14 com trauma raquimedular, 17 com discopatias e 31 com sequela de cinomose, todos submetidos ao exame neurológico prévio seguido de terapia celular. A comparação entre os graus antes e após o tratamento com CTMs alogênicas de tecido adiposo para cada tipo de lesão foi realizada utilizando o teste de Mann-Whitney para medidas repetidas. Foi observada diferença entre as medianas referentes ao grau de gravidade das enfermidades tratadas. Nos casos de sequela de cinomose 43.3% (13/30) dos animais tratados apresentaram diminuição dos sinais neurológicos com melhora da graduação da doença. Nos animais com trauma raquimedulares a melhora foi observada em 50% (7/14), e 66.7% dos animais (12/18) que apresentavam discopatias tiveram uma melhora de quadro clínico. Concluiu-se que as aplicações de células tronco mesenquimais em animais com distúrbios neurológicos da lesão da medula espinhal, doença do disco intervertebral e sequelas de cinomorfose diminuíram o grau de lesão das demais afecções. / Spinal cord injury, intervertebral disc disease and distemper are disorders characterized by neurological signs, which are often difficult to treat. In this context, cell therapy seeks to minimize the signs and the neurological sequelae acquired by injuries, aiming to improve the patients' quality of life. Thus, the aim of this study was to evaluate the results of treatment with mesenchymal stem cells of adipose tissue in conditions of spinal cord injury, distemper sequelae and intervertebral disc disease of dogs treated at the Acupuncture and Chronic Pain Service of FMVZ-UNESP. Sixty-two animals were used, 14 of them with spinal cord injury, 18 with intervertebral disc disease and 30 with distempersequelae, all submitted to previous neurological examination followed by cell therapy. A comparison between grades before and after treatment with allogenic adipose tissue MSCs for each type of injury was performed using the Mann-Whitney test for repeated measurements. A difference was observed between to the injury degree of the diseases treated. In the case of distemper, 43.3% (13/30) of the treated animals showed decreased neurological signs with a reduction in the injury degree. In animals with spinal cord injury was observed decrease in 50% (7/14) of injury degree, and 66.7% of the intervertebral disc disease animals (12/18) had a reduced injury degree. It can be concluded that mesenchymal stem cells in animals with nervous system injuries, it covers a medical clinic of second-hand products with neurological disorders of spindle trauma, discopathy and sequelae of distemper. It was concluded that the MSCs applications in animals with neurological disorders of spinal cord injury, intervertebral disc disease and distemper sequelae decreased the injury degree of the diseases treated.
|
10 |
Prävalenz und Risikofaktoren bei der Entstehung akuter Pankreatitiden bei Hunden mit einem BandscheibenvorfallMüller, Marie-Kerstin 07 February 2017 (has links)
Einleitung: Der Verdacht, dass Hunde mit einem Bandscheibenvorfall eine Prädisposition für die Entstehung
einer Pankreatitis haben könnten, wurde in der Veterinärmedizin bereits in den frühen 1980er Jahren
diskutiert. Trotz dieser bereits vor vielen Jahren erhobenen Vermutungen, wurde der Zusammenhang
zwischen der Entstehung einer Pankreatitis und einem zeitgleich vorliegenden Bandscheibenvorfall auch im
Hinblick auf mögliche Risikofaktoren wie dem Einfluss der Narkose oder dem Einsatz von Medikamenten
(v. a. Glukokortikoide und nichtsteroidale Antiphlogistika) bisher nicht näher untersucht.
Ziele der Untersuchungen: Im Rahmen der vorliegenden prospektiven Studie sollte untersucht werden, ob
Bandscheibenvorfälle ein Risikofaktor für die Entstehung einer Pankreatitis beim Hund darstellen. Ferner
sollte geklärt werden, ob die Narkose und die Gabe von Glukokortikoiden und/oder nichtsteroidalen
Antiphlogistika zusätzlich das Risiko der Entstehung einer Pankreatitis bei Hunden mit einem
Bandscheibenvorfall erhöhen.
Material und Methoden: Insgesamt wurden 106 Hunde, bei denen aufgrund der klinischen Symptome der
Verdacht einer Rückenmarksläsion bestand, an fünf aufeinander folgenden Tagen klinisch untersucht.
Besonderes Augenmerk wurde hierbei auf Symptome gelegt, welche typischerweise bei Pankreatitiden zu
beobachten sind (reduziertes Allgemeinbefinden, Schwäche, Anorexie, dolentes Abdomen, Vomitus,
Regurgitieren, Diarrhoe, Fieber, Dehydratation). Ferner wurde am Tag 0 und Tag 4 der stationären
Aufnahme die Konzentration der caninen pankreasspezifischen Lipase im Serum gemessen (Spec cPL und
Snap cPL). Am Tag 0 wurde von dem Vorliegen einer Pankreatitis ausgegangen, wenn klinische Befunde im
Sinne einer Pankreatitis sowie eine abnorm erhöhte Konzentration der caninen pankreasspezifischen Lipase
im Serum (>400 μg/L) auffällig waren. Am Tag 4 erfolgte zudem eine sonographische Untersuchung des
Abdomens. Somit basierte die Diagnosestellung einer Pankreatitis an diesem Tag auf dem Vorliegen von
zwei der folgenden drei Kriterien: klinische Befunde im Sinne einer Pankreatitis, abnorm erhöhte
Konzentration der caninen pankreasspezifischen Lipase im Serum, sonographische Hinweise für das
Vorliegen einer Pankreatitis. Im Rahmen der statistischen Auswertung wurden zudem auch Patienten
erfasst, welche in einem oder in mehreren der oben genannten Kriterien ein fragliches Ergebnis aufwiesen.
Entsprechend ihrer neurologischen Ausfallserscheinungen sowie der Befunde im Rahmen der bildgebenden
Diagnostik (Myelographie, Computertomographie, Kernspintomographie) wurden die Patienten in eine der
folgenden drei Untersuchungsgruppen eingeteilt: 1. Hunde mit einem chirurgisch versorgten
Bandscheibenvorfall (n = 71) 2. Hunde mit einem konservativ therapierten Bandscheibenvorfall (n = 20) und
3. Hunde mit einer akuten intramedullären Läsion (n = 15).
Die statistische Auswerte erfolgte aufgrund der geringen Stichprobengrößen vorwiegend deskriptiv. Die
Daten wurden mittels des Shapiro-Wilk-Tests auf Normalverteilung überprüft, die durchgeführten
Gruppenvergleiche erfolgten unter Verwendung des Kruskal-Wallis und Mann-Whitney-U-Tests. Zudem
wurden die betrachteten Merkmale mit dem Fisher Test und dem Chi-Quadrat-Test auf Unabhängigkeit
überprüft. Das Signifikanzniveau wurde für alle Tests mit p < 0,05 festgelegt.
Ergebnisse: Basierend auf den klinischen Symptomen und der Konzentration der caninen
pankreasspezifischen Lipase im Serum konnte insgesamt am Tag 0 bei vier Hunden (3,8 %) eine Pankreatitis
diagnostiziert werden. Am Tag 4 waren es, basierend auf den drei Kriterien, welche für die
Diagnosestellung einer Pankreatitis herangezogen werden, insgesamt acht Patienten (7,5 %). Hunde mit
einem Bandscheibenvorfall (chirurgisch beziehungsweise konservativ therapiert) wiesen am Tag 0
beziehungsweise Tag 4 in 4,3 % (n = 4) beziehungsweise 7,7 % (n = 7) der Fälle eine Pankreatitis auf.
Aufgrund der geringen Häufigkeiten in den einzelnen Untersuchungsgruppen, war eine Berechnung eines
signifikanten Unterschieds zwischen den Gruppen nicht möglich. Hinsichtlich einer möglichen Korrelation
zwischen einer Narkose und der Entstehung einer Pankreatitis bei Hunden mit einer Rückenmarksläsion
konnte kein signifikanter Zusammenhang festgestellt werden. Auch die Gabe von Glukokortikoiden
und/oder nichtsteroidalen Antiphlogistika hatte hier keinen signifikanten Einfluss auf die Entstehung einer
Pankreatitis.
Schlussfolgerung: Vergleicht man die Ergebnisse der vorliegenden Studie mit der in der Literatur
angegebenen Prävalenz für akute Pankreatitiden beim Hund (0,7-3,5 %), so kann geschlussfolgert werden,
dass eine Rückenmarksläsion, insbesondere ein Bandscheibenvorfall, als Risikofaktor für die Entstehung
einer akuten Pankreatitis beim Hund in Betracht gezogen werden muss. Demgegenüber erhöhen weder die
Narkose noch die Gabe von Glukokortikoiden und/oder nichtsteroidalen Antiphlogistika zusätzlich das
Risiko der Entstehung einer Pankreatitis bei Hunden mit einer Rückenmarksläsion. / Objective: The suspicion that dogs with intervertebral disc disease are at greater risk of developing
pancreatitis is being discussed in veterinary medicine since the early 1980s. So far no study has been
published examining the correlation between intervertebral disk disease and the development of
pancreatitis in dogs, especially in combination with general anaesthesia and anti-inflammatory medication
(glucocorticoids and/or nonsteroidal anti-inflammatory drugs). The aim of this study was therefore 1) to
evaluate intervertebral disk disease as possible risk factor of pancreatitis and 2) to ascertain if general
anaesthesia and the administration of glucocorticoids and/or nonsteroidal anti-inflammatory drugs further
increase the risk of pancreatitis in dogs with intervertebral disk disease.
Material and methods: One hundred and six dogs with symptoms associated with spinal cord injury were
clinically examined over a period of five days. Special attention was payed to symptoms usually seen with
pancreatitis such as anorexia, vomitus and abdominal pain. Furthermore the concentration of canine
pancreatic lipase in the blood serum was measured with Spec cPL and Snap cPL at day 0 and day 4 after
admission. At day 0 the diagnosis of pancreatitis was based on clinical symptoms associated with
pancreatitis in combination with an increased concentration of canine pancreatic lipase in the blood serum
(>400 μg/L). A sonography of the pancreas was performed at day 4 to evaluate the organ itself and the
surrounding tissue for lesions associated with pancreatitis. Therefore the diagnosis of pancreatitis at day 4
was based on positive results in at least two of the three following criteria: symptoms associated with
pancreatitis, elevation of the concentration of canine pancreatic lipase in the blood serum, sonographic
changes of the pancreas parenchyma and the surrounding tissue associated with pancreatitis. For statistical
analysis questionable results in one or more of these criteria were also documented.
According to the neurologic symptoms and the findings of diagnostic imaging (myelography, computed
tomography and magnetic resonance imaging), dogs were categorized in one of the following groups: 1.
dogs with surgically treated intervertebral disk disease (n = 71), 2. dogs with medically treated
intervertebral disk disease (n = 20), 3. dogs with an acute intramedullary lesion (n = 15).
Due to the small sample size, statistics were primarily performed descriptively. Data were tested for normal
distribution using the Shapiro-Wilk test. If Group comparisons were feasible, they were performed using the Kruskal-Wallis test and the Mann-Whitney-U test. Fisher test and the Chi-Square test were used to test
for association between group affiliation and possible risk factors for the development of pancreatitis. A
value of P < 0.5 was considered significant for all analysis.
Results: Based on clinical symptoms and an elevated concentration of the canine pancreatic lipase
(> 400μg/l) at day 0, four dogs (3.8 %) were diagnosed with pancreatitis. According to the clinical
symptoms, the concentration of the canine pancreatic lipase and sonographic changes, a total number of
eight dogs (7.5 %) were diagnosed with pancreatitis at day 4. Considering only the dogs with intervertebral
disk disease (surgically and medically treated) 4.3 % (n = 4) and 7.7 % (n = 7) were diagnosed with
pancreatitis at day 0 and day 4, respectively. Due to the small sample size, the calculation of significant
differences between the three subgroups was not feasible. There was no significant correlation between
general anaesthesia and the development of pancreatitis. Furthermore, the administration of
glucocorticoids and/or nonsteroidal anti-inflammatory drugs is not significantly associated with the genesis
of pancreatitis.
|
Page generated in 0.3361 seconds