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Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

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Chapter Six The Spine 697<br />

FIG. 6-45 An 8-year-old male Siberian Husky with a slow<br />

onset of tetraparesis. A, The lateral myelogram revealed<br />

ventral extradural masses centered in the bodies of C4 <strong>and</strong><br />

C5 (large white arrows). The spinal cord at C3 appears<br />

enlarged in the dorsoventral aspect due to a lateral<br />

extradural mass (small white arrow). B, The ventrodorsal<br />

view revealed a left lateral extradural mass at C3 (small<br />

white arrow) <strong>and</strong> ventral extradural masses at C4 <strong>and</strong> C5,<br />

causing the cord to appear widened at these sites (large<br />

white arrow). Differential diagnoses include any of the multifocal<br />

extradural masses. The most likely is metastasis to<br />

the internal vertebral venous plexus (dorsal venous vertebral<br />

sinuses). Diagnosis: Renal carcinoma metastasis to the<br />

cervical internal vertebral venous plexus.<br />

A<br />

B<br />

chondrosis in the appendicular skeleton. A lesion that resembles osteochondrosis has been<br />

reported in the sacrum, predominantly in German Shepherd dogs. 207 This lesion was identified<br />

in older dogs with cauda equina compression <strong>and</strong> in younger dogs without cauda<br />

equina compression. A radiolucent defect was identified in the dorsal aspect of the cranial<br />

endplate of S1, along with endplate sclerosis <strong>and</strong> one or more bone densities that were<br />

identified on the ventral midline of the spinal canal. In older dogs that also had other<br />

degenerative changes, such as spondylosis <strong>and</strong> degenerative joint disease of the articular<br />

facets, cauda equina compression was documented myelographically. The bone densities<br />

appeared to be attached to the intervertebral disc <strong>and</strong> were identified histologically as hyaline<br />

cartilage with a bone center. In affected immature dogs, the cartilaginous mass<br />

appeared histologically to be associated with the sacral physis.

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