ResumoA extrusão do disco toracolombar é a causa mais comum de compressão extradural da medula espinhal em cães. A mielografia é uma das técnicas mais comumente realizadas para o diagnóstico desta afecção. Objetivou-se avaliar a aplicabilidade e efetividade da técnica de mielografia lombar no diagnóstico de extrusão do disco intervertebral toracolombar em cães, bem como suas principais complicações. Foram utilizados 20 animais que ao exame neurológico apresentaram localização da lesão na região toracolombar e que tiveram indicação de mielografia como método diagnóstico complementar e confirmação do diagnóstico de extrusão do disco no trans-operatório. Avaliou-se a precisão do exame na localização e lateralização da lesão, e as complicações associadas ao procedimento. A mielografia lombar teve acurácia de 95% e 60% para a localização e a lateralização da lesão respectivamente, com complicações mínimas. Palavras-chave: Diagnóstico, medula espinhal, punção lombar AbstractThoracolumbar disk extrusion is the most common cause of extradural compression of the spinal cord in dogs. Myelography is one of the most commonly performed techniques for the diagnosis of this affection. This study aimed to evaluate the applicability and effectiveness of lumbar myelography in the diagnosis of thoracolumbar intervertebral disk extrusion in dogs, as well as its major complications. Twenty dogs were used in this study. Animals were included when neurological examination suggested thoracolumbar spine lesion, myelography was used as a complementary diagnostic method, and diagnosis of disk extrusion was surgically confirmed. The accuracy of the exam to predict location and lateralization of extruded disk material were evaluated, as well as complications associated to the procedure. Lumbar myelography exhibited 95% and 60% accuracy for location and lateralization of the lesion, respectively, with minimal complications.
The purpose of this study was to evaluate the effects of lumbar myelography on subarachnoid pressure, cardiorespiratory parameters and pressure-volume index in sheep. Eight sheep were evaluated. The animals were submitted to puncture of the cisterna magna for monitoring of subarachnoid pressure (SaP). Lumbar myelography was performed through applying Iohexol (0.4mL/kg). ToC, PAS, PAD, MAP, InspISO, FeISO, SaP and CPP were recorded immediately after anesthetic stabilization (M0), during lumbar puncture (M1), and two, four and six minutes after contrast application (M2, M3 and M4, respectively). Blood pressure initially increased, then decreased, returning to basal level, similarly observed for InspISo and FeISo. The SaP rose initially thereafter remaining stable. Despite of the effect on subarachnoid pressure, lumbar myelography can be considered safe in sheep.
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