Fibrocartilaginous embolism (FCEM) and acute, non-compressive nucleus pulposus extrusion (ANNPE) are non-compressive myelopathies that are difficult to differentiate. The definitive diagnosis is obtained only with histology, but the presumptive diagnosis is made through clinical signs and imaging tests. The aim of this study is to report the imaging tests performed for the diagnosis of a neurological clinical case and discuss the best diagnostic method. After attending the patient, complementary tests were requested. Radiography results showed no change. The computed tomography diagnostic impression indicated distal protrusion between C6-C7, T11-T12, T13-L1 followed by mild spinal cord compression defined by the presence of a ventral hyperattenuating region. Magnetic resonance (RMI), showed a slight T2W hypersignal, well delimited in the gray matter, lateralized to the right, over the cranial third of C7. Concluding that the magnetic resonance is the method that brought more information for the diagnosis, in which the others were not described medullary alterations pertinent to FCEM and ANNPE. With their fair prognosis, the absence of histological diagnosis of these diseases may be a limiting factor in this study and, in relation to the RMI alterations being very similar between FCEM and ANNPE it is not possible to diagnose fully accurately.
O Complexo gengivite-estomatite-faringite linfoplasmocitária felino é uma afecção de alta incidência entre os felinos, caracterizada por uma resposta inflamatória exacerbada, que pode ser local ou difusa, com a presença de úlceras e proliferações ulcerativas graves na mucosa oral, observadas a partir do acúmulo de placa bacteriana e cálculo dentário, tendo como progressão a doença periodontal grave. Os animais afetados demonstram, principalmente, ligeira disfagia a severa relutância em se alimentar, decorrente da dor intensa e inflamação oral. A diminuição na ingestão de alimentos pode ser caracterizada pela apatia e perda de peso progressiva. Essa doença afeta animais entre três e quinze anos, mas é comumente observada em felinos com oito anos de idade. O tratamento clínico e, principalmente, o cirúrgico mostram, na maioria das vezes, uma grande melhora na recuperação desses animais. Com isso, o presente trabalho tem como finalidade relatar um caso clínico de um paciente felino com complexo gengivite-estomatite com gengivite-estomatite-faringite linfoplasmocitária atendido na Clínica Veterinário da PUC-Campinas, bem como discutir sua patogenia e opções terapêuticas.
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