Morgagni hernisi, Giovanni Morgagni tarafından ilk kez 1761 yılında tanımlanmıştır, diafragmatik herniler arasında en az olan tiptir. Morgagni hernileri tipik olarak sağda yerleşir. Hastalar genelde asemptomatiktirler ve çoğunlukla akciğer direkt radyogramlarından rastlantısal tanı alırlar. Bulgular nonspesifiktir ve karın ağrısı, göğüs ağrısı ve dispneden oluşmaktadır. Herninin toraksa geçmesini sağlayan diafragma defekti omental damarsal yapıların sıkışmasına ve omental infarktın gelişmesine neden olabilir. Bu çalışmada omental infarktın eşlik ettiği Morgagni herni'li olgunun PA akciğer radyogramı ve toraks BT bulgularını sunmayı amaçladık. PA akciğer radyogramlarında sağ kardiyofrenik açıyı kapatan yoğunluk artımı alanlarının ayırıcı tanısında Morgagni hernisi düşünülmelidir. BT'de Morgagni hernisini düşündüren tipik bulguların yanında hiperdens karakterde geniş ve kek benzeri kitle oluşumu ile enflamasyona bağlı değişiklikler olduğunda omental infarktın geliştiği anlaşılmalıdır.
Chiari-like malformation (CM) and Syringomyelia (SM) are complex neurological disorders, that affects the brain and respectively the spinal cord. These conditions affect certain toy breed dogs, among which the Cavalier King Charles Spaniel breed is overrepresented, causing numerous clinical signs, of which the neurological pain is commonly observed.The purpose of this research was to describe the CM/SM magnetic resonance images, to discuss the medical management and to track the outcome of the patients. All of the 16 Cavalier King Charles Spaniel dogs underwent surgical treatment, consisting of cranio-cervical decompression, combined with drug therapy.Thirteen of the 16 cases presented good results with clinical improvement of the symptomatology, escpecially decreasing the neuropathic pain, and increasing the quality of life. The other 3 cases presented no improvement of the symptomatology.
Chiari-like malformation represents a congenital anomaly that affects the bony cranial base and the hindbrain, leading to fluid filled cavities formation in the spinal cord, condition named Syringomyelia. This paper aims to assess the variety of the clinical signs and to evaluate the magnetic resonance imaging findings in thirty- seven Cavalier King Charles Spaniel dogs. The study was performed over a four-year period, from 2013 to 2017, all cases underwent neurological examination, full diagnostic work-up, including magnetic resonance imaging scans of the brain, cervical and upper thoracic spinal cord. Thirty-seven dogs were included in this study, 23 females and 14 males, with a mean age of 3.6±2.1years. The commonest clinical findings encountered were neuropathic pain and vocalization, seen in all 37 cases, followed by scratching, facial rubbing, paw licking, air licking, tail chasing, seizures and unilateral facial paralysis. Different grades of cerebellar herniation and cervical syrinxes were noted in all cases, other magnetic resonance imaging findings encountered were medullary kinking, presyrinx and ventriculomegaly. In establishing the diagnosis of the Chiari-like malformation and Syringomyelia, the breed, clinical history and the symptomatology are very important, but only magnetic resonance imaging technique can provide quantitative assessment of the nervous system lesions.
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