1. Imaging and histopathologic features of reversible nerve root and peripheral nerve edema secondary to disc herniation in a cat
- Author
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Kaspar Matiasek, Robert Herzig, Adriano Wang-Leandro, Frank Steffen, and Katrin Beckmann
- Subjects
Pathology ,medicine.medical_specialty ,Nerve root ,040301 veterinary sciences ,Veterinary medicine ,Case Report ,sciatic nerve ,Case Reports ,030204 cardiovascular system & hematology ,0403 veterinary science ,03 medical and health sciences ,Myelopathy ,0302 clinical medicine ,Edema ,SF600-1100 ,medicine ,feline ,CATS ,General Veterinary ,medicine.diagnostic_test ,business.industry ,Cauda equina ,Magnetic resonance imaging ,Sequela ,04 agricultural and veterinary sciences ,medicine.disease ,medicine.anatomical_structure ,Neurology ,Sciatic nerve ,SMALL ANIMAL ,rim enhancement ,medicine.symptom ,business ,MRI - Abstract
Nerve root enlargement with increased contrast uptake has been reported in dogs and humans secondary to nerve root compression. In cats, nerve root enlargement and contrast uptake only have been reported in association with inflammatory and neoplastic diseases, but not as a sequela to nerve root compression. An 8‐year‐old oriental short hair cat was presented with acute neurologic deficits consistent with left‐sided sciatic nerve deficit and possible L6‐S1 myelopathy. Magnetic resonance imaging (MRI) was performed and identified compression of the cauda equina and L7 nerve root associated with intervertebral disc herniation (IVDH) at L6‐L7 as well as widespread sciatic nerve enlargement with moderate rim enhancement. A hemilaminectomy was performed to evacuate herniated disc material. The nerve root was biopsied and submitted for histological evaluation. Interstitial nerve edema was diagnosed. Follow‐up MRI 3 months postoperatively showed complete remission of the changes. Nerve root thickening together with contrast enhancement may represent nerve edema in cats secondary to IVDH.
- Published
- 2021