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개에서 컴퓨터단층영상의 3차원 재구성을 통한 환축추골 아탈구 진단 3례
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  • 개에서 컴퓨터단층영상의 3차원 재구성을 통한 환축추골 아탈구 진단 3례
  • 3-Dimensional Computed Tomography of Atlantoaxial Instability in Three Dogs
저자명
안세준,최수영,임수지,안지영,이인,권영항,최호정,이영원,Ahn. Se-Joon,Choi. Soo-Young,Lim. Soo-Ji,An. Ji-Young,Lee. In,Kwon. Young-Hang,Choi. Ho-Jung,Lee.
간행물명
Journal of veterinary clinics
권/호정보
2009년|26권 5호|pp.490-494 (5 pages)
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한국임상수의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

A 2-year-old Maltese and a 5-month-old Yorkshire terrier were presented with ataxia. Tetraparesis was observed in a 9-year -old Yorkshire terrier. The localizations of the lesions suggested brain or cervical spinal cord by the neurological examination, and the following images was achieved: radiography, axial images of computed tomography (CT), reconstruction image of CT such as multi-planar reformation(MPR) and 3-dimensional(3D) reconstruction and magnetic resonance imaging (MRI). On radiography, the misalignment between atlas (C1) and axis (C2), absent dens of axis, and increased space between the dorsal arch of C1 and spinous process of C2 were found. The discontinuation between dens and body of C2 was identified through axial CT images, and the fragmentation of dens separated from axis was observed through MPR and 3D image in all case. The hyperintense lesions and the spinal cord compression on T2-weighted MR images were represented in a dog with tetraparesis, the others represented only spinal cord compression. Three dogs were diagnosed as atlantoaxial instability (AAI) by dens fracture of C2. The dog with tetraparesis was euthanized due to guarded prognosis. The others were recovered completely. It is difficult to differentiate dens fracture of C2 from abnormal dens such as agenesis and hypoplasia. We thought that CT is very useful to evaluate the dens of C2 and differentiate the causes of AAI, and the reconstruction images of CT such as MPR and 3D make the translation of the fragmented dens or axis of AAI more precisely evaluate.