한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제34권2호
  • /
  • Pages.98-102
  • /
  • 2017
  • /
  • 1598-298X(pISSN)
  • /
  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지
DOI QR코드

DOI QR Code

Laminar Cortical Necrosis (Polioencephalomalacia) caused by Postoperative Fluid Overload in a Dog with Pyometra

  • Jeong, Yoon-Soo (Laboratory of Veterinary Theriogenology, Veterinary Medical Center and College of Veterinary Medicine, Chungbuk National University) ;
  • Kim, Ill-Hwa (Laboratory of Veterinary Theriogenology, Veterinary Medical Center and College of Veterinary Medicine, Chungbuk National University) ;
  • Kang, Hyun-Gu (Laboratory of Veterinary Theriogenology, Veterinary Medical Center and College of Veterinary Medicine, Chungbuk National University)
  • 투고 : 2017.01.09
  • 심사 : 2017.04.04
  • 발행 : 2017.04.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

A 7-year-old, intact, female Siberian husky presented with vomiting and diarrhea after a fight with a dog with which it lived. The bitch was diagnosed with pyometra and severe dehydration. The patient received IV fluid therapy for 2 day pre- and post-operatively. Four days post-surgery, the patient had a decreased level of consciousness and suffered a tonic-clonic generalized seizure. On magnetic resonance imaging and histopathological findings, a diagnosis of laminar cortical necrosis caused by fluid overload was made. This case provides important information on the potential for fluid overload in a dehydrated patient giving rise to critical condition and death.

키워드

참고문헌

  1. Adrogue HJ, Madias NE. Hypernatremia. N Engl J Med 2000; 342: 1493-1499. https://doi.org/10.1056/NEJM200005183422006
  2. Choi HY, Kwag HJ, Kim MH. The significance of fast fluid-attenuated inversion recovery MR in encephalomalacia and encephalopathy. Ewha Med 1997; 20: 257-264. https://doi.org/10.12771/emj.1997.20.2.257
  3. Corville CB. Etiology and pathogenesis of laminar cortical necrosis. Trans Am Neurol Assoc 1956: 95-97.
  4. Davis H, Jensen T, Johnson A, Knowles P, Meyer R, Rucinsky R, Shafford H. 2013 AAHA/AAFP fluid therapy guidelines for dogs and cats. J Am Anim Hosp Assoc 2013; 49: 149-159. https://doi.org/10.5326/JAAHA-MS-5868
  5. Donaire A, Carreno M, Gomez B, Fossas P, Bargallo N, Agudo R, Falip M, Setoain X, Boget T, Raspall T, Obach V, Rumia J. Cortical laminar necrosis related to prolonged focal status epilepticus. J Neurol Neurosurg Psychiatry 2006; 77: 104-106. https://doi.org/10.1136/jnnp.2004.058701
  6. Eisenhut M. Adverse effects of rapid isotonic saline infusion. Arch Dis Child 2006; 91: 797.
  7. Finsterer J. Laminar cortical necrosis in mitochondrial disorders. Clin Neurol Neurosurg 2009; 111: 655-658. https://doi.org/10.1016/j.clineuro.2009.07.010
  8. Kayilioglu SI, Dinc T, Sozen I, Bostanoglu A, Cete M, Coskun F. Postoperative fluid management. World J Crit Care Med 2015; 4: 192-201. https://doi.org/10.5492/wjccm.v4.i3.192
  9. Kim DU. Hypernatremia and hyponatremia. Kor J Pediatrics 2006; 49: 463-469. https://doi.org/10.3345/kjp.2006.49.5.463
  10. Li H, Sun SR, Yap JQ, Chen JH, Qian Q. 0.9% saline is neither normal nor physiological. J Zhejiang Univ Sci B 2016;17: 181-187. https://doi.org/10.1631/jzus.B1500201
  11. Lim YJ, Choi JH, Kim HW, Kim DY. Polioencephalomalacia caused by thiamine deficiency. J Vet Clin 2009; 26: 232.
  12. MacKay G, Fearon K, McConnachie A, Serpell MG, Molloy RG, O'Dwyer PJ. Randomized clinical trial of the effect of postoperative intravenous fluid restriction on recovery after elective colorectal surgery. Br J Surg 2006; 93: 1469-1474. https://doi.org/10.1002/bjs.5593
  13. Macri SM, Masek-Hammerman K, Crowell AM, Fenn MS, Knight HL, Westmoreland SV, Miller AD. Polioencephalomalacia secondary to hypernatremia in squirrel monkeys (Saimiri sciureus). Vet Pathol 2014; 51: 651-658. https://doi.org/10.1177/0300985813498782
  14. Mariani CL, Platt SR, Newell SM, Terrell SP, Chrisman CL, Clemmons RM. Magnetic Resonance Imaging of Cerebral Cortical Necrosis (Polioencephalomalacia) in a Dog. Vet Radiol Ultrasound 2001; 42: 524-531. https://doi.org/10.1111/j.1740-8261.2001.tb00981.x
  15. Paschou E, Gavriilaki E, Kalaitzoglou A, Mourounoglou M, Sabanis N. An uncommon presentation of spontaneous rectus sheath hematoma with acute kidney injury due to obstructive uropathy and prerenal azotemia. Case Rep Emerg Med 2014:164245.
  16. Perkins S. Side effects of IV fluid over infusion. 2011; http://www.livestrong.com/article/295579-sources-of-electrolytes.
  17. Simmons MA, Adcock EW, Bard H, Battaglia FC. Hypernatremia and intracranial hemorrhage in neonates. N Engl J Med 1974; 291: 6-10. https://doi.org/10.1056/NEJM197407042910102
  18. Smith FO. Canine pyometra. Theriogenology 2006; 66: 610-612. https://doi.org/10.1016/j.theriogenology.2006.04.023
  19. Thomas DR, Cote TR, Lawhorne L, Levenson SA, Rubenstein LZ, Smith DA, Stefanacci RG, Tangalos EG, Morley JE. Understanding clinical dehydration and its treatment. J Am Med Dir Assoc 2008; 9: 292-301. https://doi.org/10.1016/j.jamda.2008.03.006
  20. Valanne L, Paetau A, Suomalainen A, Ketonen L, Pihko H. Laminar cortical necrosis in MELAS syndrome: MR and neuropathological observations. Neuropediatrics 1996; 27: 154-160. https://doi.org/10.1055/s-2007-973767

피인용 문헌

  1. Conventional and functional magnetic resonance imaging features of late subacute cortical laminar necrosis in a dog vol.33, pp.4, 2017, https://doi.org/10.1111/jvim.15526