Tethered cord syndrome with spina bifida aperta in cats: two case reports of different types

Case summary Two castrated male cats, aged 8 months old (case 1) and 10 months old (case 2), showed a history of progressive paraparesis, an over-reaching pelvic limb gait, urinary incontinence and a palpable dermoid fistula. In case 1, the fistula was connected to the dural sac on the conus medulla...

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Main Authors: Masahiro Tamura, Takashi Oji, Satoshi Une, Makiko Mukaino, Tatsuro Bekki, Masaki Tado, Hiromi Koyama, Yumiko Kagawa, Mutsumi Kawata
Format: Article
Language:English
Published: SAGE Publishing 2017-05-01
Series:Journal of Feline Medicine and Surgery Open Reports
Online Access:https://doi.org/10.1177/2055116917708060
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author Masahiro Tamura
Takashi Oji
Satoshi Une
Makiko Mukaino
Tatsuro Bekki
Masaki Tado
Hiromi Koyama
Yumiko Kagawa
Mutsumi Kawata
author_facet Masahiro Tamura
Takashi Oji
Satoshi Une
Makiko Mukaino
Tatsuro Bekki
Masaki Tado
Hiromi Koyama
Yumiko Kagawa
Mutsumi Kawata
author_sort Masahiro Tamura
collection DOAJ
description Case summary Two castrated male cats, aged 8 months old (case 1) and 10 months old (case 2), showed a history of progressive paraparesis, an over-reaching pelvic limb gait, urinary incontinence and a palpable dermoid fistula. In case 1, the fistula was connected to the dural sac on the conus medullaris, and the tethered spinal cord was retracted caudally. In case 2, the tubular structure was connected to the dural sac on the thoracic spinal cord, and the tethered spinal cord was retracted dorsally. Tethered cord syndrome secondary to spina bifida aperta was suspected in both cats. Excision of the fistula and release of the tethered spinal cord was performed. A histopathological examination confirmed the diagnosis of a meningomyelocele in case 1 and a meningocele in case 2. Paraparesis improved postoperatively in both cats. However, urinary incontinence in case 1 remained partially unresolved. Relevance and novel information This is the first report to describe the imaging characteristics, surgical treatments and outcomes of two different types of tethered cord syndrome with spina bifida aperta in cats. Tethered cord syndrome with spina bifida aperta needs to be included in the differential diagnosis of slowly progressive paraparesis in younger cats with or without vesicorectal failure and a palpable dermoid fistula.
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spelling doaj.art-78abb01472c64063bd15b1b16a9fc3382022-12-21T23:02:59ZengSAGE PublishingJournal of Feline Medicine and Surgery Open Reports2055-11692017-05-01310.1177/205511691770806010.1177_2055116917708060Tethered cord syndrome with spina bifida aperta in cats: two case reports of different typesMasahiro Tamura0Takashi Oji1Satoshi Une2Makiko Mukaino3Tatsuro Bekki4Masaki Tado5Hiromi Koyama6Yumiko Kagawa7Mutsumi Kawata8Laboratory of Veterinary Internal Medicine, Department of Veterinary Clinical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Hokkaido, JapanNeovets Veterinary Referral Center, Nakamichi, Higashinari-ku, Osaka-shi, Osaka, JapanNeovets Veterinary Referral Center, Nakamichi, Higashinari-ku, Osaka-shi, Osaka, JapanNeovets Veterinary Referral Center, Nakamichi, Higashinari-ku, Osaka-shi, Osaka, JapanNeovets Veterinary Referral Center, Nakamichi, Higashinari-ku, Osaka-shi, Osaka, JapanNeovets Veterinary Referral Center, Nakamichi, Higashinari-ku, Osaka-shi, Osaka, JapanNeovets Veterinary Referral Center, Nakamichi, Higashinari-ku, Osaka-shi, Osaka, JapanDepartment of Veterinary Pathology, Graduate School of Veterinary Medicine, Hokkaido University, Hokkaido, JapanNeovets Veterinary Referral Center, Nakamichi, Higashinari-ku, Osaka-shi, Osaka, JapanCase summary Two castrated male cats, aged 8 months old (case 1) and 10 months old (case 2), showed a history of progressive paraparesis, an over-reaching pelvic limb gait, urinary incontinence and a palpable dermoid fistula. In case 1, the fistula was connected to the dural sac on the conus medullaris, and the tethered spinal cord was retracted caudally. In case 2, the tubular structure was connected to the dural sac on the thoracic spinal cord, and the tethered spinal cord was retracted dorsally. Tethered cord syndrome secondary to spina bifida aperta was suspected in both cats. Excision of the fistula and release of the tethered spinal cord was performed. A histopathological examination confirmed the diagnosis of a meningomyelocele in case 1 and a meningocele in case 2. Paraparesis improved postoperatively in both cats. However, urinary incontinence in case 1 remained partially unresolved. Relevance and novel information This is the first report to describe the imaging characteristics, surgical treatments and outcomes of two different types of tethered cord syndrome with spina bifida aperta in cats. Tethered cord syndrome with spina bifida aperta needs to be included in the differential diagnosis of slowly progressive paraparesis in younger cats with or without vesicorectal failure and a palpable dermoid fistula.https://doi.org/10.1177/2055116917708060
spellingShingle Masahiro Tamura
Takashi Oji
Satoshi Une
Makiko Mukaino
Tatsuro Bekki
Masaki Tado
Hiromi Koyama
Yumiko Kagawa
Mutsumi Kawata
Tethered cord syndrome with spina bifida aperta in cats: two case reports of different types
Journal of Feline Medicine and Surgery Open Reports
title Tethered cord syndrome with spina bifida aperta in cats: two case reports of different types
title_full Tethered cord syndrome with spina bifida aperta in cats: two case reports of different types
title_fullStr Tethered cord syndrome with spina bifida aperta in cats: two case reports of different types
title_full_unstemmed Tethered cord syndrome with spina bifida aperta in cats: two case reports of different types
title_short Tethered cord syndrome with spina bifida aperta in cats: two case reports of different types
title_sort tethered cord syndrome with spina bifida aperta in cats two case reports of different types
url https://doi.org/10.1177/2055116917708060
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