Inspiratory stridor secondary to palatolingual myokymia in a Maltese dog
A nine-year-old male Maltese dog was presented with an eight-month history of inspiratory stridor leading to exertional dyspnoea and cyanosis. Myokymic contractions in the palatolingual muscles were noticed and confirmed by electromyography. Brain computer tomography-scan showed ventricular dilatati...
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Published in | Journal of small animal practice Vol. 51; no. 3; pp. 173 - 175 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
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Oxford, UK
Oxford, UK : Blackwell Publishing Ltd
01.03.2010
Blackwell Publishing Ltd |
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Abstract | A nine-year-old male Maltese dog was presented with an eight-month history of inspiratory stridor leading to exertional dyspnoea and cyanosis. Myokymic contractions in the palatolingual muscles were noticed and confirmed by electromyography. Brain computer tomography-scan showed ventricular dilatation. Cerebrospinal fluid analysis revealed a slightly elevated protein level. Treatment with slow-release phenytoin was unsuccessful and symptoms gradually worsened over the next nine months. At post-mortem examination a small pituitary adenoma was found. Apart from a single canine report of facial myokymia, this is the only other description of spontaneous focal myokymia in animals. Palatolingual myokymia has only been reported in one human being. Although the co-occurrence with a pituitary adenoma might be incidental, a paraneoplastic pathogenetic mechanism is proposed. Its unique clinical presentation adds a new, albeit uncommon, syndrome to the differential diagnosis of upper airway complaints in dogs. |
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AbstractList | A nine‐year‐old male Maltese dog was presented with an eight‐month history of inspiratory stridor leading to exertional dyspnoea and cyanosis. Myokymic contractions in the palatolingual muscles were noticed and confirmed by electromyography. Brain computer tomography‐scan showed ventricular dilatation. Cerebrospinal fluid analysis revealed a slightly elevated protein level. Treatment with slow‐release phenytoin was unsuccessful and symptoms gradually worsened over the next nine months. At post‐mortem examination a small pituitary adenoma was found. Apart from a single canine report of facial myokymia, this is the only other description of spontaneous focal myokymia in animals. Palatolingual myokymia has only been reported in one human being. Although the co‐occurrence with a pituitary adenoma might be incidental, a paraneoplastic pathogenetic mechanism is proposed. Its unique clinical presentation adds a new, albeit uncommon, syndrome to the differential diagnosis of upper airway complaints in dogs. |
Author | Gielen, I. M. Vercauteren, G. Van Soens, I. Bhatti, S. F. Bavegems, V. Vanhaesebrouck, A. E. Polis, I. Van Ham, L. M. |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/20070491$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1080/15563650701638925 10.1212/01.wnl.0000312275.04260.a0 10.1159/000114767 10.1159/000115770 10.1002/mus.880141102 10.1016/j.clinph.2005.03.023 10.1111/j.1740-8261.1990.tb00782.x 10.1007/BF00464023 10.1136/vr.132.23.587 10.1016/j.ijom.2006.05.004 10.1093/brain/awf178 10.1111/j.1600-0404.1997.tb00062.x 10.1212/WNL.29.12.1612 10.2460/javma.2005.227.1608 10.5694/j.1326-5377.1988.tb120738.x 10.1212/01.WNL.0000060184.63911.B0 10.1002/mus.20904 10.1034/j.1600-0714.2002.310505.x 10.1212/WNL.53.8.1889 10.1148/radiology.193.1.8090885 10.1002/1097-4598(200102)24:2<151::AID-MUS10>3.0.CO;2-7 10.1136/jnnp.63.2.175 10.1046/j.1468-1331.2003.00544.x 10.1212/WNL.57.9.1707 10.1136/vr.158.12.411 |
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Snippet | A nine-year-old male Maltese dog was presented with an eight-month history of inspiratory stridor leading to exertional dyspnoea and cyanosis. Myokymic... A nine‐year‐old male Maltese dog was presented with an eight‐month history of inspiratory stridor leading to exertional dyspnoea and cyanosis. Myokymic... |
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SubjectTerms | adenoma adult animals animal age animal proteins Animals Anticonvulsants - therapeutic use brain case studies central nervous system diseases cerebrospinal fluid computed tomography disease course disease diagnosis dog breeds dog diseases Dog Diseases - diagnosis Dog Diseases - drug therapy Dogs drug therapy dyspnea electromyography Electromyography - veterinary Facial Muscles - innervation Facial Muscles - physiopathology Fatal Outcome inspiratory stridor Male males Maltese (dog breed) muscle contraction Myokymia - diagnosis Myokymia - drug therapy Myokymia - veterinary palatolingual myokymia phenytoin Phenytoin - therapeutic use pituitary gland respiratory tract diseases signs and symptoms (animals and humans) |
Title | Inspiratory stridor secondary to palatolingual myokymia in a Maltese dog |
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