评估神经系统异常猫的躯干皮肌反射

期号：Vol 22, Issue 22,2020,December 1, 2020

作者：Aaron M Paushter，Devon W Hague, Kari D Foss，William E Sander

摘要来源：

https://doi.org/10.1177/1098612X20917810

译员：刘昕妍

一校：泡泡村

二校：朱国

摘要

评估神经系统异常猫的躯干皮肌反射（Cutaneous Trunci Reflex，CTR）与年龄、体况评分（Body Condition Score，BCS）、性别、品种、外伤情况、疼痛、代谢疾病、精神状态、神经定位和诊断分型的相关性。

回顾病历档案，筛选出在2012年9月24日至2019年3月20日期间完成全面神经系统评估并具有神经系统疾病史的猫。记录动物是否存在CTR，特征，外伤、疼痛情况，代谢疾病，精神状态，神经定位和诊断分型的信息。

本研究共入组182只猫。其中118只猫存在CTR（64.8%），64只猫无CTR（35.2%）。统计分析结果显示，CTR与脊椎疼痛存在显著相关性（P = 0.037）。但CTR与年龄、BCS、性别、品种、外伤、非脊椎疼痛、代谢性疾病、精神状态、神经定位、诊断分型无相关性。

研究结果表明，猫CTR的指示性并不可靠。需要继续进行前瞻性对照研究判断是否将CTR纳入猫神经系统检查。猫紧张或焦虑猫时，进行CTR检查的时间非常有限，因此CTR的可靠性仍待考虑。

原文：

Assessment of the cutaneous trunci muscle reflex in neurologically abnormal cats

Aaron M Paushter，Devon W Hague, Kari D Foss，William E Sander

https://doi.org/10.1177/1098612X20917810

Abstract

Objectives

The aim of this study was to evaluate the presence of the cutaneous trunci reflex (CTR) in a population of neurologically abnormal cats in regard to age, body condition score (BCS), sex, breed, evidence of traumatic injury, pain, known metabolic disease, mentation, neurolocalization and diagnostic classification.

Methods

A retrospective medical record review was performed to identify cats with a history of neurologic disease undergoing a complete neurologic assessment between 24 September 2012 and 20 March 2019. CTR outcome (present, absent), signalment, evidence of traumatic injury, pain, known metabolic disease, mentation, neurolocalization and diagnostic classification were recorded.

Results

A total of 182 cats were identified. The CTR was present in 118 cats (64.8%) and absent in 64 cats (35.2%). Statistical analysis revealed no association between CTR outcome and age, BCS, sex, breed, evidence of traumatic injury, non-spinal pain, known metabolic disease, mentation, neurolocalization or diagnostic classification. A significant association was found between spinal pain and CTR outcome (P = 0.037).

Conclusions and relevance

These findings suggest that elicitation of the CTR in the cat can be unreliable. Further prospective controlled studies are warranted to determine whether continued inclusion of the CTR in feline neurologic examinations is justified. Consideration of the reliability of the CTR is indicated, particularly in the context of fractious or anxious patients for which only a limited window for examination may be present.

Keywords: Cutaneous trunci, myelopathy, neuromuscular, panniculus reflex