一只搁浅雄性瓜达卢佩毛海豹(Arctocephalus townsendi)继发于可疑软骨藻酸中毒的二十年癫痫管理

Todd L. Schmitt, Judy St. Leger, Ben A. Inglis, Isabella Michal, Nancy Stedman, Hendrik H. Nollens, Sophie Dennison-Gibby, Kelsey Herrick, Elsburgh O. Clarke, Alexandra Mena, Peter F. Cook
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引用次数: 0

摘要

每年都有许多野生海狮(海狮和海海豹)在加利福尼亚海岸搁浅,它们被认为暴露于有害的藻华(HABs)中而癫痫发作。这是一个长期的案例研究,一个搁浅的亚成年雄性瓜达卢佩海狗(Arctocephalus townsendi)在2001年搁浅,入院后几天内开始表现出癫痫活动。经抗癫痫药物(AED)治疗后癫痫稳定,并行先进影像学检查。磁共振(MR)扫描显示脑病的迹象与软骨藻酸(DA)中毒一致。这只海狗被认为是“不可释放的”,在接下来的19年里,它在一家获准的机构接受了支持性的兽医护理和AED治疗。2020年夏天,这只海狗的行为和功能逐渐恶化,于是进行了人道安乐死。采集死后MR和弥散张量图像(DTI)。体积比较与历史扫描显示严重进行性单侧右侧海马萎缩的证据。组织病理学证实为重度慢性右、轻度左海马萎缩。进行性脑退行性改变表明,DA暴露后继发的神经元萎缩是如何影响适应性脑功能的。该病例强调了对DA毒性继发性获得性癫痫的野生搁浅耳鸟进行康复和安置时需要考虑的一些因素和决策过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Twenty Years of Managed Epilepsy for a Stranded Male Guadalupe Fur Seal (Arctocephalus townsendi) Secondary to Suspect Domoic Acid Toxicosis
Many wild otariids (sea lions and fur seals) strand along the California coast annually with seizures following presumed exposure to harmful algal blooms (HABs). This is a long-term case study of a stranded subadult male Guadalupe fur seal (Arctocephalus townsendi) that stranded in 2001 and within days after admission began demonstrating seizure activity. The epilepsy was stabilized with antiepileptic drug (AED) therapy and advanced imaging was performed. Magnetic resonance (MR) scans showed signs of encephalopathy consistent with domoic acid (DA) toxicosis. This fur seal was deemed “non-releasable” and over the following 19 years, he received supportive veterinary care and AED treatment at a permitted facility. In the summer of 2020, the fur seal showed progressive behavioral and functional deterioration whereupon humane euthanasia was performed. Post-mortem MR and diffusion tensor images (DTI) were acquired. A volumetric comparison with historic scans showed evidence of severe progressive unilateral right hippocampal atrophy. Histopathology confirmed severe chronic right and mild left hippocampal atrophy. The progressive degenerative brain changes demonstrate how adaptive brain function can be with neuronal atrophy secondary to DA exposure. This case highlights some considerations and decision-making processes needed for the rehabilitation and placement of wild stranded otariids with acquired epilepsy secondary to DA toxicity.
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