Spinal arachnoid diverticula in cats: Clinical presentation, diagnostic imaging findings, treatment, and outcome

Abstract Background Spinal arachnoid diverticulum (SAD) is considered a rare disease in cats. Previous reports mainly classified SAD in cats as acquired. Hypothesis/Objectives The aim of this study was to describe the signalment, clinical presentation, diagnostic imaging findings, and outcome in a g...

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Main Authors: João Miguel De Frias, Sofie F. M. Bhatti, George Nye, Rita Gonçalves, Tom Harcourt‐Brown, Angela Fadda, Katia Marioni‐Henry, Hannah Padley, Steven De Decker
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Journal of Veterinary Internal Medicine
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Online Access:https://doi.org/10.1111/jvim.17294
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author João Miguel De Frias
Sofie F. M. Bhatti
George Nye
Rita Gonçalves
Tom Harcourt‐Brown
Angela Fadda
Katia Marioni‐Henry
Hannah Padley
Steven De Decker
author_facet João Miguel De Frias
Sofie F. M. Bhatti
George Nye
Rita Gonçalves
Tom Harcourt‐Brown
Angela Fadda
Katia Marioni‐Henry
Hannah Padley
Steven De Decker
author_sort João Miguel De Frias
collection DOAJ
description Abstract Background Spinal arachnoid diverticulum (SAD) is considered a rare disease in cats. Previous reports mainly classified SAD in cats as acquired. Hypothesis/Objectives The aim of this study was to describe the signalment, clinical presentation, diagnostic imaging findings, and outcome in a group of cats with SAD. Animals Twenty‐one client‐owned cats. Methods Multicenter observational retrospective review of the medical records of cats diagnosed with SAD by magnetic resonance imaging. Results Most cats were Domestic Short Hair (67%), male (63%), and had a wide range of ages (18 weeks to 13 years old). Neuroanatomical localization was consistent with a T3‐L3 myelopathy in 18 cats (86%) and C1‐C5 myelopathy in 3 cats (14%). One cat with a C1‐C5 myelopathy demonstrated bilateral vestibular clinical signs. One cat (5%) had fecal incontinence. Most cats demonstrated a chronic, progressive, nonlateralized, nonpainful myelopathy. No underlying previous or concurrent spinal condition was found in 48% of the cats. No difference in age, body weight, breed, sex, treatment, or outcome was found between cats with or without a concurrent spinal disorder. One cat was euthanized after diagnosis. Six cats improved, 1 deteriorated and 1 remained static after surgery, whereas 3 cats improved, 5 deteriorated and 4 remained static after medical management on the short‐term outcome. Overall, 73% (8/11) of the cats deteriorated on available long‐term follow‐up information. Conclusions and Clinical Importance Spinal arachnoid diverticulum should be considered for cats with chronic, progressive, symmetrical, nonpainful myelopathy, particularly if male and with a history of spinal disease or surgery.
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spelling doaj-art-470f542e6bcb48469b7f4620167c942f2025-01-27T15:22:41ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762025-01-01391n/an/a10.1111/jvim.17294Spinal arachnoid diverticula in cats: Clinical presentation, diagnostic imaging findings, treatment, and outcomeJoão Miguel De Frias0Sofie F. M. Bhatti1George Nye2Rita Gonçalves3Tom Harcourt‐Brown4Angela Fadda5Katia Marioni‐Henry6Hannah Padley7Steven De Decker8Department of Clinical Science and Services Royal Veterinary College, University of London London UKSmall Animal Department, Faculty of Veterinary Medicine Ghent University Ghent BelgiumHighcroft Veterinary Referrals CVS Group Bristol UKSmall Animal Teaching Hospital University of Liverpool Liverpool UKLangford Vets University of Bristol Bristol UKLangford Vets University of Bristol Bristol UKThe Royal (Dick) School of Veterinary Studies Hospital for Small Animals University of Edinburgh Midlothian UKThe Queen's Veterinary School Hospital University of Cambridge Cambridge UKDepartment of Clinical Science and Services Royal Veterinary College, University of London London UKAbstract Background Spinal arachnoid diverticulum (SAD) is considered a rare disease in cats. Previous reports mainly classified SAD in cats as acquired. Hypothesis/Objectives The aim of this study was to describe the signalment, clinical presentation, diagnostic imaging findings, and outcome in a group of cats with SAD. Animals Twenty‐one client‐owned cats. Methods Multicenter observational retrospective review of the medical records of cats diagnosed with SAD by magnetic resonance imaging. Results Most cats were Domestic Short Hair (67%), male (63%), and had a wide range of ages (18 weeks to 13 years old). Neuroanatomical localization was consistent with a T3‐L3 myelopathy in 18 cats (86%) and C1‐C5 myelopathy in 3 cats (14%). One cat with a C1‐C5 myelopathy demonstrated bilateral vestibular clinical signs. One cat (5%) had fecal incontinence. Most cats demonstrated a chronic, progressive, nonlateralized, nonpainful myelopathy. No underlying previous or concurrent spinal condition was found in 48% of the cats. No difference in age, body weight, breed, sex, treatment, or outcome was found between cats with or without a concurrent spinal disorder. One cat was euthanized after diagnosis. Six cats improved, 1 deteriorated and 1 remained static after surgery, whereas 3 cats improved, 5 deteriorated and 4 remained static after medical management on the short‐term outcome. Overall, 73% (8/11) of the cats deteriorated on available long‐term follow‐up information. Conclusions and Clinical Importance Spinal arachnoid diverticulum should be considered for cats with chronic, progressive, symmetrical, nonpainful myelopathy, particularly if male and with a history of spinal disease or surgery.https://doi.org/10.1111/jvim.17294arachnoid cystfelinespinal cystsubarachnoid diverticulum
spellingShingle João Miguel De Frias
Sofie F. M. Bhatti
George Nye
Rita Gonçalves
Tom Harcourt‐Brown
Angela Fadda
Katia Marioni‐Henry
Hannah Padley
Steven De Decker
Spinal arachnoid diverticula in cats: Clinical presentation, diagnostic imaging findings, treatment, and outcome
Journal of Veterinary Internal Medicine
arachnoid cyst
feline
spinal cyst
subarachnoid diverticulum
title Spinal arachnoid diverticula in cats: Clinical presentation, diagnostic imaging findings, treatment, and outcome
title_full Spinal arachnoid diverticula in cats: Clinical presentation, diagnostic imaging findings, treatment, and outcome
title_fullStr Spinal arachnoid diverticula in cats: Clinical presentation, diagnostic imaging findings, treatment, and outcome
title_full_unstemmed Spinal arachnoid diverticula in cats: Clinical presentation, diagnostic imaging findings, treatment, and outcome
title_short Spinal arachnoid diverticula in cats: Clinical presentation, diagnostic imaging findings, treatment, and outcome
title_sort spinal arachnoid diverticula in cats clinical presentation diagnostic imaging findings treatment and outcome
topic arachnoid cyst
feline
spinal cyst
subarachnoid diverticulum
url https://doi.org/10.1111/jvim.17294
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