Polymicrogyria Natalie Crawford Karen Inzana D. Phillip Sponenberg Virginia – Maryland Regional...

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Polymicrogyria Natalie Crawford Karen Inzana D. Phillip Sponenberg Virginia – Maryland Regional College of Veterinary Medicine Blacksburg, Virginia Presented at SEVPAC 2008 – Permission granted for use on SEVPAC website only

Transcript of Polymicrogyria Natalie Crawford Karen Inzana D. Phillip Sponenberg Virginia – Maryland Regional...

Page 1: Polymicrogyria Natalie Crawford Karen Inzana D. Phillip Sponenberg Virginia – Maryland Regional College of Veterinary Medicine Blacksburg, Virginia Presented.

Polymicrogyria

Natalie CrawfordKaren Inzana

D. Phillip Sponenberg

Virginia – Maryland Regional College of Veterinary MedicineBlacksburg, Virginia

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Page 2: Polymicrogyria Natalie Crawford Karen Inzana D. Phillip Sponenberg Virginia – Maryland Regional College of Veterinary Medicine Blacksburg, Virginia Presented.

Polymicrogyria (also known as microgyria)

Malformation of the cerebral cortex Neuronal migration defect leading to

abnormal lamination Excessive production of gyri Associated with other brain malformations

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Veterinary Medicine

Ruminants Cattle

Sheep

Rats Experimentally induced

DogsPresented at SEVPAC 2008 –

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Historical Perspective

Van Winkle et. al. (1994) Four related Standard Poodle dogs with cortical blindness Young dogs (5-9 months)

Jurney et. al. (2008) Four un-related Standard Poodle dogs with cortical

blindness and behavioral abnormalities Three young dogs (3-4 months) One older dog (5 years)

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Page 5: Polymicrogyria Natalie Crawford Karen Inzana D. Phillip Sponenberg Virginia – Maryland Regional College of Veterinary Medicine Blacksburg, Virginia Presented.

Allegro

3 month old male intact Standard Poodle

Decreased vision Noticed from 9 weeks of age

Abnormal behavior

Possible decreased hearing

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Diagnosis

Ophthalmic Examination No ophthalmic cause for blindness

Neurologic Examination Generalized or diffuse encephalopathy Cortical blindness

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Other Findings

Gross lesions - Definitive

Histologic lesions

Imaging (MRI) Not done in Allegro’s case

Brain Activity Monitoring (EEG) Not done in Allegro’s case

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Gross Findings

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Histologic Lesions

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Page 11: Polymicrogyria Natalie Crawford Karen Inzana D. Phillip Sponenberg Virginia – Maryland Regional College of Veterinary Medicine Blacksburg, Virginia Presented.

Normal Nissl

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H&E (07-1996.4)

Polymicrogyria H & E

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Page 13: Polymicrogyria Natalie Crawford Karen Inzana D. Phillip Sponenberg Virginia – Maryland Regional College of Veterinary Medicine Blacksburg, Virginia Presented.

Polymicrogyria Nissl

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Page 15: Polymicrogyria Natalie Crawford Karen Inzana D. Phillip Sponenberg Virginia – Maryland Regional College of Veterinary Medicine Blacksburg, Virginia Presented.

Polymicrogyria Phenotype

Clinical Presentation Standard Poodles 0-6 months of age Cortical Blindness Gross lesions

Outcome Euthanasia

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Human Medicine

Frequent occurrence

Manifests with varying degrees of mental retardation, developmental delays and seizure activity

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Schulyer Hudson

Bilateral Persylvian Polymicrogyria Partial paralysis of

muscles of the face, jaws and throat

Learning difficulties Cerebral palsy Seizures

Genetic

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Page 18: Polymicrogyria Natalie Crawford Karen Inzana D. Phillip Sponenberg Virginia – Maryland Regional College of Veterinary Medicine Blacksburg, Virginia Presented.

Literature

Veterinary Neuropathology, Summers B, et al. (1995)

Blindness Due to Polymicrogyria and Asymmetrical Dilation of the Lateral Ventricles in Standard Poodles, Van Winkle TJ, et al. (1994)

Neuropathology: A Reference Text of CNS Pathology, 2nd Ed., Ellison D, et al. (2004)

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Page 19: Polymicrogyria Natalie Crawford Karen Inzana D. Phillip Sponenberg Virginia – Maryland Regional College of Veterinary Medicine Blacksburg, Virginia Presented.

Acknowledgements

D. Phillip Sponenberg Karen Inzana Carrie Jurney

Jurney C, et al. Polymicrogyria in Four Standard Poodles: A Case Series with Histopathologic, Electroencephalographic

and Magnetic Resonance Imaging Findings.

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Page 20: Polymicrogyria Natalie Crawford Karen Inzana D. Phillip Sponenberg Virginia – Maryland Regional College of Veterinary Medicine Blacksburg, Virginia Presented.

Contributors

Jamie Haddad – UPenn Thomas Van Winkle – UPenn Andrew Miller – Cornell Andras Komaromy – UPenn Charles Vite - UPenn Gayle Johnson - Missouri Dennis O’Brien – Missouri

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Questions?

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