Yu Y, Sugiyama A, Kuniya T, Hasegawa D. CT and MRI characteristics of presumptive hypervitaminosis A in a cat.
JFMS Open Rep 2021;
7:2055116921990301. [PMID:
33796325 PMCID:
PMC7970248 DOI:
10.1177/2055116921990301]
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Abstract
Case summary
A rescued stray cat with an unknown history was examined for non-ambulatory paraparesis
in the hindlimbs. Survey radiographs revealed typical findings of hypervitaminosis A,
characterised by vertebral exostoses and extensive osteophytes, mainly in the
cervicothoracic spine. CT findings were consistent with the radiographic findings, and
CT-based volume rendering and virtual endoscopy into the vertebral canal were created
for three-dimensional visualisation of the lesion. MRI revealed a focal and mild
dilation of the central canal of the spinal cord. Although the clinical diagnosis of
hypervitaminosis A is based on an unusual dietary history and characteristic
radiographic findings, the history of this cat was unknown and serum concentrations of
vitamin A were unremarkable, when measured >1 month after rescue. However, other
possible differential diagnoses were thought to be unlikely and clinical signs never
worsened, and thus, hypervitaminosis A was presumed.
Relevance and novel information
To our knowledge, this is the first report to present the CT and MRI characteristics of
a cat with suspected hypervitaminosis A.
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