06 - spinal cord disorders

Question 1

anomalies are usually recognized when?

Answer 1

when the animal starts to walk

Question 2

Question 3

what age dogs tend to get immune mediated disorders?

commoonly what breed?

Answer 3

young ones

boxers

Question 4

couple of toxins that affect spinal cord?

Answer 4

strychnine and tetanus

Question 5

what is hyperpathia?

Answer 5

exaggerated resposne to a painful stimulus

Question 6

propriocetpive deficits and ataxia occur early in spinal cord disease

Question 7

(paresis (weakness) can result from injury to UMN or LMN tracts)

1. UMN injury causes weakness where?
2. LMN injury causes weakness where?
3. UMN injury causes increased extensor muscle tone when recumbent
4. LMN injury causes decreased spinal reflexes, decreased muscle tone, and muscle atorphy

Answer 7

1. in limbs caudal to lesion
2. in limbs at the level of the injury

Question 8

(nociceptive (pain) loss)

1. injury to ascending nociceptive tracts in the spinal cord results in what?
2. lack of deep pain indicates what?

Answer 8

1. depressed or absent pain from stimuli caudal to the injury
2. severe spinal cord injury

Question 9

1. intramedullary lesions cause what kinds of Cx?
2. extramedullary lesions cause what kinds of Cx?

Answer 9

1. symmetrical Cx
2. asymmetrical signs (ipsilateral to lesion)

Question 10

(imaging)

Question 11

What is the test of choice for diagnosing inflammatory spinal cord disease?

Answer 11

CSF analysis

Question 12

(medical tx)

1. degenerative disorders causing compression of the spinal cord treated with what?
2. spinal cord trauma should be treated immediately after injury with what?

Answer 12

1. glucocorticoids at antiinflammatory doses
2. large doses of corticosteroids

Question 13

1. infections should be treated with what?
2. discospondylitis is usually caused by what bacteria?

Answer 13

1. abx that cross BBB
2. staph

Question 14

immune mediated disorders are treated with what?

Answer 14

prednisone (immunosuppression)

Question 15

neoplasia is hard to treat cause most chemo agents don’t cross BBB

what drug does?

Answer 15

lomustine

Question 16

(surgical tx)

1. the primary goal is to do what?
2. most beneficial if performed when?

Answer 16

1. decompress the spinal cord and stabilize the vertebral column
2. early in the course of the disease

Question 17

Question 18

neoplasia has poor prog overall!