General Neurological Disease Flashcards
How can you diagnose meningitis in a calf?
Clinical signs
Left shift neutrophillia on WBC count
Increases proteins, WBC and bacterial growth in CSF
How can you diagnosis nervous ketosis?
Nervous signs
Elevated beta hydroxybutyrate
Elevated NEFAs
Elevated liver enzymes
What disease cause acute forebrain signs?
Meningitis CCN Lead poisoning Nervous ketosis Hypomagnesaemia Salt poisoning IBR / MCF Pseudorabies Rabies
What disease cause chronic forebrain signs?
Brain abscess
BSE
Hypovitaminosis A
Brain tumours
What is the common aetiology of meningitis?
Haematogenous spread of bacteria from a septic focus eg: arthritis - e.coli, salmonella, pseudomonas
Calves under 1 week of age with failure of passive transfer
How does a calf present with meningitis?
1 week old, FPT
Commonly associated with another septic focus eg: septic arthritis or umbilical infection
CS: weak, lack of suck, depressed, head pressing, nystagmus, blindness and seizures
How should you treat meningitis in a calf?
Quickly - poor px if delayed
Dexamethasone
Bactericidal antibiotic IV for 10-14 days
Eg: fluroquinolones achieve the best permeability in inflamed tissues
Could also consider metronidazole
Other lectures recommend trying oxytetracycline first
What antibiotics show good permeability in the brain?
Good permeability in the inflamed brain
- TMPS & Doxycycline - bacteriostatic
- Fluoroquinolones - bactericidal
What causes CCN in cattle?
Absolute deficiency in pre-ruminant calves
Relative deficiency
- lots of concentrates = bacterial thiaminases
- bracken ingestion
When does CCN commonly present in cattle and how does it present?
6-18 months old
Early: star gazing, blindness, head pressing, hyperaesthesia and muscle tremors
Progressing to opisthotonos, head tilt, convulsions
How can you diagnose CCN?
Resist to treatment
Blood thiaminase assay
PM findings - pale and swollen brain, yellow discolouration
How should you treat CCN?
Thiamine supplementation
Corticosteroids
Mannitol - diuretic to reduce ICP
How does lead poisoning present in cattle?
Early - depression, muscle fasiculations
Late - ataxia, bloat, seizures, convulsions, coma
Fatal in 12-24 hours
How can you treat lead poisoning in cattle?
Xylazine to control seizures
CaEDTA to chelate the lead
Thiamine supplementation
Oral magnesium sulphate
What must you do after diagnosing lead poisoning in cattle?
Inform the AHVLA
Blood and milk levels of lead may take 6-7 months to normalise
What is the clinical presentation of chronic ketosis?
Signs last 1-2h and recurr every 10 hours
Circling, manic behaviours, obsessive behaviours, apparent blindness
How can you treat a case of nervous ketosis?
IV glucose
Corticosteroids
Propylene glycol
How does Hypomagnaesaemia present in beef cows?
Lactating beef cows a few months after calving on pasture
3-6mo with a deficient diet
What is the clinical signs of salt poisoning?
Dehydrated and depressed
Colic and diarrhoea
Blindness and star gazing
Aggressive and hyper excitable