Ischaemic

Question 1

2 types

Answer 1

• focal
• generalised/global

Question 2

What is focal ischaemia seen with? How does it present? Tx?

Answer 2

• seen with FCE, where there is direct embolisation of arteries within the spinal cord
• presents as sudden onset focal dysfunction
• no tx but in many cases there will be good resolution with conservative therapy
• (consider focal ischaemia as a concussive injury)

Question 3

What is global ischaemia seen with? How does it present? Tx?

Answer 3

• seen with iliac thrombosis
• basically the whole rear end of the animal is ischaemic
• very common in cats, rare in dogs
• should be obvious on CE: pain, pulseless, pale, paretic hindlimbs
• usually secondary to cardiovascular disease in the cat (Cushing’s or kidneys in dogs), investigate and tx the cardiovascular dz and prognosis is dependent on that