Problem solving in Neurology

Question 1

After establishing the animal has a neurology problem - what are the two areas the lesion could be in?

Answer 1

Peripheral or Central?

Question 2

What are the factors used to define and refine neuro problem?

Answer 2

1. Onset of disease
2. Clinical course
3. Pain
4. Lateralising
5. Neurological localisation

Question 3

What disease processes cause lateralising signs?

Answer 3

Degenerative
Neoplastic
Inflamm/infectious/idiopathic
Trauma
Vascular

Question 4

What are some ancillary tests?

Answer 4

1. Clinical patholgy
   - haematology/biochemistry
   - endocrine tests
   - Cerebrospinal fluid analysis
   - Serology/PCR for infectious agent detection
   - Microbiology
   - metabolic tests for storage diseases
2. Diagnostic imaging
   - Rads, U/s, MRI or CT
3. Electrophysiology

Question 5

What sections of the spine can have an lesion?

Answer 5

Spinal Cord —>

a) C1-C5 SCS
b) C6-T2 SCS
c) T3-L3 SCS
d) L4-S3 SCS

Question 6

What areas could have involve a peripheral neuro issue?

Answer 6

Muscle, Neuromuscular junction, or Nerve issue

Question 7

What 2 areas could be involved in a central neuro problem?

Answer 7

Brain or Spinal Cord

Question 8

What 3 areas are involved in the brain that could be causing a neuro issue?

Answer 8

Forebrain, Cerebellum, Brainstem —> Central vestibular?