Spinal Cord

Question 1

Cervical spondylomyelopathy breeds affected

Answer 1

Young Great Danes (C1-C5)
Old Dobermans (C6-T2)

Question 2

Cervical spondylomyelopathy looks like:

Answer 2

herniated discs destroying the spinal cord

Question 3

Cervical spondylomyelopathy Dx by:

Answer 3

Advanced Imaging: MRI or CT myelogram

Question 4

Cervical spondylomyelopathy Conservatie Tx:

Answer 4

harness, analgesia (gabapentin), anti-inflammatory prednisone

Better for older, minimally affected dogs

Question 5

Cervical spondylomyelopathy Surgical Tx:

Answer 5

Depends on location and extent

Better for severely affected and younger

Question 6

Cervical spondylomyelopathy Px:

Answer 6

60-80% success, but success does not mean cure just that it’s better

Question 7

Mini-Wobbler target breeds

Answer 7

Older, small breed dogs (yorkie, etc.)

Question 8

Mini-Wobbler lesions

Answer 8

multiple protruding discs

Question 9

Mini-Wobbler prognosis

Answer 9

90% success

Question 10

Protrusion

Answer 10

Nucleus pulposus does not break out

Question 11

Extrusion

Answer 11

Nucleus pulposus does break out

Question 12

When do you do conservative treatment for IVDD?

Answer 12

Pain is the only clinical sign

Question 13

What is significant about dogs with IVDD that have lost sensation in their toes?

Answer 13

50-50 chance of ever walking again

10% will develop Myelomalacia - chronic progressive dz

Question 14

Does reflex = sensation? ie: withdrawal?

Answer 14

NOPE, only that it’s local.

Question 15

Prognosis of TL Type 1 based on grade for conservative treatment?

Answer 15

Px drops 10-15% per grade until they lose sensation, and then they’re basically fucked

Question 16

Prognosis of TL Type 2 based on grade for conservative treatment

Answer 16

95% until they can’t feel toes than 0-75% recover from that at most

Question 17

Prognosis of Cervical Type 1 based on grade for conservative treatment?

Answer 17

Pain only - 70% can do

Question 18

What does Babinski reflex tell us?

Answer 18

UMN as well as CHRONIC issue.

Question 19

What will CT/myelogram rule out?

Answer 19

Surgical disease but won’t necessarily tell us what the problem is.

Question 20

Classic History of an FCE (fibrocartilaginous embolism)

Answer 20

Out being active and SCREAM OUT IN PAIN following ASYMMETRIC neuro signs

Question 21

Most common site that we se FCE?

Answer 21

Mid-caudal cervical spine

Question 22

Preferred imaging for FCE?

Answer 22

MRI

Question 23

Are postural reactions localizing?

Answer 23

NO

Question 24

What do postural reaction deficits tell you?

Answer 24

Neurologic Problem

Question 25

What breeds are affected by SRMA?

Answer 25

Boxers, Beagles, Bernese -- the B-breeds

Question 26

How do you dx SRMA?

Answer 26

Signalment, signs, normal rads, CSF***

Question 27

Meningitis vs. Myelitis

Answer 27

Meningitis is PAINFUL Myelitis is NEUROLOGIC defecits if BOTH pain + deficits ==> Meningomyelitis

Question 28

MRI contrast of Meningitis vs. myelitis

Answer 28

Contrast taken up in spinal cord = MYELITIS | Contrast taken up in meninges = MENINGITIS

Question 29

Most common location of discospondylitis?

Answer 29

L7-S1

Question 30

How do you dx on rads?

Answer 30

Lysis of end plates

Question 31

What is discospondylitis?

Answer 31

Infection, usually bacterial, of the intervertebral disc and | endplates

Question 32

How do you DX discospondylitis?

Answer 32

URINE and Blood and if intact test for Brucella

Question 33

Treatment of discospondylitis?

Answer 33

Cephalosporins until culture comes back. NSAID if painful in initial period. Minimum 8 week therapy or 1 month beyond normal rads