Spinal Cord DDX Flashcards
Degenerative
IVDD
Myelomalacia
Degenerative myelopathy
Cervical spondylomyelopathy = wobblers
Anomalous
Atlanto-axial instability
Vertebral malformations
Syringomyelia
Neoplasia
Spinal cord tumors; meningioma, glioma, lymphoma, nerve sheath tumors
Vertebral tumors: osteosarcoma, chondrosarcoma, fibrosarcoma, myeloma
Inflammatory
Non-infectious myelitis/meningomyelitis
SRMA
Infectious
Diskospondylitis
Infectious myelitis/meningomyelitis
Feline spinal infections: FIP, crypto, toxo
Horse spinal infections: EPM, EHV-1, WNV, EEE, VEE
Trauma
Vertebral fx
Brachial plexus avulsion
Penetrating wound
Toxic
Clostridium tetani
Vascular
Fibrocartilaginous embolic myelopathy (FCEM)
5 painful spinal lesions
- IVDD
- Meningitis/meningomyelitis
- diskospondylitis
- fx/luxation
- neoplasia of bone
IVDD Hansen type 1
Chondrodystrophics
Nucleus propulsus extrusion (mineralized)
DX: CT
IVDD Hansen type 2
Non-chondrodystrophics
Annulus fibrosis protrusion (not mineralized)
DX: MRI
IVDD Hansen type 3
High velocity/low volume
Nucleus propulsus extrudes then dissolves
No surgical treatment
DX: MRI
Myelomalacia hallmark signs, treatment
Paraplegic with no deep pain
Euthanasia
Degenerative myelopathy begins as a ____ disease. What breed is overrepresented?
T3-L3
GSDs
Disc-associated wobblers/cervical spondylomyelopathy: breed, etiology, location
Dobermans, Weimeraners
Disc protrusion
C5-C7
Two-engine gait
Osseous-associated wobblers/cervical spondylomyelopathy: breed, etiology, location
Large/giant breeds
Vertebral malformation
C2-C4
Two-engine gait
Beagle Pain Syndrome: disease, etiology, dx
SRMA
Also young boxers
Severe cervical pain, disease of BBB
Neutrophilic pleocytosis in CSF***
Diskospondylitis is commonly associated with what bacteria?
Staph, strep, E. coli, brucella***
Clostridium tetani causes ___ ___ ___
skeletal muscle rigidity
