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Originally Posted by ladyjane  Just got home with Gabby. They said that her presentation was not typical. Following is the report of the exam and also the findings and recommendation. Probably better for me to type it all out rather than give my own interpretation. It actually is an interesting read.
Examination: Neurologic exam revealed Gabby to be ambulatory in all four limbs with a stiff gait, paresis (weakness) and ataxia (wobbly gait) noted in the hind limbs. Proprioception (knowledge of the limbs' position in space) appeared absent in both hind limbs, and normal in both fore limbs. Deep pain sensation was diminished in both hind limbs and absent in the tail. Spinal reflexes appeared normal in all limbs. Cutaneous trunci reflex (skin twitch along the back) stopped near the cranial lumbar spine. Palpation of the vertebral column revealed no focal areas of discomfort.
Neurolocalization: T3-L3 spinal cord segments. Major differentials include prior history of trauma, disc herniation, and neoplasia (cancer).
Diagnostic findings: Radiographs of the spine showed no evidence of trauma, neoplasia, or infection affecting the vertebral column. We discussed and recommended performing a myelogram and a CT scan (or MRI) of the spine to look for ev idence of spinal cord compression or injury. An estimate of $3,000 was given for the testing.
Gabby's history and neurological examination are consistent with prior severe spinal cord injury. Gabby appears to have regained some ability to walk despite having diminished sensation fo the hind limbs and tail. Further diagnosics are recommended in order to rule out causes of spinal cord injury (disc herniation, neoplasia, infectious/inflammatory disease) which may be progressive. |
Wow, that is just too mauch for any animal to have to go thru. She is one tough little dog. I will send in a donation next week to help. Carlo and Maxine broke the bank today! Thanks for looking after this little dog Linda.