Quote:
Originally Posted by ladyjane  What I got from the neuro report is they are recommending medical management for one week and see if there is improvement?? What meds did he put Moose on? Is he showing any signs of improvement? Are you keeping him in a crate? He needs to be very still! |
From the Neuro report:
Summary & Recommendations. Moose’s signs are most consistent with an issue affecting his neck. The most likely issue is an intervertebral disc herniation, but other possibilities include atlantoaxial subluxation, meningitis, or less likely neoplasia or discospondylitis. Although less likely we are unable to rule out an atypical partial seizure. In the event of a disc herniation, surgery is typically very successful in resolving the issue. Some dogs with disc problems can spontaneously resolve with medical management but start to show improvement in comfort and/or gait within a week.
After discussion conservative management has been elected including strict rest, Metacam, diazepam and gabapentin. If Moose remains uncomfortable or has worsening discomfort or difficulty walking further diagnostics (MRI +/- spinal tap) will be performed to determine if surgery is needed. Strict rest for two weeks is required for at least the next 2 weeks, at which time a re-check examination will determine the next step in Moose’s treatment and management. Keep Moose on a chest harness when walking him outside during this period. He should go outside 3-5 times a day to go to the bathroom.
Medications:
Diazepam 2mg tablets: Give ¼ tablet by mouth every 8-12 hours.
Gabapentin 50mg/ml: Give 0.3 ml by mouth every 8 hours.
Metacam 1.5mg/ml: Give 0.14ml by mouth once a day until gone.
He has improved since Monday. No more violent episodes like the one Monday, only 3-4 times did he jump up and slightly shriek. Did not look confused or disoriented after. He didn't advise crate rest yet, but that he is next to us at all times still and not walking around at all. We tote him to his food bowl and to potty. He isn't his normal self of course so it's hard to "scale" his improvement and whether it's enough to continue with rest?
I'm so very confused as to what he has
