History
-Four years male griffon was presented to our clinic in new Cairo (DrPaws Veterinary Hospital) with acute onset of tetraparesis and urine retention.
Neurological Examination
-Exaggerated hind limbs and thoracic limbs reflexes (Patellar reflex, Cranial tibial reflex, Sciatic Reflex, ECR reflex, Triceps and Biceps reflexes)
-Normal Flexor reflex of both HLs and both TLs.
-Intact perineal reflex
-Preserved deep pain sensation of the four legs.
-Intact Menace reflex, PR, PLR, Gag reflex and Hearing reflex.
-No nystagmus or strabismus.
Neurological Grade deficit & Localization of lesion
-Grade “4” neurological deficits localized to the cervical vertebrae C1-C5
Recommendations
-MRI to identify the lesion and affected sites
–MRI reveals the following:
1. Chiari- Like malformation type 1 with kinking of medulla oblongata and cerebellar notching.
2.Intervertebral disc extrusion C2-C3 with sever spinal cord compression.
3.Intervertebral disc extrusion C4-C5 with increased degree of spinal cord compression.
4.Intervertebral disc protrusion C3-C4
5.Myelomalacia affecting cervical cord parenchyma over the bodies of C3, C4 and C5
Decision: Surgical Interference (Ventral Slot).
