Intervertebral disc prolapse Hansen type I ” Disc Extrusion” & Hemilaminectomy Case
(Follow up video 14th & 21th days after operation)
- A 3- years Griffon dog was presented to us in Dr Paws Animal Hospital with acute onset of hind limb paralysis, urine retention & Constipation.
The Neurological examination reveals the following
- Increased patellar reflex if both HL (+3)
- Normal Flexor reflex of both HL (+2)
- Reduced cranial tibial reflex of both HL (+1)
- Normal sciatic reflex of both HL (+2)
- Normal perineal reflex (+2)
- Absent proprioception (0)
- Normal nociception (+2)
Type and grade of neurological deficits
- UMN deficit with Grade “4” , localized to T2-L4 spinal segments.
- Favorable prognosis with surgical interference.
- C.T to determine the accurate diagnosis.
C.T reveals the following
- Disc extrusion (Hansen type I disc prolapse) located between T13 – L1 vertebrae.
- Herniated disc compresses the spinal cord with 50%.
- Herniated disc material occupies the left and right side ventrally with 70% of the herniated content at the left side.
- No cranial or caudal migration of the herniated disc material.
- Hemilaminectomy surgical procedure to remove the herniated disc with expected recovery period upto 3 months.
- Medical treatment (Steroid with tapering, neuro-vitamins, Gabapentin, Gastroprotectant)
Follow up videos reveal
- Excellent recovery at 14th day after surgery
- With expected more improvement of the proprioception of the left leg (Video)
- Follow up (Video 2 for the gait after 3 weeks)
Follow up videos for the dog’s gait after Surgery:
Video after 3 weeks postoperatively: