19 Cerebral haemorrhage INITIAL PRESENTATION Dull, seizures, circling. INTRODUCTION Haemorrhage into the nervous system may present as meningeal irritation causing neck pain or diffuse spinal pain. Lesions of the CNS may be multifocal or focal. SIGNALMENT A 1-year-old female Staffordshire bull terrier. CASE PRESENTING SIGNS Seizures. CASE HISTORY One month prior to referral the hindlimbs gave way during exercise. Ataxia, circling and falling backwards were noted the following day. The dog recovered and had its first seizure the day before referral. CLINICAL EXAMINATION The dog was obtunded and ambulatory, circling to the left and had a left head turn (Fig. 19.1). Figure 19.1 Left head turn. No ataxia was noted. The menace response was present bilaterally. Both pupils were miotic but a PLR could be detected bilaterally. The fundus looked normal. Hopping, proprioception, and spinal reflexes were all normal. No spinal pain was found. The left upper lip was swollen and bruised (Fig. 19.2). Figure 19.2 Bruised lips. No petechiae, joint swelling, or other bruising was found. NEUROANATOMICAL DIAGNOSIS Left cerebrum. The history of falling over backwards was suggestive of cerebellar disease but no sign of this was present on examination. Only gold members can continue reading. Log In or Register to continue You may also needNeck painAlteration in pupil functionMetabolic encephalopathy: insulinomaLMN paresis and paralysis: Brachial plexus avulsionIntracranial arachnoid cystCariesMeningitis of large breed dogsPain – an introduction Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on Google+ (Opens in new window) Related Tags: Saunders Solutions in Veterinary Practice Small Animal Neurology Sep 3, 2016 | Posted by admin in SMALL ANIMAL | Comments Off on Cerebral haemorrhage Full access? Get Clinical Tree
19 Cerebral haemorrhage INITIAL PRESENTATION Dull, seizures, circling. INTRODUCTION Haemorrhage into the nervous system may present as meningeal irritation causing neck pain or diffuse spinal pain. Lesions of the CNS may be multifocal or focal. SIGNALMENT A 1-year-old female Staffordshire bull terrier. CASE PRESENTING SIGNS Seizures. CASE HISTORY One month prior to referral the hindlimbs gave way during exercise. Ataxia, circling and falling backwards were noted the following day. The dog recovered and had its first seizure the day before referral. CLINICAL EXAMINATION The dog was obtunded and ambulatory, circling to the left and had a left head turn (Fig. 19.1). Figure 19.1 Left head turn. No ataxia was noted. The menace response was present bilaterally. Both pupils were miotic but a PLR could be detected bilaterally. The fundus looked normal. Hopping, proprioception, and spinal reflexes were all normal. No spinal pain was found. The left upper lip was swollen and bruised (Fig. 19.2). Figure 19.2 Bruised lips. No petechiae, joint swelling, or other bruising was found. NEUROANATOMICAL DIAGNOSIS Left cerebrum. The history of falling over backwards was suggestive of cerebellar disease but no sign of this was present on examination. Only gold members can continue reading. Log In or Register to continue You may also needNeck painAlteration in pupil functionMetabolic encephalopathy: insulinomaLMN paresis and paralysis: Brachial plexus avulsionIntracranial arachnoid cystCariesMeningitis of large breed dogsPain – an introduction Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on Google+ (Opens in new window) Related
