Abstract

Myelopathy due to fibrocartilaginous embolism is characterized by an infarction of the spinal cord caused by fibrocartilaginous embolism identical to the nucleus pulposus of the intervertebral disc. Of rare occurrence and described mainly in adult and large dogs, it can also be found in small dogs. The present report occurred in a two and a half year old canine, West Highland White Terrier, who was treated at a veterinary hospital with sudden tetraparesis, where he remained hospitalized for twenty one days and after being discharged, treatment for sixty days. The diagnosis was made through clinical signs, biochemical tests to exclude differential diagnoses and computed tomography that identified the thrombus in the cervical region. The treatment consisted of nursing care, physiotherapy, hydrotherapy and acupuncture sessions. After 180 days of spinal cord injury, the animal had the right front limb without full elbow flexion as a sequel of a probable brachial plexus injury, with sensitivity to deep pain, walkking with the aid of a walker and rising alone.

Highlights

  • to fibrocartilaginous embolism is characterized by an infarction of the spinal cord caused by fibrocartilaginous embolism

  • it can also be found in small dogs

  • who was treated at a veterinary hospital with sudden tetraparesis

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Summary

Material e Métodos

Foi atendido em um hospital veterinário de Brasília – DF, um canino da raça West Highland White Terrier, macho, 2 anos e meio de idade com peso de 8,5 kg. Haja vista que o animal realizou o exame na fase aguda, onde este é mais v.11, n.12, p.1220-1226, Dez., 2017 sensível e a região de hipodensidade indica fortemente a presença de edema na região, compatível com as lesões encontradas em TC com EFC (De Risio and Platt, 2010, Mateen et al, 2011, De Risio, 2015, Garavito-Bernal and León-Torres, 2015, De Risio, 2014). Aos primeiros 15 dias de internação, o animal não urinava espontaneamente e fez uso da prasozina e compressão manual para promover o relaxamento vesical e após a alta hospitalar já conseguia urinar sozinho e a medicação foi suspensa. A lesão do animal foi em região C6, ou seja, mais caudal à região cervical, o que talvez seja a causa da lenta recuperação do paciente, que apesar de ter tido uma grande melhora clínica, ainda não obteve completa recuperação, mesmo com a fisioterapia e estímulos intensificados. A demora na administração do anti-inflamatório também pode ter contribuído para que o edema local aumentasse a lesão medular infartada assim como a não utilização da pentoxifilina e da vitamina E pode ter contribuído com o progresso do dano medular

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