ClinNeuro- Cervical Pain

Home > Flashcards > Print Preview

The flashcards below were created by user Mawad on FreezingBlue Flashcards. What would you like to do?

  1. Differential diagnoses for neck pain. (4)
    cervical IVDD, atlantoaxial subluxation, steroid-response meningitis-arteritis, cervical spondylomyelopathy
  2. Describe the classic neck pain posture.
    kyphosis (arched back), head hung low, reluctance to flex neck/turn head
  3. What are the 3 main structures involved in spinal pain?
    meninges, nerve roots, vertebrae (periosteum)
  4. In what animals are you most likely to see cervical IVDD?
    small breeds >2 years old
  5. What are the most commonly affect discs with cervical IVDD in small dogs? In large dogs?
    • small dogs- C2,C3
    • large dogs- C6,C7 (caudal cervical)
  6. Clinical signs of cervical IVDD. (5)
    neck pain**, +/- proprioceptive ataxia, +/- tetraparesis, +/- root sign, [RARELY] non-ambulatory tetraparesis/tetraplegia
  7. With C-IVDD, hyperesthesia is associated with mainly disease in the ___________; neurologic deficits are associated with disease in the __________.
    cranial discs; caudal discs
  8. How do you diagnose C-IVDD? (5)
    signalement, history, neurologic findings (neck pain), CT scan, +/- MRI
  9. Describe the medical treatment of C-IVDD. (3)
    confinement for 4 weeks, NSAIDs, restricted activity for additional 4-6 weeks
  10. What surgical approach is usually used to treat C-IVDD?
    ventral slot for ventral decompression
  11. Why does atlantoaxial subluxation occur?
    failure of structural support ligaments or processes in the C1 and C2 region
  12. 75% of the structural support in the C1, C2 region comes from the __________; therefore, ...
    dens; anything that affects/compromises the dens will cause atlantoaxial subluxation.
  13. 2 types of etiologies of atlantoaxial subluxation  and what they cause.
    • congenital- aplasia or hypoplasia of the dens, absence of ligaments
    • acquired (trauma)- dens fracture, ligament rupture
  14. In what animals do you usually see atlantoaxial subluxation?
    toy breeds, < 2 years old
  15. Clinical signs associated with atlantoaxial subluxation. (3)
    cervical hyperesthesia, proprioceptive ataxia, tetraparesis
  16. How do you diagnose atlantoaxial subluxation?
    radiographs (lateral and VD views), +/- MRI
  17. Describe the medial treatment of atlantoaxial subluxation. (4)
    [always try medical management first] neck brace for 3 months (removes dynamic cord compression), confinement for 3-8 weeks, steroids, physical therapy
  18. Describe surgical treatment of atlantoaxial subluxation [only in certain cases].
    ventral fusion....very high mortality rate, even with the best surgical technique
  19. What are indicators of good prognosis with atlantoaxial subluxation? (3)
    < 2 years old, signs for <30 days, ambulatory
  20. What is steroid-responsive meningitis-arteritis?
    immune-mediated response against meninges and arteries in the CNS from excessive productions of IgA in CSF and serum (unknown cause)
  21. What breeds are predisposed to SRMA?
    BBB-GP- boxers**, beagles, bernese mountain dogs, golden retrievers, pointers
  22. What age dogs usually present with SRMA?
    6 months- 2 years
  23. Clinical signs associated with SRMA. (5)
    acute onset of pain and neck rigidity, reluctance to walk, stiff gait, fever, +/- diffuse spinal pain
  24. Dogs with SRMA typically present with __________ without _________.
    severe neck pain; neurologic deficits
  25. How do you diagnose SRMA? (4)
    neutrophilic leukocytosis on CBC, severe neutrophilic pleocytosis in CSF, cloudy/hemorrhagic CSF, detection of high IgA in CSF or serum
  26. How do you treat SRMA? (2)
    0.25mg dexamethasone right after spinal tap dx, immunosuppressive prednisone (decreasing dose slowly) for 4-6 months
  27. What is the prognosis for SRMA?
    good prognosis
  28. Cervical spondylomyelopathy is commonly known as ___________.
    Wobbler's syndrome
  29. Cervical Spondylomyelopathy (CSM) is characterized by...
    variable degrees of spinal cord and nerve root compression, leading to neurological deficits and/or cervical hyperesthesia
  30. CSM is a common disease of ____________.
    large and giant breed dogs
  31. Describe the pathogenesis of CSM. (6)
    intervertebral disc protrusion, congenital/acquired osseous malformation, ligamentous compression, vertebral tipping, canal stenosis, dynamic compression
  32. What are the clinical signs of CSM? (4)
    cervical hyperesthesia, proprioceptive ataxia (worse in pelvic limbs), 2 engine gait, [RARE] non-ambulatory tetraparesis
  33. What kind of CSM do Dobermans get?
    disc-associated CSM
  34. What kind of CSM do Great Danes get?
    osseous-associated CSM
  35. What animals are usually affected by CSM?
    Great Danes and giant breeds <3 years, Dobermans and large breed ~6 years (>3yr)
  36. CSM is accompanied by ____________ signs; the lesion is localized to __________.
    chronic, progressive; C1-C8 SC segments
  37. How do you diagnose CSM?
  38. Describe medical txt of CSM. (3)
    exercise restriction, body harness/NO NECK COLLAR, Prednisone for 2-4weeks
  39. Describe surgical txt of CSM. (2)
    ventral slot for disc-associated CSM, Dorsal laminectomy for osseous-associated CSM
  40. What is the prognosis for CSM?
    medical and surgery- 36 months survival

Card Set Information

ClinNeuro- Cervical Pain
2015-11-23 20:58:38
vetmed clinneuro

vetmed ClinNeuro
Show Answers:

What would you like to do?

Home > Flashcards > Print Preview