Page 117 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
P. 117

Neurology                                                                                                Neurology
 e                                                                                                               e



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 Tremor









 No intention                                                               Intention tremor
 head tremor                                                                  of the head







 If episodic:
 â Seizure p. 94  Neurological disease   Metabolic/   Physiologic           Cerebellar lesion
 (not cerebellar)
                              toxic cause
 Head bobbing




                         – Hypoglycaemia         – Fear                   – Cerebellar hypoplasia
                         – Hypocalcaemia         – Excitement             – Cerebellar atrophy
 UMN  LMN  Idiopathic    – Hypo-/Hyper-          – Freezing               – Neurodegenerative
                          adrenocorticism        – Pain                    disease
                         – Hypo-/Hyper-          – Hypertension           – Cerebellitis
                          thyroidism                                      – Other
                         – Poisoning                                       (cerebrovascular
                          (e.g. organo-                                    disease, neoplasia)
 – Storage disease  – Polyneuropathy  – Orthostatic tremor   phosphates,
 – Congenital  (esp. Great Dane)  carbamates,
 neurodegenerative   – White dog shaker   metaldehyde,
 disease  syndrome
 – Hypomyelination   – Myokymia  mycotoxins, others)
 (shaking puppies)  – Senile tremor
 – Meningomyelitis  (pelvic limbs)
 – Other
























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