Page 98 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
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Neurology                                                                                                                                                                                                                 Neurology
       e                                                                                                                                                                                                                                e

       Innere Medizin

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                                                                          Paresis of all four limbs











                                                                                                                                                                                          UMN tetraparesis
                                             LMN tetraparesis
                                        (decreased or absent reflexes)                                                                                                                (increased or normal pelvic
                                                                                                                                                                                           limb reflexes)










                                                                                                                                                                    Lesion of the cervical spinal cord
                              Acute onset                    Chronic onset                                                                                                                              Lesion of the brainstem
                                                                                                                                                                             (C1–T2)








                      – Polyradiculitis                – Polyneuropathy                                                                                             – Intervertebral disc disease   – Neoplasia
                      – Botulism                       – Polymyopathy                                                                                               – Atlantoaxial instability      – Meningoencephalitis
                      – Myasthenia gravis (crisis)     – Motor neuron degeneration                                                                                  – Cervical spondylomyelopathy   – Trauma
                      – Myelitis                        (rare)                                                                                                      – Fracture/luxation             – Herniation
                      – Tick paralysis                                                                                                                              – Neoplasia                     – Metabolic changes
                      – Coral snake bite                                                                                                                            – Spinal cord infarction          (e.g. hyponatraemia,
                                                                                                                                                                                                      thiamine deficiency [cat])
























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