Page 99 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
P. 99

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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