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Chapter 27: Surgical Management of Spinal Neoplasia  237


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               Figure 27.3  Intramedullary cervical spinal glioblastoma in a young dog: (A) sagittal T2‐weighted short‐tau inversion recovery (STIR) MRI; (B) transverse
               T1‐weighted MRI with contrast.

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                                                                   B
               Figure 27.4  Dog demonstrating proprioceptive deficit involving the right
               pelvic limb.




               patients that are otherwise systemically ill may have various abnor-
               malities on diagnostic tests. A complete list of differentials for
               patients that present ataxic, progressively weak, with muscle atro-
               phy can be found in the literature but some of the more common
               clinical examples include hypothyroidism, diabetes mellitus, hyper-
               calcemia, hypertension, tick‐borne  diseases, Addison’s disease, and
               lead toxicity. Neoplasms such as pheochromocytoma, lymphoma,
               plasma cell tumor, and metastatic carcinoma or sarcomas can all
               have systemic effects. Many of these disorders can be uncovered
               when the clinician performs a thorough initial work‐up including
               complete blood cell count, serum chemistry and electrolytes,
                 urinalysis, chest and abdominal radiographs, and ultrasound as
               indicated. In addition, blood pressure   measurements and fundic   Figure 27.5  Metastatic sarcoma in the lumbar spine of a dog (arrows in A, B):
               examination may be indicated.                      (A) sagittal and (B) transverse T1‐weighted fast‐spin gradient MRI with contrast.
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