Today we have a 13-year-old female neutered Border Collie with paraparesis. Take a look at the case and post your comments!
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Wouldn’t paraparesis typically localise the lesion to caudal to T3? Would have expected the T1 lesion to have had forelimb deficits? Apart from the T1 lesion there are narrowed disc spaces at L1-2 and L2-3. Out of interest is there a myelogram? Thanks.
Normally yes however this dog didn’t read the book! There were no thoracic limb deficits. The MRI confirmed an extensive compressive lesion at T1.
What about other spinous process such as L5? Is it irregular in margine with geographic lytic pattern?
How should we explain the sclerosis of the intervertebral foramen between L2-L3?
If the patient shows signs of paraparesis why should we focused on cranial thoracic vertebrae instead of caudal parts?
Although MRI confirmed an extensive compressive lesion at T1, what about MR changes on lumbar vertebrae?
Yes L5 was involved as well, but the only compression was at the largest lesion site at T1. There was additional degenerative change of the intervertebral disks.