TRAUMATIC SPINAL CORD INJURY WITH SCHIFF-SHERRINGTON POSTURE AND SPONTANEOUS RESOLUTION IN A DOG: MRI EVALUATION

  • Vinicius Gonzalez Peres Albernaz Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus de Botucatu
  • Isabella de Almeida Fabris Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
  • Bruna Ribeiro Paiva Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
  • Jeniffer Gabriela Figueroa Coris Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
  • Juliany Gomes Quitzan Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu

Resumo

The Schiff-Sherrington phenomenon is an extensor hypertonicity of the forelimbs that occurs when there is a severe injury in the thoracolumbar segment. A 4-years-old, intact female, mixed breed dog, presented with vehicle trauma history followed by non-ambulatory paraparesis, extensor rigidity of forelimb and allodynia pain sensation. Superficial pain sensation was decreased. The treatment was based on unique dose of dexamethasone followed by oral administration of meloxicam, tramadol hydrochloride, dypirone, omeprazole and, poly vitamin complex. Low field magnetic resonance image (MRI) showed hyperintensity signal between T12 and T13 on T2-wheighting image compatible with neuronal edema. In the day after, allodynia and extensor rigidity presented spontaneously resolution. At 10th day, return to voluntary ambulation without assistance. Schiff-Sherrington posture is usually associated with poor prognosis and grade V traumatic injury of the thoracolumbar spinal cord. We report a grade III traumatic spinal cord injury confirmed with MRI as only neuronal edema causing the posture. The Schiff-Sherrington posture often resolves spontaneously in 10-14 days, but neurological signs of trauma can persist. The conservative treatment proposed was efficient, promoting forelimb recovery on the day after and total recovery of motor function in 10 days.

Downloads

Não há dados estatísticos.

Biografia do Autor

Isabella de Almeida Fabris, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
Faculdade de Medicina Veterinária e Zootecnia, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
Bruna Ribeiro Paiva, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
Departamento de Cirurgia de Anestesiologia Veterinária, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
Jeniffer Gabriela Figueroa Coris, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
Programa de Aprendizagem e Treinamento, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
Juliany Gomes Quitzan, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
Departamento de Cirurgia de Anestesiologia Veterinária, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu

Referências

BALI, M. S. et al. Comparative Study of Vertebral Fractures and Luxations in Dogs and Cats. Veterinary and Comparative Orthopaedics and Traumatology, v. 22, n. 1, p. 47-53, 2009.
BERGMAN, R., LANZ, O., SHELL, L. Acute spinal cord trauma: mechanisms and clinical syndromes. Veterinary Medicine, v. 95, n. 1, p. 846-849, 2000
DA COSTA, R. C., SAMII, V. F. Advanced imaging of the spine in small animals. Veterinary Clinics of North America: Small Animal Practice, v. 40, n. 5, p.765-790.
DE LAHUNTA, A., GLASS, E. N., KENT, M. Veterinary Neuroanatomy and Clinical Neurology. 3. Ed., St Louis, W.B. Saunders, 2009. 504 p.
JOHNSON, P. et al. Magnetic Resonance Imaging Characteristics of Suspected Vertebral Instability Associated with Fracutre or Subluxation in Eleven Dogs. Veterinary Radiology & Ultrasound, v. 53, n. 5, p.552-559, 2012
LEVINE, G. J. et al. Description and Repeatability of a Newly Developed Spinal Cord Injury Scale for Dogs. Preventive Veterinary Medicine, v. 89, n. 1-2, p.121-127, 2009.
MENDES, D. S., ARIAS, M. V. B. Traumatismo da Medula Espinhal em Cães e Gatos: Estudo Prospectivo de 57 Casos. Pesquisa Veterinária Brasileira, v. 32, n. 12, p. 1304-1312, 2012.
OLBY, N. et al. Long-Term Functional Outcome of Dogs with Severe Injuries of the Thoracolumbar Spinal Cord: 87 cases (1996-2001). Journal of the American Veterinary Medical Association, v. 222, n. 6, p. 762-768, 2003.
PARK, E. H., WHITE, G. A., TIEBER, L. M. Mechanisms of Injury and Emergency Care of Acute Spinal Cord Injury in Dogs and Cats. Journal of Veterinary Emergency and Critical Care, v. 22, n. 2, p. 160-178, 2012.
VITALE, C.; COATES, J. Acute Spinal Cord Injury. Standards of Care: Emergency and Critical Care Medicine, v. 9, n. 7, p. 1-11, 2007.
WEBB, A. A., NGAN, S., FOWLER, D. Spinal Cord Injury II: Prognostic Indicators, Standards of Care, and Clinical Trials. The Canadian Veterinary Journal, v.51, n. 6, p. 598-604, 2010.
Publicado
2016-05-23
Seção
Clinical Reports / Casos Clínicos

Artigos mais lidos pelo(s) mesmo(s) autor(es)