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Fecal incontinence associated with epidural spinal hematoma and intervertebral disk extrusion in a dog.
J Am Vet Med Assoc. 2006 Jan 15; 228(2):230-5.JA

Abstract

CASE DESCRIPTION

A 7-year-old castrated male Great Dane was evaluated because of a 2-month history of fecal incontinence.

CLINICAL FINDINGS

On the basis of the presence of paraparesis and apparently normal spinal reflexes, the neurologic signs were localized in the region of the third thoracic to the third lumbar spinal cord segments. On the basis of the findings of magnetic resonance imaging, a presumptive diagnosis of a compressive intervertebral disk extrusion with secondary hemorrhage and epidural hematoma formation was made.

TREATMENT AND OUTCOME

A right-sided hemil-aminectomy was performed (centered at the T13-L1 intervertebral space) to further characterize the lesion and decompress the spinal cord. The histopathologic diagnosis was extruded intervertebral disk material with chronic hemorrhage and inflammation. Three weeks after surgery, there was complete resolution of the dog's fecal incontinence and moderate improvements in its hind limb function.

CLINICAL RELEVANCE

Thoracolumbar spinal cord injuries can result in upper motor neuron fecal incontinence in ambulatory dogs. Epidural spinal hematomas may develop secondary to intervertebral disk herniations and cause spinal cord compression resulting in neurologic deficits.

Authors+Show Affiliations

Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606, USA.No affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16426194

Citation

Cerda-Gonzalez, Sofia, and Natasha J. Olby. "Fecal Incontinence Associated With Epidural Spinal Hematoma and Intervertebral Disk Extrusion in a Dog." Journal of the American Veterinary Medical Association, vol. 228, no. 2, 2006, pp. 230-5.
Cerda-Gonzalez S, Olby NJ. Fecal incontinence associated with epidural spinal hematoma and intervertebral disk extrusion in a dog. J Am Vet Med Assoc. 2006;228(2):230-5.
Cerda-Gonzalez, S., & Olby, N. J. (2006). Fecal incontinence associated with epidural spinal hematoma and intervertebral disk extrusion in a dog. Journal of the American Veterinary Medical Association, 228(2), 230-5.
Cerda-Gonzalez S, Olby NJ. Fecal Incontinence Associated With Epidural Spinal Hematoma and Intervertebral Disk Extrusion in a Dog. J Am Vet Med Assoc. 2006 Jan 15;228(2):230-5. PubMed PMID: 16426194.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fecal incontinence associated with epidural spinal hematoma and intervertebral disk extrusion in a dog. AU - Cerda-Gonzalez,Sofia, AU - Olby,Natasha J, PY - 2006/1/24/pubmed PY - 2006/4/14/medline PY - 2006/1/24/entrez SP - 230 EP - 5 JF - Journal of the American Veterinary Medical Association JO - J. Am. Vet. Med. Assoc. VL - 228 IS - 2 N2 - CASE DESCRIPTION: A 7-year-old castrated male Great Dane was evaluated because of a 2-month history of fecal incontinence. CLINICAL FINDINGS: On the basis of the presence of paraparesis and apparently normal spinal reflexes, the neurologic signs were localized in the region of the third thoracic to the third lumbar spinal cord segments. On the basis of the findings of magnetic resonance imaging, a presumptive diagnosis of a compressive intervertebral disk extrusion with secondary hemorrhage and epidural hematoma formation was made. TREATMENT AND OUTCOME: A right-sided hemil-aminectomy was performed (centered at the T13-L1 intervertebral space) to further characterize the lesion and decompress the spinal cord. The histopathologic diagnosis was extruded intervertebral disk material with chronic hemorrhage and inflammation. Three weeks after surgery, there was complete resolution of the dog's fecal incontinence and moderate improvements in its hind limb function. CLINICAL RELEVANCE: Thoracolumbar spinal cord injuries can result in upper motor neuron fecal incontinence in ambulatory dogs. Epidural spinal hematomas may develop secondary to intervertebral disk herniations and cause spinal cord compression resulting in neurologic deficits. SN - 0003-1488 UR - https://www.unboundmedicine.com/medline/citation/16426194/Fecal_incontinence_associated_with_epidural_spinal_hematoma_and_intervertebral_disk_extrusion_in_a_dog_ L2 - http://avmajournals.avma.org/doi/full/10.2460/javma.228.2.230?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -