Background
Naturally occurring acute spinal cord injury (SCI) in pet dogs provides an important clinical animal model through which to confirm and extend findings from rodent studies; however, validated quantitative outcome measures for dogs are limited.
New method
We adapted the Basso Beattie Bresnahan (BBB) scale for use in a clinical dog model of acute thoracolumbar SCI. Based on observation of normal dogs, modifications were made to account for species differences in locomotion. Assessments of paw and tail position, and trunk stability were modified to produce a 19 point scale suitable for use in dogs, termed the canine BBB scale (cBBB). Pet dogs with naturally occurring acute SCI were assigned cBBB scores at 3, 10 and 30 days after laminectomy.
Results
Scores assigned via the cBBB were stable across testing sessions in normal dogs but increased significantly between days 3 and 30 in SCI-affected dogs (p = 0.0003). The scale was highly responsive to changes in locomotor recovery over a 30 day period, with a standardized response mean of 1.34.
Comparison with existing methods
Concurrent validity was good, with strong correlations observed between the cBBB and two other locomotor scales, the OSCIS (r = 0.94; p < 0.001) and the MFS (r = 0.85; p < 0.0001). cBBB scores inversely correlated with other assessments of recovery including mechanical sensory threshold (r = −0.68; p < 0.0001) and coefficient of variation of stride length (r = −0.49; p < 0.0001).
Conclusions
These results support the use of the cBBB to assess locomotor recovery in canine clinical translational models of SCI.
The purpose of this study was to evaluate a simplified method of walking track
analysis to assess treatment outcome in canine spinal cord injury. Measurements of stride
length (SL) and base of support (BS) were made using a ‘finger painting’
technique for footprint analysis in all limbs of 20 normal dogs and 27 dogs with 28
episodes of acute thoracolumbar spinal cord injury (SCI) caused by spontaneous
intervertebral disc extrusion. Measurements were determined at three separate time points
in normal dogs and on day 3, 10 and 30 following decompressive surgery in dogs with SCI.
Values for SL, BS and coefficient of variance (COV) for each parameter were compared
between groups at each time point.
Mean SL was significantly shorter in all four limbs of SCI-affected dogs at days
3, 10, and 30 compared to normal dogs. SL gradually increased toward normal in the 30 days
following surgery. As measured by this technique, the COV-SL was significantly higher in
SCI-affected dogs than normal dogs in both thoracic limbs (TL) and pelvic limbs (PL) only
at day 3 after surgery. BS-TL was significantly wider in SCI-affected dogs at days 3, 10
and 30 following surgery compared to normal dogs. These findings support the use of
footprint parameters to compare locomotor differences between normal and SCI-affected
dogs, and to assess recovery from SCI. Additionally, our results underscore important
changes in TL locomotion in thoracolumbar SCI-affected dogs.
A 2-year-old, female spayed Golden Retriever dog was presented to The Ohio State University Veterinary Medical Center for evaluation of ataxia, cervical pain, 1 episode of acute collapse, dull mentation, and inappetence. Physical examination revealed an elevated temperature of 39.7°C and severe cervical pain. Blood work revealed a mature neutrophilia. Cerebrospinal fluid (CSF) analysis revealed nondegenerative neutrophilic pleocytosis with no infectious agents. A presumptive diagnosis of steroid-responsive meningitis-arteritis was made, and corticosteroid therapy was started. The patient improved initially but experienced a vestibular episode characterized by falling and vertical nystagmus. A magnetic resonance imaging of the brain revealed an epidural abscess in the cervical vertebral canal and diffuse meningeal enhancement in the brain and cranial cervical spine. Abscess drainage revealed degenerate neutrophils and several filamentous, branching organisms. Culture of the initial CSF using an enrichment broth revealed growth of a Gram-positive organism 5 days after fluid collection. The isolate was identified by partial 16S ribosomal DNA sequencing as Actinomyces spp. The patient was successfully treated with long-term antibiotics. Our study reports the long-term survival after medical treatment of bacterial meningoencephalitis and epidural abscessation due to Actinomyces sp. infection in a dog. Bacterial meningoencephalitis should be included as a differential diagnosis in patients with cervical pain and fever, even when a nondegenerative neutrophilic pleocytosis is found on CSF analysis. Culture of the CSF with use of an enrichment broth should be considered in all cases of neutrophilic pleocytosis to rule out infections of the central nervous system.
A 15 wk old male unilateral cryptorchid German shepherd dog weighing 18 kg was referred for a nonhealing cutaneous lesion dorsally at the level of the sacrum, urinary incontinence, and a deviated tail. MRI revealed spina bifida and meningomyelocele continuous with the skin surface. Surgical correction of the meningomyelocele involved closure of the open meningeal defect, transection of the abnormal spinal nerves to the skin surface, and closure of the skin defect with a good outcome. Histopathology confirmed a meningomyelocele. This case report describes the MRI findings, surgical procedure, and proposed pathogenesis of spina bifida and meningomyelocele in a dog.
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