Table 1.
Case/signalment | Clinical signs | Rx at presentation | Imaging type | Pertinent imaging findings | Injected Rx | Oral Rx | Complications | Outcome | Follow-up |
---|---|---|---|---|---|---|---|---|---|
10 years CM Dachshund | 1 month cervical pain, left forelimb root-signature signs | Deraxocib, tramadol | CT | Left lateralized extrusion of mineralized disk material at C3–C4, causing presumed compression of the left third spinal nerve root | C3–C4 2.1 mg/kg methylprednisolone 1 mg/kg bupivacaine |
1.4 mg/kg tramadol q8 h 5.5 mg/kg gabapentin q12 h |
Transient respiratory paralysis | Immediate resolution of pain and root-signature sings | 2 weeks – pain free 4 years – pain free, medication free, no recurrence |
10 years M Lhasa apso | 1 week cervical pain, left forelimb root-signature signs | Meloxicam, diazepam | CT and MRI | Left lateralized extrusion of mineralized disk material at C3–C4 causing compression of the left third spinal nerve root | C3–C4 2.1 mg/kg methylprednisolone |
3.2 mg/kg tramadol q8–12 h 6.4 mg/kg gabapentin q12 h |
None | Immediate improvement | 1 month – pain free 3 years – pain free, medication free, no recurrence |
13 years SF mixed breed dog | 2 weeks cervical pain, left forelimb root-signature signs | Methocarbamol, gabapentin, tramadol | MRI | Left lateralized extrusion of disk material at C5–C6 causing compression of the left fifth spinal nerve root | C5–C6 1 mg/kg methylprednisolone |
5 mg/kg tramadol q12 h 10 mg/kg gabapentin q8–12 h 25 mg/kg methocarbamol q24 h |
None | Marked improvement within 1 week | 6 months – continued improvement, gabapentin PRN |
11 years CM mixed breed dog | 1 week cervical pain, tetraparesis, left forelimb root-signature signs | None | MRI | Left lateralized protrusion of disk annulus at C6–C7 causing compression of the left sixth spinal nerve root | C6–C7 1 mg/kg methylprednisolone |
3–4.4 mg/kg tramadol q8 h 5.9–11.8 mg/kg gabapentin q12 h Prednisone 1.2 mg/kg q12 h |
None | Improved pain control within 2 weeks | 3 months – pain free, medications discontinued 1 year – pain free, medication free, no recurrence |
6 years CM Dachshund | 2 weeks cervical pain and left forelimb root-signature | Tramadol, methocarbamol, prednisone | MRI | Left lateralized extrusion of disk material at C6–C7 causing mild spinal cord compression and compression of the left sixth spinal nerve root | C6–C7 1 mg/kg methylprednisolone |
2.5 mg/kg tramadol q8–12 h 10 mg/kg gabapentin q8–12 h 1 mg/kg prednisone q12 h |
None | Mild improvement in hospital | 3 weeks – moderate improvement 2–3 months – continued improvement and discontinuation of prednisone and tramadol; gabapentin PRN |