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Disc Disease from Acute to Chronic
S.R. Platt
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Clinical signs: Onset of neurological signs may be peracute (<1 hour), acute (<24 hours) or gradual (>24 hours). Dogs presented with peracute or acute thoracolumbar disc extrusions may manifest clinical signs of spinal shock or Schiff-Sherrington postures. These indicate acute and severe spinal cord injury but do not determine prognosis.
The degree of neurological dysfunction is variable and affects prognosis. Clinical signs vary from spinal hyperaesthesia only to paraplegia with or without pain perception. Dogs with back pain only are usually reluctant to walk and may show kyphosis. Dogs with back pain alone and no neurological deficits often have myelographic evidence of substantial spinal cord compression. Neuroanatomic localization for thoracolumbar lesions is determined by intact (T3–L3) or hyporeflexive (L4–S3) spinal reflexes and by site of paraspinal hyperaesthesia. Asymmetric neurological deficits maybe less reliable for determining the side of disc extrusion. […]
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Affiliation of the authors at the time of publication
College of Veterinary Medicine, University of Georgia, USA.
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