The patient presented with acute grade 3 paraparesis with neuroanatomic localization at L4-S3 and severe pain.
The patient presented with acute grade 3 paraparesis with neuroanatomic localization at L4-S3 and severe pain.
Case Study
CT – Acute Lumbosacral Disc Extrusion in a 9 year old Old English Sheepdog
DX
Lumbosacral nucleus pulpous extrusion leading to severe lumbosacral stenosis with compressive neuropathy of the Cauda equina.
Image Interpretation
A large volume of hyperattenuating disc material was seen ventrally within the epidural space of the lumbosacral vertebral canal. The material presented cranial and caudal expansion. 90% of the vertebral canal diameter was occupied by the herniated material. There was significant dorsal displacement and compression of the cauda equina nerve roots. The lumbosacral neuroforamina presented no obstruction. Mild noncompresive disc protrusions were seen along the lumbar spine.
Outcome
The dog underwent dorsal laminectomy where the nucleus pulpous extrusion was confirmed and revised.
Patient Information
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Clinical Signs
- Hind limb paralysis
- Neurologic signs
- Weakness
History
- Weakness
Exam Finding
- Neurologic signs
- Weakness
Images
Clinical Signs
- Hind limb paralysis
- Neurologic signs
- Weakness