CT – Atlatoaxial subluxation syndrome with hypoplasia of the Dens axis in a 1 year old FS King Charles Spaniel

Case Study

CT – Atlatoaxial subluxation syndrome with hypoplasia of the Dens axis in a 1 year old FS King Charles Spaniel

This 1 year old FS Cavalier King Charles Spaniel presented with seizure-like activity.

Physical exan: tetraparetic, deep pain present

This 1 year old FS Cavalier King Charles Spaniel presented with seizure-like activity.

Physical exan: tetraparetic, deep pain present

DX

The computed tomographic findings are compatible with atlatoaxial subluxation syndrome with hypoplasia of the Dens axis.

Image Interpretation

CT of the cervical spine – 

The computed tomography reveals upper cervical stenosis due to atlantoaxial subluxation. The Dens of the axis is hypoplastic. There is widening of the space between the vertebral arch of the atlas and the spinous process of the axis. Due to the dorsal displacement of the Dens the vertebral canal diameter is reduced by almost 50% with upper cervical kyphosis & medullary kinking.  The shape of the caudal cranial fossa appears to be asymmetric.

Outcome

Traumatic injury of the upper cervical spinal cord is possible.
Correlate the findings with the MRI to assess for parenchymal damage and
abnormalities of the ligamentous structures in the occipitoatlantoaxial region.
Surgical stabilization techniques are likely required to prevent further damage.

Patient Information

Patient Name : Lady Grossi/CVC
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 16_00058

Clinical Signs

  • Seizures

Exam Finding

  • Doughy Abdomen

Images

bildschirmfoto_2016-03-25_um_15bildschirmfoto_2016-03-25_um_15bildschirmfoto_2016-03-25_um_15bildschirmfoto_2016-03-25_um_15bildschirmfoto_2016-03-25_um_15

Clinical Signs

  • Seizures
Skip to content