CT – Disc extrusion and severe compressive myelopathy T12-13 in a 4 year old MN Lhasa Apso

Case Study

CT – Disc extrusion and severe compressive myelopathy T12-13 in a 4 year old MN Lhasa Apso

This 4 year old MN Lhasa Apso presented for pelvic limb ataxia progressing to paresis. CP absent, reflexes +3, panniculus present until T-L junction. Suspect IVDD

This 4 year old MN Lhasa Apso presented for pelvic limb ataxia progressing to paresis. CP absent, reflexes +3, panniculus present until T-L junction. Suspect IVDD

Image Interpretation

CT of the thoracolumbar spine – 

There are 7 lumbar vertebrae. The 13th thoracic vertebra is an asymmetric thoracolumbar vertebra.

Extrusion of mineralized disc material into the ventral epidural space is noted et T12/13. The vertebral canal diameter is reduced by 60 %. More material is located within the right ventral epidural space, the dural tube is compressed and displaced dorsally and to the left. The dorsal and ventral contrast column are diminished from T11 to T13 indicating spinal cord swelling. Multifocal chondroid disc degeneration is noted.

DX

Disc extrusion and severe compressive myelopathy at T12/13

Outcome

Surgical decompression is recommended. A rightsided approach would be preferred.
Please note the asymmetric thoracolumbar transitional vertebra.

Patient Information

Patient Name : Louie Paguaga
Gender : Male, Neutered
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 16_00081

Exam Finding

  • Neurologic signs
  • Paraparesis

Images

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