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CT- normal brain and chronic otitis externa in a 3 year old FS Labrador Retiever dog with seizures

Case Study

CT- normal brain and chronic otitis externa in a 3 year old FS Labrador Retiever dog with seizures

This 3 year old FS Labrador Retriever presented with a history of seizure activity

This 3 year old FS Labrador Retriever presented with a history of seizure activity

Image Interpretation

CT of the head, plain, early and late post-contrast- BoThere is no evidence of traumatic bone injury.
There are no structural abnormalities of the brain. Bilateral anatomic symmetry,
attenuation and enhancement pattern of the brain parenchyma is within normal limits.
The conformation of both external ear canals is narrow. There is moderate generalized
thickening of the ear canal wall on the left with increased contrast enhancement.
Multifocal wall irregularity and a mild amount of abnormal hypoattenuating content is
seen within the left ear canal.
Both tympanic bullae are aerated and present with thin & smooth bony walls.
The left medial retropharyngeal lymph node reveals mild symmetric enlargement with
maintained short-to-long-axis ratio and contrast enhancement pattern.

DX

Normal computed tomography of the brain - Left sided chronic Otitis externa with reactive adenitis of the medial retropharyngeal lymph node

Outcome

Consider primary idiopathic versus post traumatic epilepsy.
Examination of cerebrospinal fluid is recommended to rule out disease that are not
associated with structural changes such as inflammatory and metabolic meningoencepahlopathy.
Ostoscopic examination is advised. The development of chronic inflammatory polyps
has to be considered as a long term sequelae.

Patient Information

Patient Name : Tanner/Bluegrass VS
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes

History

  • Seizures

Images

bildschirmfoto_2016-01-28_um_10