Introduction
   

Case 3:

History:

A 4 year old female boxer presented with a 2 week history of hindlimb paresis of gradual onset over 2-3 days. She was initially limping on the right hindlimb but then became incapable of standing. Urinary and faecal incontinence developed soon afterwards and there was rapid wasting of hindlimb musculature, especially over the right hind.

Neurological examination confirmed the presence of multifocal lower neuron disease. Delayed sciatic nerve conduction and denervation potentials in muscles supplied by the sciatic nerves were demonstrable, being worse in the right hind than the left.

The bitch was treated with clindamycin for a 4-5 day period on suspicion of a protozoal infection. There was no obvious improvement with therapy and, with continuing clinical deterioration, a decision was made to euthanise.

 

This is a low power view of a longitudinal section through the lumbar spinal cord showing the dorsal white matter funiculi and central grey matter.

The blood vessels are more prominent than normal due to perivascular cuffing and there is also vacuolation of white matter.

 


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