neuro case

[Guest guest]

Hey everyone, I currently have an 8 wk. old F Golden puppy who

unfortunately got her head closed in a recliner on New Year's Day -

she presented to me (DVM)obtunded, and laterally recumbent - I

treated her for head trauma through the nite and noticed a developed

head TURN to the left, L HL flexion, and R HL extension, FLs were

WNL, deep pain x 4, withdrawal x 4). Besides the limb issues we

treated the mentation changes and she recovered beautifully -- PLRs

intact, no menace (no surprise), but believe she is blind - hopefully

temporarily, but I am now working on PT -- she does not stand,

prefers to lay on her right side with the significant head turn to

the left - I can place her on the left side and she will lie

comfortably with her head in neutral - When I attmept her to stand,

her head immediately snaps to the left, and previously the R HL

stayed in complete extension (now improved to point of standing on

limb)- the remaining limbs will actually place to the ground normally

but that L HL wants to continue to flex all the way to her body while

her head wants to remain tucked to her Left side. (xrays were done

to confirm NO fractures of vertebral bodies) My PT involves working

of the right side of the neck to release tension there, and at the

same time PNFs of limbs and back - vibratory massage, ROM exercises,

assist to standing while trying to bring head to neutral, -- FLS

doing ok, -- she cannot support her own head weight and is limp in my

hands with her head turn. She tries to take steps but the back end

is not together and she immediately circles to the left tightly. Ahy

thoughts, suggestions, etc? Bit involved so please feel free to

email questions -- thanks so much -- Jacqui