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Re: neuro case

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I don't know anything about the canine primitive reflexes but it sounds like the puppy might be demonstrating some primitive reflexes that we commonly see with human head injuries- when the higher level neuro pathways are damaged or disrupted you see primitive reflexes for example ATNR (turning head to one side causes upper extremity to extend to opposite side) return - they are no longer inhibited by the higher neuro function that has been damaged.???

Rosemary

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 A Good Credit Score is 700 or Above. See yours in just 2 easy steps!

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