neuro case

[Guest guest]

This is great - giving all an update - puppy "walked" today -- held head in one hand and tail in the other - she definitely took steps and walked with support in a large circle - I am currently using moist heat on the neck and then some mm. massage to help her head turn, but I am seeing improvements daily. Any neuro people out there with other thoughts? Jacqui

To: VetRehab From: rmheg@...Date: Thu, 8 Jan 2009 23:32:58 -0500Subject: Re: neuro case

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

In a message dated 1/8/2009 7:39:12 A.M. Pacific Standard Time, j.luchina writes:

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!

What can you do with the new Windows Live? Find out

[Guest guest]

Hi All,

I am looking for help for a neuro case: Bernese, 3 year old, FS, who had pelvic

fractures repaired 1 month ago due the car accident. At the time of presentation

(last week) she was starting to touch down with her left hind leg but there are

still obvious proprioceptive deficits including knuckling and weakness. There

was obvious neurogenic atrophy on her left thigh and reduced extension of left

hip. There did not seem to be any pain on examination. Massage and stretching

enabled us to increase the extension. The nerve damage seems to be improving

according to the owner but I am concerned what more we could do for her. We are

doing now laser therapy, electrical muscle stimulation, under water treadmill

and exercise (toe pinching, unilateral weight bearing and bycicling movement in

standing position). Any suggestions?? Exercises??

Thanks in advance.