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RE: neuro vs MSQ

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What did your neurologic exam show?

Mark Parchman, DVM, DACVS, CVA, CCRT

neuro vs MSQ

> Hey everyone, got one for you --- I was recently referred a GSD 1

> 1/2 yr old M/N for walking funny and scuffing his back feet -- upon

> initial eval, his ROM is good except very tight hamstrings more so

> in the R vs L.. he has the typical wonky gait of Fibrotic Myopathy -

> - been working with him with ROM, stretching, deep mm massaging and

> strengthening exercises. I have all land based " stuff " , no

> aquatics at this time. O remarks he has improved, however after

> taking 2 weeks off I saw him today for the first time and my eval.

> is as follows: he looks better with his wonky gait (not so much

> medial rotation)however his Front limbs now when he walks, he's

> hypermetric in extension (Hitler's march), and when having him

> weave around cones -- he throws them out in front of himself very

> unusually --I also found him to scuff all 4 limbs when previously

> he only scuffed his HLs -- I'm beginning to worry he may have a

> neuro component -- ( I know it'd help to have video -- didn't have

> it today but will try next time) -- I also checked his Neuro exam --

> no CP deficits but did find him to not enjoy tail hyperextension

> (not previously noted on exam) -- Any thoughts?

>

> Thanks for your time, jacqui

>

>

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Today's neuro exam -- no CP deficits, no cranial nerve deficits, tail pain with hyperextension, normoreflexive x 4 -- truncal sway (hx of) -- always disconnected -- seems the caboose never in tune with the FLs -- concern may have underlying Degenerative process..... your thoughts? jacqui

To: VetRehab From: mbparchman@...Date: Fri, 7 Jan 2011 09:54:04 -0800Subject: Re: neuro vs MSQ

What did your neurologic exam show?Mark Parchman, DVM, DACVS, CVA, CCRT neuro vs MSQ> Hey everyone, got one for you --- I was recently referred a GSD 1 > 1/2 yr old M/N for walking funny and scuffing his back feet -- upon > initial eval, his ROM is good except very tight hamstrings more so > in the R vs L.. he has the typical wonky gait of Fibrotic Myopathy -> - been working with him with ROM, stretching, deep mm massaging and > strengthening exercises. I have all land based "stuff", no > aquatics at this time. O remarks he has improved, however after > taking 2 weeks off I saw him today for the first time and my eval. > is as follows: he looks better with his wonky gait (not so much > medial rotation)however his Front limbs now when he walks, he's > hypermetric in extension (Hitler's march), and when having him > weave around cones -- he throws them out in front of himself very > unusually --I also found him to scuff all 4 limbs when previously > he only scuffed his HLs -- I'm beginning to worry he may have a > neuro component -- ( I know it'd help to have video -- didn't have > it today but will try next time) -- I also checked his Neuro exam --> no CP deficits but did find him to not enjoy tail hyperextension > (not previously noted on exam) -- Any thoughts?> > Thanks for your time, jacqui> >

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