Intracranial disease

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Sprache:English
Veröffentlicht: Philadelphia [u.a.] Saunders 1996
Schriftenreihe:[The veterinary clinics of North America / Small animal practice] 26,4
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245 1 0 |a Intracranial disease  |c Rodney S. Bagley, guest ed. 
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adam_text INTRACRANIAL DISEASE CONTENTS Preface xi Rodney S. Bagley Recognition and Localization of Intracranial Disease 667 Rodney S. Bagley Clinical recognition and localization of disease within the nervous system is paramount to effective diagnosis and treatment of ani¬ mals with neurologic disease. Thorough examination of the ner¬ vous system is based upon an understanding of normal neuro anatomy and physiology. Once a disease process is established to involve the nervous system, localization of the abnormalities within the nervous system is imperative for formulation of a differential diagnosis and diagnostic plan. This article reviews important aspects of the neurologic examination that lead to neuroanatomical localization. Pathophysiologic Sequelae of Intracranial Disease 711 Rodney S. Bagley A variety of intracranial diseases affect dogs and cats. Clinical signs often result not only from mechanical destruction of normal brain but also from associated pathophysiologic alterations in¬ duced secondary to the primary disease process. Effective man¬ agement of intracranial disease requires recognition and treat¬ ment of the primary as well as of many of these secondary pathophysiologic sequelae. This article discusses the evolution, ramifications, diagnosis, and treatment of these pathophysiologic sequelae. VETERINARY CLINICS OF NORTH AMERICA: _ SMALL ANIMAL PRACTICE VOLUME 26 • NUMBER 4 • JULY 1996 V Brain Imaging 735 Russell L. Tucker and Patrick R. Gavin Advances in medical technology have revolutionized diagnostic brain imaging. Traditional radiography and invasive contrast studies for intracranial imaging have been superseded by several newer imaging modalities which provide high resolution, cross sectional images. Ultrasonography, computed tomography, mag¬ netic resonance, and nuclear scintigraphy are now used for ana¬ tomical and functional imaging of the brain. These noninvasive modalities are available at most veterinary teaching institutions and are offered through many larger referral practices. The diag¬ nostic usefulness and clinical limitations for each of these modal¬ ities are described. Intracranial Tumors 759 Michael P. Moore, Rodney S. Bagley, Michael L. Harrington, and Patrick R. Gavin Intracranial tumors in dogs are relatively common but are less common in cats. Features of various tumors are described. The antemortem diagnosis is based on demonstrating the mass with advanced imaging. Tumor type, however, can only be diagnosed by histological confirmation. Diagnosis and treatment options are discussed. Seizures in Dogs 779 Michael Podell Epileptic seizures are the most common neurologic problem in the dog. The ability of a clinician to start proper management of these cases does not require elaborate equipment or specialized skills. The purpose of this article is to give clinicians a perspective on how to identify those dogs with a seizure disorder, to classify the type of seizure disorder, understand reasons for the develop¬ ment of the seizure, establish a prioritized differential diagnoses list based on the seizure history and classification, determine which diagnostic tests are most useful in arriving at a definitive diagnosis, and finally, how to develop a rational, long term thera¬ peutic plan in treating controlled and refractory canine epilepsy. Seizures in Cats 811 Joane M. L. Parent and Andree D. Quesnel This article, based on a descriptive study of cats with seizures, presents a diagnostic and therapeutic approach to seizures in this species. Seizures in cats are caused by active structural disease or secondary epilepsy. The most common structural causes are inflammatory diseases, many of which are probably viral (non FIP [feline infectious peritonitis]) in origin. Toxoplasmosis, FIP, feline leukemia virus (FeLV) and feline immunodeficiency virus Vi CONTENTS (FIV) are rare causes of recurrent seizures in cats. The age at onset of seizures and the pattern (type and frequency) of seizures are important factors in establishing a diagnosis. The severity of the seizures is not a good predictor of outcome. Surgical Treatments for Seizure: Adaptability for Dogs 827 Rodney S. Bagley, Michael L. Harrington, and Michael P. Moore Surgical treatments are often used for human epileptics who are refractory to more conventional anticonvulsant therapies. The goals of surgery are to decrease seizure morbidity or, ideally, bring about a cure to the seizure disorder. As a sizable subpopu lation of dogs with seizures are also refractory to currently avail¬ able anticonvulsant therapies, consideration has been given to evaluating alternative treatments for seizures in dogs. This article discusses the adaptability of surgical treatments used in humans for use in seizure control in affected dogs. Hydrocephalus 843 Michael L. Harrington, Rodney S. Bagley, and Michael P. Moore Hydrocephalus may be an acquired or congenital condition. Clin¬ ical signs often reflect the level of brain involvement. In young dogs, the presence of a dome shaped head and/or persistent fontanel are suggestive of hydrocephalus. Ventriculoperitoneal shunting is often used for definitive treatment of hydrocephalus. Encephalitis and Meningitis 857 Karen R. Muflana Inflammation of the brain and meninges is a common cause of neurologic dysfunction in dogs and cats. A wide range of infec¬ tious agents has been demonstrated to cause encephalitis an men¬ ingitis, although there are many inflammatory conditions for which an etiology has not been found. Analysis of cerebrospinal fluid is the most useful diagnostic test to identify central nervous system inflammation. This article discusses the common causes of encephalitis and meningitis in dogs and cats, focusing on clinical presentation, diagnostic findings, treatment modalities, and prognosis. Head Trauma 875 A. L. Hopkins This article reviews the important pathophysiologic events initi¬ ated by head trauma. Also discussed is the interrelationship of these events with cardiovascular and respiratory function and the implications with respect to management of the head injured pa¬ tient. CONTENTS Vii Metabolic Encephalopathies 893 Paul A. Cuddon The brain has a very high metabolic rate and therefore is highly susceptible to any changes in its metabolic environment. This article discusses the general neurologic signs associated with met¬ abolic encephalopathies, and details the pathophysiology of the major acquired metabolic diseases associated with secondary brain dysfunction in small animals. Specific neurologic and ancil¬ lary clinical signs are detailed with each of the discussed meta¬ bolic diseases. Rational diagnostic plans and appropriate treat¬ ment strategies are also highlighted. Cerebrovascular Disease 925 William B. Thomas Cerebrovascular disease may be caused by infarction or hemor¬ rhage affecting the brain. Underlying disorders that may be asso¬ ciated with cerebrovascular disease include hypothyroidism, hy¬ pertension, sepsis, vascular malformation, and neoplasia. Clinical signs consist of a sudden onset of neurologic deficits referable to a focal lesion in the brain. Diagnosis is based on clinical features and neuroimaging procedures. Treatment consists of maintaining adequate tissue oxygenation, controlling seizures and elevations in intracranial pressure, and treatment of any underlying disor¬ ders. Degenerative Brain Disease 945 Philip A. March Inherited degenerative diseases of the brain are chronically pro¬ gressive and often lead to severe debilitation. The cerebellum is particularly susceptible to degenerative processes. For lysosomal storage disorders, the metabolic defect is often known and diag¬ nostic tests are available. For other abiotrophies, the inborn error of metabolism is not known and diagnosis is made on postmor¬ tem. Pathogenesis of brain dysfunction is not well understood in a majority of the neurodegenerative diseases. Index 973 Subscription Information Inside back cover Viii CONTENTS
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spellingShingle Intracranial disease
Dog Diseases cabt
Cat Diseases cabt
Epileptiform Attacks cabt
Hydrocephalus cabt
Brain cabt
Neoplasms cabt
Meningitis cabt
Nervous System Diseases
Nervous system Diseases
Veterinary neurology
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Kleintiere (DE-588)4114226-3 gnd
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title Intracranial disease
title_auth Intracranial disease
title_exact_search Intracranial disease
title_full Intracranial disease Rodney S. Bagley, guest ed.
title_fullStr Intracranial disease Rodney S. Bagley, guest ed.
title_full_unstemmed Intracranial disease Rodney S. Bagley, guest ed.
title_short Intracranial disease
title_sort intracranial disease
topic Dog Diseases cabt
Cat Diseases cabt
Epileptiform Attacks cabt
Hydrocephalus cabt
Brain cabt
Neoplasms cabt
Meningitis cabt
Nervous System Diseases
Nervous system Diseases
Veterinary neurology
Hirnkrankheit (DE-588)4025013-1 gnd
Kleintiere (DE-588)4114226-3 gnd
topic_facet Dog Diseases
Cat Diseases
Epileptiform Attacks
Hydrocephalus
Brain
Neoplasms
Meningitis
Nervous System Diseases
Nervous system Diseases
Veterinary neurology
Hirnkrankheit
Kleintiere
Aufsatzsammlung
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