Veterinary and comparative orthopaedics and traumatology : V.C.O.T · 2015
Femoral nerve entrapment in a dog with diffuse idiopathic skeletal hyperostosis.
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Lai A, Culvenor J, Bailey C, Davies S
Аннотация
OBJECTIVE: To report femoral neuropathy caused by nerve entrapment associated with diffuse idiopathic skeletal hyperostosis (DISH).
STUDY DESIGN: Case report.
ANIMAL: Seven-year-old female spayed Boxer dog.
RESULTS: Entrapment of the right femoral nerve due to DISH caused a femoral nerve deficit and atrophy of muscle groups associated with the affected nerve. A combination of computed tomography and magnetic resonance imaging was performed to provide a diagnosis. Amputation of the right transverse process of the sixth lumbar vertebra at the level of nerve entrapment relieved the neurological abnormality.
CONCLUSIONS: Nerve entrapment leading to neurapraxia may occur concurrently with DISH and surgery in this case was successful in restoring function.
CLINICAL RELEVANCE: Peripheral neuropathy from nerve entrapment should be considered in patients with DISH. Surgical amputation of impinging osseous structures may be indicated for relief of femoral neuropathy.
STUDY DESIGN: Case report.
ANIMAL: Seven-year-old female spayed Boxer dog.
RESULTS: Entrapment of the right femoral nerve due to DISH caused a femoral nerve deficit and atrophy of muscle groups associated with the affected nerve. A combination of computed tomography and magnetic resonance imaging was performed to provide a diagnosis. Amputation of the right transverse process of the sixth lumbar vertebra at the level of nerve entrapment relieved the neurological abnormality.
CONCLUSIONS: Nerve entrapment leading to neurapraxia may occur concurrently with DISH and surgery in this case was successful in restoring function.
CLINICAL RELEVANCE: Peripheral neuropathy from nerve entrapment should be considered in patients with DISH. Surgical amputation of impinging osseous structures may be indicated for relief of femoral neuropathy.