Hemophilia A Resulting in Severe Hyperesthesia Due to Extraparenchymal Spinal Cord Hemorrhage in a Young Golden Retriever Puppy

A ten-week-old male Golden retriever puppy was presented with severe hyperesthesia, mild neurological deficits and episcleral bleeding. Clotting times showed a normal prothrombin time (PT) and prolonged activated partial thromboplastin time (aPPT). Computed tomography (CT) of the vertebral column sh...

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Main Authors: Charlotte Lubbers, Martijn Beukers, Niklas Bergknut, Geert Paes
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Veterinary Sciences
Subjects:
Online Access:https://www.mdpi.com/2306-7381/9/11/638
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author Charlotte Lubbers
Martijn Beukers
Niklas Bergknut
Geert Paes
author_facet Charlotte Lubbers
Martijn Beukers
Niklas Bergknut
Geert Paes
author_sort Charlotte Lubbers
collection DOAJ
description A ten-week-old male Golden retriever puppy was presented with severe hyperesthesia, mild neurological deficits and episcleral bleeding. Clotting times showed a normal prothrombin time (PT) and prolonged activated partial thromboplastin time (aPPT). Computed tomography (CT) of the vertebral column showed intradural, extraparenchymal hyperattenuating changes on precontrast CT images and epidural mass lesions, suggestive of hematorrhachis. Hemophilia A was confirmed by a low-factor VIII activity (FVIII:C). Although the dog improved clinically with intravenous analgesia and cage rest, it was euthanized by the owners’ choice because of the risk of developing future episodes of spontaneous hemorrhage. In young male puppies with severe hyperesthesia and mild neurological deficits, hemophilia A should be considered as a possible differential diagnosis.
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spelling doaj.art-21d6db99f1034a91a887cfa8d875c40a2023-11-24T10:17:49ZengMDPI AGVeterinary Sciences2306-73812022-11-0191163810.3390/vetsci9110638Hemophilia A Resulting in Severe Hyperesthesia Due to Extraparenchymal Spinal Cord Hemorrhage in a Young Golden Retriever PuppyCharlotte Lubbers0Martijn Beukers1Niklas Bergknut2Geert Paes3Pride Veterinary Centre, Riverside Rd, Derby DE24 8HX, UKIVC Evidensia Dierenziekenhuis Hart van Brabant, Eerste Zeine 112, 5144 AM Waalwijk, The NetherlandsIVC Evidensia Dierenziekenhuis Hart van Brabant, Eerste Zeine 112, 5144 AM Waalwijk, The NetherlandsIVC Evidensia Dierenziekenhuis Hart van Brabant, Eerste Zeine 112, 5144 AM Waalwijk, The NetherlandsA ten-week-old male Golden retriever puppy was presented with severe hyperesthesia, mild neurological deficits and episcleral bleeding. Clotting times showed a normal prothrombin time (PT) and prolonged activated partial thromboplastin time (aPPT). Computed tomography (CT) of the vertebral column showed intradural, extraparenchymal hyperattenuating changes on precontrast CT images and epidural mass lesions, suggestive of hematorrhachis. Hemophilia A was confirmed by a low-factor VIII activity (FVIII:C). Although the dog improved clinically with intravenous analgesia and cage rest, it was euthanized by the owners’ choice because of the risk of developing future episodes of spontaneous hemorrhage. In young male puppies with severe hyperesthesia and mild neurological deficits, hemophilia A should be considered as a possible differential diagnosis.https://www.mdpi.com/2306-7381/9/11/638hemophilia Ahematorrhachishyperesthesia
spellingShingle Charlotte Lubbers
Martijn Beukers
Niklas Bergknut
Geert Paes
Hemophilia A Resulting in Severe Hyperesthesia Due to Extraparenchymal Spinal Cord Hemorrhage in a Young Golden Retriever Puppy
Veterinary Sciences
hemophilia A
hematorrhachis
hyperesthesia
title Hemophilia A Resulting in Severe Hyperesthesia Due to Extraparenchymal Spinal Cord Hemorrhage in a Young Golden Retriever Puppy
title_full Hemophilia A Resulting in Severe Hyperesthesia Due to Extraparenchymal Spinal Cord Hemorrhage in a Young Golden Retriever Puppy
title_fullStr Hemophilia A Resulting in Severe Hyperesthesia Due to Extraparenchymal Spinal Cord Hemorrhage in a Young Golden Retriever Puppy
title_full_unstemmed Hemophilia A Resulting in Severe Hyperesthesia Due to Extraparenchymal Spinal Cord Hemorrhage in a Young Golden Retriever Puppy
title_short Hemophilia A Resulting in Severe Hyperesthesia Due to Extraparenchymal Spinal Cord Hemorrhage in a Young Golden Retriever Puppy
title_sort hemophilia a resulting in severe hyperesthesia due to extraparenchymal spinal cord hemorrhage in a young golden retriever puppy
topic hemophilia A
hematorrhachis
hyperesthesia
url https://www.mdpi.com/2306-7381/9/11/638
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