Suspected spontaneous early hemorrhagic transformation of multiple ischemic strokes secondary to primary splenic torsion in a German Shepherd dog
Abstract A 3‐year‐old female German Shepherd dog was presented with generalized tonic‐clonic epileptic seizures, right‐sided central vestibular syndrome, and right trigeminal nerve dysfunction. Acute lacunar ischemic strokes within both thalami, right side of the mesencephalon, left side of the myel...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-11-01
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| Series: | Journal of Veterinary Internal Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jvim.16527 |
| _version_ | 1797976864316194816 |
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| author | Nicolas Van Caenegem Thibaut Troupel Jeremy Mortier Jean‐Laurent Thibaud Stéphane Blot |
| author_facet | Nicolas Van Caenegem Thibaut Troupel Jeremy Mortier Jean‐Laurent Thibaud Stéphane Blot |
| author_sort | Nicolas Van Caenegem |
| collection | DOAJ |
| description | Abstract A 3‐year‐old female German Shepherd dog was presented with generalized tonic‐clonic epileptic seizures, right‐sided central vestibular syndrome, and right trigeminal nerve dysfunction. Acute lacunar ischemic strokes within both thalami, right side of the mesencephalon, left side of the myelencephalon, both sides of the cervical spinal cord, and acute hemorrhagic strokes within the rostral part of the right cerebellar hemisphere and right rostral colliculus were identified on magnetic resonance imaging. Additional evaluation identified multiple renal infarcts and complete splenic torsion, with entrapment of the left pancreatic lobe. Medical management, splenectomy, partial pancreatectomy, and intensive physical rehabilitation led to clinical improvement. The histology of the spleen was consistent with hemorrhagic infarction. Three months after onset, neurological examination identified only mild vestibular sequelae. The final diagnosis was multiple ischemic strokes secondary to primary splenic torsion. Spontaneous early hemorrhagic transformation, a well‐known condition in human medicine, also was found in this case. |
| first_indexed | 2024-04-11T04:57:45Z |
| format | Article |
| id | doaj.art-8228b19ec8d34f7c9f8360df2197d63f |
| institution | Directory Open Access Journal |
| issn | 0891-6640 1939-1676 |
| language | English |
| last_indexed | 2024-04-11T04:57:45Z |
| publishDate | 2022-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Veterinary Internal Medicine |
| spelling | doaj.art-8228b19ec8d34f7c9f8360df2197d63f2022-12-26T07:32:24ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762022-11-013662191219810.1111/jvim.16527Suspected spontaneous early hemorrhagic transformation of multiple ischemic strokes secondary to primary splenic torsion in a German Shepherd dogNicolas Van Caenegem0Thibaut Troupel1Jeremy Mortier2Jean‐Laurent Thibaud3Stéphane Blot4U955‐IMRB, Inserm, Ecole nationale vétérinaire d'Alfort, Unité de neurologie Maisons‐Alfort FranceU955‐IMRB, Inserm, Ecole nationale vétérinaire d'Alfort, Unité de neurologie Maisons‐Alfort FranceEcole nationale vétérinaire d'Alfort, Unité d'imagerie Maisons‐Alfort FranceMICEN Vet, Service de neurologie Créteil FranceU955‐IMRB, Inserm, Ecole nationale vétérinaire d'Alfort, Unité de neurologie Maisons‐Alfort FranceAbstract A 3‐year‐old female German Shepherd dog was presented with generalized tonic‐clonic epileptic seizures, right‐sided central vestibular syndrome, and right trigeminal nerve dysfunction. Acute lacunar ischemic strokes within both thalami, right side of the mesencephalon, left side of the myelencephalon, both sides of the cervical spinal cord, and acute hemorrhagic strokes within the rostral part of the right cerebellar hemisphere and right rostral colliculus were identified on magnetic resonance imaging. Additional evaluation identified multiple renal infarcts and complete splenic torsion, with entrapment of the left pancreatic lobe. Medical management, splenectomy, partial pancreatectomy, and intensive physical rehabilitation led to clinical improvement. The histology of the spleen was consistent with hemorrhagic infarction. Three months after onset, neurological examination identified only mild vestibular sequelae. The final diagnosis was multiple ischemic strokes secondary to primary splenic torsion. Spontaneous early hemorrhagic transformation, a well‐known condition in human medicine, also was found in this case.https://doi.org/10.1111/jvim.16527brain infarctionbrainstem strokecerebrovascular accidentsintracranial hypertensionMRI |
| spellingShingle | Nicolas Van Caenegem Thibaut Troupel Jeremy Mortier Jean‐Laurent Thibaud Stéphane Blot Suspected spontaneous early hemorrhagic transformation of multiple ischemic strokes secondary to primary splenic torsion in a German Shepherd dog Journal of Veterinary Internal Medicine brain infarction brainstem stroke cerebrovascular accidents intracranial hypertension MRI |
| title | Suspected spontaneous early hemorrhagic transformation of multiple ischemic strokes secondary to primary splenic torsion in a German Shepherd dog |
| title_full | Suspected spontaneous early hemorrhagic transformation of multiple ischemic strokes secondary to primary splenic torsion in a German Shepherd dog |
| title_fullStr | Suspected spontaneous early hemorrhagic transformation of multiple ischemic strokes secondary to primary splenic torsion in a German Shepherd dog |
| title_full_unstemmed | Suspected spontaneous early hemorrhagic transformation of multiple ischemic strokes secondary to primary splenic torsion in a German Shepherd dog |
| title_short | Suspected spontaneous early hemorrhagic transformation of multiple ischemic strokes secondary to primary splenic torsion in a German Shepherd dog |
| title_sort | suspected spontaneous early hemorrhagic transformation of multiple ischemic strokes secondary to primary splenic torsion in a german shepherd dog |
| topic | brain infarction brainstem stroke cerebrovascular accidents intracranial hypertension MRI |
| url | https://doi.org/10.1111/jvim.16527 |
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