Descrição de 6 casos clínicos de hérnias discais cervicais com resolução cirúrgica em cães: relatório de estágio
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2020
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O presente trabalho foi realizado no âmbito do estágio do Mestrado Integrado em Medicina Veterinária. O estágio decorreu na Clínica Referência Veterinária, no período compreendido entre setembro de 2018 e março de 2019, na área de Neurologia de animais de companhia. Durante o período de estágio foram acompanhados 308 casos clínicos e 47 procedimentos cirúrgicos. O ojectivo deste trabalho consistiu na descrição de seis casos clínicos de cães diagnosticados com hérnia discal cervical e submetidos a tratamento cirúrgico, pela técnica ventral slot.
A doença discal intervertebral é uma das afecções neurológicas mais comuns em cães, sendo que em aproximadamente 15% dos casos ocorre na região cervical. O principal sinal clínico presente nestes animais é a dor espinhal cervical, podendo mesmo ser o único motivo de queixa. É importante realizar uma boa avaliação neurológica a estes animais, com uma recolha adequada da história e a realização de um exame neurológico completo, de modo a selecionar os métodos de diagnóstico ideais e posterior tratamento. Existem duas modalidades terapêuticas, sendo elas a terapia conservadora e a cirurgia. Apesar de ser possível tratar medicamente os cães que se apresentem com episódio inicial de dor, a maioria responde apenas temporariamente a esta modalidade terapêutica. Caso não existam défices neurológicos graves, o prognóstico dos animais submetidos a cirurgia para descompressão ventral é excelente.
The present work was carried out within the scope of the curricular internship of the integrated master’s degree in Veterinary Medicine. The internship took place at the Referência Veterinária Clinic, in the period between September 2018 and March 2019, in the field of small animal neurology. During the internship period, 308 clinical cases and 47 surgical procedures were followed. The aim of this work was to describe six clinical cases of dogs diagnosed with cervical disc herniation that were submitted to surgery by the ventral slot technique. Intervertebral disc disease is one of the most common neurological disorders in dogs, with approximately 15% of the cases occurring in the cervical region. The main clinical sign in these animals is cervical spinal pain, wich may even be the only complaint. It is important to carry out a good neurological evaluation, with a complete background and neurological examination, in order to decide the ideal diagnostic methods and further treatment. There are two therapeutic modalities: conservative therapy and surgery. Although it is possible to medically treat dogs that present an initial episode of pain alone, most of them will only respond temporarily. If there are no severe neurological defcits, the prognosis of animals undergoing surgery for ventral secompression is excellent.
The present work was carried out within the scope of the curricular internship of the integrated master’s degree in Veterinary Medicine. The internship took place at the Referência Veterinária Clinic, in the period between September 2018 and March 2019, in the field of small animal neurology. During the internship period, 308 clinical cases and 47 surgical procedures were followed. The aim of this work was to describe six clinical cases of dogs diagnosed with cervical disc herniation that were submitted to surgery by the ventral slot technique. Intervertebral disc disease is one of the most common neurological disorders in dogs, with approximately 15% of the cases occurring in the cervical region. The main clinical sign in these animals is cervical spinal pain, wich may even be the only complaint. It is important to carry out a good neurological evaluation, with a complete background and neurological examination, in order to decide the ideal diagnostic methods and further treatment. There are two therapeutic modalities: conservative therapy and surgery. Although it is possible to medically treat dogs that present an initial episode of pain alone, most of them will only respond temporarily. If there are no severe neurological defcits, the prognosis of animals undergoing surgery for ventral secompression is excellent.
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Orientação: Ana Faustino; co-orientação: João Ribeiro
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MESTRADO INTEGRADO EM MEDICINA VETERINÁRIA, VETERINÁRIA, CÃES, HÉRNIA DISCAL, CASOS CLÍNICOS, TERAPÊUTICAS, VETERINARY MEDICINE, DOGS, SLIPPED DISC, CASE REPORTS, NEUROLOGY, THERAPEUTICS