Neuroanatomic lesion localization - detecting where a neurologic problem arises - is key when presented with a dog or cat with signs of neurologic disease. The correct neuroanatomic lesion localization will drive veterinarians towards an appropriate list of differential diagnoses and help lead the client towards applicable diagnostic investigation. Neuroanatomic lesion localization is the first step when managing any pet with signs of neurologic disease. Despite its importance, it remains a challenge for veterinary students, residents, and practitioners in their daily practice.
Laid out in a case-based format and workbook style to guide the reader through neuroanatomic lesion localization, this book:
- Covers the whole process from the animal's examination through to diagnosis;
- Covers localizations of intercranial disease, spinal cord disease, neuromuscular disease and multifocal disease;
- Provides blank practice sheets to encourage the reader to work through cases, testing and consolidating their knowledge multiple times.
Written by a team of eminent, international veterinary neurologists, this book is an invaluable resource for veterinary students and practitioners looking to expand their skills in veterinary neurology.
Author(s): Heidi Barnes Heller
Publisher: CABI
Year: 2022
Language: English
Pages: 211
City: Boston
Cover
Title page
Copyright
Contents
Contributors
Abbreviations
1 How to Use this Book
How to Use the Practice Sheet
References
2 Introduction to the Neurologic Examination
Anatomic and Functional Organization of the Nervous System
Patient Signalment, History, Physical Examination
Neurologic Examination
Observation of mentation
Gait and body posture
Cranial nerve examination
Evaluation of postural reaction
Evaluation of spinal reflexes
Palpation
Nociception
References
3 Neuroanatomic Lesion Localization
Prosencephalon
Brainstem
The Vestibular System
The Visual System
Lesion Localization: Spinal Cord
Reference
4 Intracranial Disease
Case 1
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 1: Left brainstem vestibular
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 2
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 2: Brainstem with possible cerebellar herniation
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 3
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Neuroanatomic lesion localization, Case 3: Left prosencephalon
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 4
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 4: Left medulla oblongata
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 5
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 5: Cerebellum, including the cerebellovestibular nuclei
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 6
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 6: Right forebrain/prosencephalon
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 7
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Neuroanatomic lesion localization, Case 7: Forebrain/prosencephalon
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 8
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 8: Right brainstem, in the region of the nucleus for CN XII
Differential diagnoses
Diagnostic testing and results
Case conclusion
References
5 Spinal Cord Disease
Case 1
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 1: C1–C5 myelopathy
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 2
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 2: Cauda equina syndrome/L6–S3 radiculopathy
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 3
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 3: T3–L3 myelopathy, with a focus in the cranial thoracic spinal cord region
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 4
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 4: C1–C5 myelopathy
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 5
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 5: C1–C5 myelopathy
Diagnostic testing and results
Case conclusion
Case 6
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 6: T3–L3 myelopathy
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 7
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 7: T3–L3 myelopathy
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 8
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 8: T3–L3 myelopathy
Differential diagnoses
Diagnostic testing and results
Case conclusion
References
6 Neuromuscular Disease
Case 1
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 1: Neuromuscular
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 2
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 2: Neuromuscular
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 3
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 3: Neuromuscular
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 4
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 4: Neuromuscular
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 5
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 5: Neuromuscular
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 6
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 6: Peripheral left CN VIII and reduced sympathetic function to the left eye
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 7
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 7: Myopathy
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 8
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on neuroanatomic lesion localization
Neuroanatomic lesion localization, Case 8: Neuromuscular junction or myopathy
Differential diagnoses
Diagnostic testing and results
Case conclusion
References
7 Multifocal Disease
Case 1
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on lesion localization
Neuroanatomic lesion localization, Case 1: C6–T2 myelopathy, brainstem, and prosencephalon
Diagnostic testing and results
Case conclusion
Case 2
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on lesion localization
Neuroanatomic lesion localization, Case 2: Prosencephalon and neuromuscular disease
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 3
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on lesion localization
Neuroanatomic lesion localization, Case 3: Diffuse cerebellum and peripheral neuropathy
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 4
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on lesion localization
Neuroanatomic lesion localization, Case 4: C1–C5 myelopathy and peripheral neuropathy
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 5
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on lesion localization
Neuroanatomic lesion localization, Case 5: Multifocal spinal cord
Differential diagnoses
Diagnostic testing and results
Case conclusion
Case 6
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on lesion localization
Neuroanatomic lesion localization, Case 6: Peripheral CN III, IV, V, VI, and VIII
Differential diagnoses
Diagnostic tests
Case conclusion
Case 7
Patient signalment
History
Physical examination
Neurologic examination
Neuroanatomic lesion localization practice sheet
Discussion on lesion localization
Neuroanatomic lesion localization, Case 7: C1–C5 myelopathy and peripheral neuropathy
Differential diagnoses
Diagnostic testing and results
Case conclusion
References
Appendix
Neuroanatomic Lesion Localization Practice Sheet
Index
Cabi
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