scholarly journals Comparative evaluation of different treatment schemes for aseptic meningoencephalitis in dogs of dwarf breeds

2020 ◽  
Vol 27 ◽  
pp. 00128
Author(s):  
Eugene Marin ◽  
Valery Ermolaev ◽  
Oksana Marina ◽  
Elena Rezaeva

The article presents the results of treatment of aseptic meningoencephalitis in dogs of dwarf breeds. Diagnostics included a thorough neurological examination: assessment of mental status, ability to perform diagnostic tests, proprioceptive and postural reaction, the consistency and symmetry of cranial reflexes, including of pupil response to light and response to the threat, the presence of involuntary movements and forced poses, the intensity of the muscle tone and tendon reflexes. If an animal is suspected of having a brain lesion, other possible causes of encephalopathy were excluded. For this purpose, a General blood test was performed (to detect signs of inflammation, anemia); a detailed biochemical blood test (excluding renal and hepatic encephalopathy, indirect signs of the presence of a portosystemic shunt); if a portosystemic shunt was suspected, a blood test for bile acids was performed; when excluding all other causes of damage to the central nervous system. Magnetic resonance imaging of the brain was performed with contrast with the use of the drug OmniScan. During the magnetic resonance imaging, multiple foci were detected in all parts of the brain, including in the thalamus and trunk; including in some animals, foci that have a tendency to decay and form a necrotic cavity. It was established that before the start of treatment, animals had a wobbly gait, convulsive signs, a comatose state in some dogs, and weak visual reflexes. As a result of studies of morphological and biochemical parameters of blood in dogs, it was found that all the data obtained were within the reference values and did not have significant significance in the diagnosis of aseptic meningoencephalitis. Against the background of etiotropic and symptomatic therapy, positive dynamics was observed in patients with aseptic meningoencephalitis.

2018 ◽  
Vol 7 (3) ◽  
pp. 217-221
Author(s):  
E. V. Shevchenko ◽  
G. R. Ramazanov ◽  
S. S. Petrikov

Background Acute dizziness may be the only symptom of stroke. Prevalence of this disease among patients with isolated dizziness differs significantly and depends on study design, inclusion criteria and diagnostic methods. In available investigations, we did not find any prospective studies where magnetic resonance imaging, positional maneuvers, and Halmagyi-Curthoys test had been used to clarify a pattern of diseases with isolated acute dizziness and suspected stroke.Aim of study To clarify the pattern of the causes of dizziness in patients with suspected acute stroke.Material and methods We examined 160 patients admitted to N.V. Sklifosovsky Research Institute for Emergency Medicine with suspected stroke and single or underlying complaint of dizziness. All patients were examined with assessment of neurological status, Dix-Hollpike and Pagnini-McClure maneuvers, HalmagyiCurthoys test, triplex scans of brachiocephalic arteries, transthoracic echocardiography, computed tomography (CT) and magnetic resonance imaging (MRI) of the brain with magnetic field strength 1.5 T. MRI of the brain was performed in patients without evidence of stroke by CT and in patients with stroke of undetermined etiology according to the TOAST classification.Results In 16 patients (10%), the cause of dizziness was a disease of the brain: ischemic stroke (n=14 (88%)), hemorrhage (n=1 (6%)), transient ischemic attack (TIA) of posterior circulation (n=1 (6%)). In 70.6% patients (n=113), the dizziness was associated with peripheral vestibulopathy: benign paroxysmal positional vertigo (n=85 (75%)), vestibular neuritis (n=19 (17%)), Meniere’s disease (n=7 (6%)), labyrinthitis (n=2 (1,3%)). In 6.9% patients (n=11), the cause of dizziness was hypertensive encephalopathy, 1.9% of patients (n=3) had heart rhythm disturbance, 9.4% of patients (n=15) had psychogenic dizziness, 0.6% of patients (n=1) had demyelinating disease, and 0.6% of patients (n=1) had hemic hypoxia associated with iron deficiency anemia.Conclusion In 70.6% patients with acute dizziness, admitted to hospital with a suspected stroke, peripheral vestibulopathy was revealed. Only 10% of patients had a stroke as a cause of dizziness.


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