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Surgical therapy of a severe combined congenital cranial defect
Certainly not a `routine` case to do surgery on: A young miniature dachshund with a combined hydrocephalus, syringohydromyelia, and a ventricular cyst. Does it make sense to do surgery on such an animal and what can be done?

Combined hydrocephalus, syringohydromyelia, and a ventricular cyst were found by magnetic resonance imaging in a 7-month-old, male miniature dachshund with gait abnormalities and altered mentation.

Clinical signs did not improve with prednisone therapy.

Ventriculoperitoneal shunting improved the clinical signs and anatomical abnormalities.

Repeated operations were needed to replace the ventricular drainage tube at 3 and 31 months after the first surgery.

The animal died suddenly with severe tonic-clonic, generalized seizures 3 weeks after the third operation. Ventriculoperitoneal shunting may be a viable treatment for syringohydromyelia associated with hydrocephalus.





Source: Takashi Hasegawa, Yasuho Taura, Hiroshi Kido, Akira Shibazaki, Hiromu Katamoto (2005): Surgical Management of Combined Hydrocephalus, Syringohydromyelia, and Ventricular Cyst in a Dog. In: Journal of the American Animal Hospital Association 41:267-272 (2005)



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SMALL ANIMAL PRACTICE

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