Ischaemic and haemorrhagic stroke in the dog

Annette Wessmann1, Kate Chandler, Laurent Garosi

  • 1Division of Companion Animal Science, Institute of Comparative Medicine, Faculty of Veterinary Medicine, University of Glasgow Veterinary School, 464 Bearsden Road, Bearsden, Glasgow G61 1QH, UK. a.wessmann@vet.gla.ac.uk

Insights

Canine stroke, though rare, is increasingly diagnosed using advanced imaging like MRI. Prognosis is generally good, especially when no underlying cause is identified.

Area of Science:

  • Veterinary Neurology
  • Diagnostic Imaging

Background:

  • Cerebrovascular disease affects brain blood vessels, with stroke being a major cause of death in humans.
  • Stroke is an emerging diagnosis in dogs, facilitated by advanced imaging techniques.

Purpose of the Study:

  • To review the diagnosis and management of stroke in dogs.
  • To highlight the role of advanced imaging in canine cerebrovascular disease.

Main Methods:

  • Magnetic resonance imaging (MRI) is the primary diagnostic tool.
  • Specific MRI sequences (diffusion-weighted, magnetic resonance angiography, gradient echo) are used for different stroke types.
  • Evaluation for underlying conditions associated with canine stroke.

Main Results:

  • MRI, particularly diffusion-weighted imaging and magnetic resonance angiography for ischemic stroke and gradient echo for hemorrhagic stroke, is crucial for diagnosis.
  • Underlying causes in dogs can include hypothyroidism, neoplasia, sepsis, hypertension, parasites, vascular malformations, and coagulopathy.
  • Recovery typically occurs within weeks with supportive care.

Conclusions:

  • Canine stroke is increasingly recognized, with MRI being the key diagnostic modality.
  • Prognosis for canine stroke is often good, particularly when no underlying pathological cause is identified.

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