Fibrocartilaginous embolic myelopathy in small animals

Luisa De Risio1, Simon R Platt

  • 1Neurology/Neurosurgery Unit, Centre for Small Animal Studies, Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk, CB8 7UU, UK. luisa.derisio@aht.org.uk

Insights

Fibrocartilaginous embolic myelopathy (FCEM) causes sudden, nonpainful neurological deficits in dogs. While MRI is useful, diagnosis requires spinal cord examination, and imaging findings can predict outcomes.

Area of Science:

  • Veterinary Neurology
  • Spinal Cord Diseases
  • Diagnostic Imaging

Background:

  • Fibrocartilaginous embolic myelopathy (FCEM) is a neurological condition affecting dogs.
  • It typically presents with acute, nonpainful, and often asymmetric neurological deficits.
  • FCEM diagnosis is confirmed via histologic examination of spinal cord tissue.

Purpose of the Study:

  • To review the diagnostic challenges and prognostic indicators for canine FCEM.
  • To highlight the role and limitations of magnetic resonance imaging (MRI) in diagnosing FCEM.
  • To correlate clinical signs and MRI findings with patient outcomes.

Main Methods:

  • Review of existing literature on canine FCEM.
  • Analysis of diagnostic imaging techniques, particularly MRI.
  • Correlation of clinical presentation and MRI lesion extent with patient prognosis.

Main Results:

  • FCEM onset is peracute, with deficits typically nonprogressive after 24 hours.
  • MRI is the preferred antemortem diagnostic tool, but may be normal in the first 24-72 hours.
  • Neurologic sign severity and MRI lesion extent are predictive of outcome.

Conclusions:

  • Definitive FCEM diagnosis relies on histopathology.
  • Early MRI may not reveal changes, necessitating careful interpretation.
  • Clinical and imaging assessments are crucial for predicting recovery in affected dogs.

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