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Intervertebral disc herniation in two coatis (Nasua nasua) and postoperative laminectomy membrane formation
Insights
Surgical treatment for intervertebral disc herniation in coatis showed promising results, with most patients recovering well. However, potential relapses highlight the need for ongoing monitoring after spinal cord decompression surgery.
Area of Science:
- Veterinary Neurology
- Comparative Medicine
Background:
- Intervertebral disc herniation (IVDH) is a common cause of spinal cord compression in mammals.
- Hansen type I and II IVDH are frequently observed in canine patients, but less documented in exotic species like coatis (Nasua nasua).
Observation:
- Two middle-aged coatis presented with chronic progressive paraparesis, diagnosed via magnetic resonance imaging (MRI) as thoracolumbar spinal cord compression from intervertebral disc herniation.
- Surgical interventions, including hemilaminectomy, partial corpectomy, and dorsal laminectomy, were performed on the affected coatis.
Findings:
- Both coatis demonstrated initial positive surgical outcomes with improved mobility.
- One coati experienced a recurrence of paraparesis 20 months post-surgery, attributed to a laminectomy membrane compressing the spinal cord, ultimately leading to euthanasia.
- Histopathological analysis revealed spinal cord injury and degenerative disc disease comparable to canine presentations.
Implications:
- This case report suggests surgical intervention is a potentially safe and effective treatment for chronic intervertebral disc herniation in coatis.
- The possibility of relapse, as seen in one case due to laminectomy membrane formation, underscores the importance of long-term follow-up and monitoring in treated coatis.
Abstract:
Magnetic resonance imaging revealed spinal cord compression due to intervertebral disc herniation of Hansen type I and II in the thoracolumbar vertebral column in two middle-aged coatis (Nasua nasua) with chronic progressive paraparesis. Surgical treatment included hemilaminectomy and partial corpectomy in one and dorsal laminectomy in the other coati. Both coatis recovered well after surgery. One showed unremarkable gait 6 and 15 months post surgery, while the other one suffered from recurrence of paraparesis leading to euthanasia because of deterioration of neurological signs 20 months after the first surgery. Necropsy revealed formation of a laminectomy membrane compressing the spinal cord. Histopathological signs of spinal cord injury and findings of degenerative processes in the intervertebral disc were comparable to those described in dogs. In conclusion, this case report shows for the first time that surgical intervention seems to be a useful and safe treatment in chronic intervertebral disc herniation in coatis, but relapses are possible.
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