Neurology is a branch of medicine that is concerned with the study and treatment of disorders involving the nervous system. The nervous system is a complex and sophisticated system that is responsible for sending, receiving, and processing nerve impulses throughout the body. There are two main areas of the nervous system; the central nervous system and the peripheral nervous system. The central nervous system includes the brain and spinal cord and the peripheral nervous system including sensory nerves and muscle activity.

Our Neurologists specialize in managing neurological disorders. Our neurologist will take an in-depth and comprehensive history followed by a thorough examination of your pet, paying specific attention to the nervous system. Once the area of concern has been identified our neurologist, in consultation with you, will recommend additional testing and/or treatment options.

Our Neurologists have access to specialized equipment and work closely with the other specialists throughout the hospital to ensure comprehensive care. Some common neurological tests include Magnetic Resonance Imaging (MRI) and cerebral spinal fluid analysis (Spinal tap).

COMMON CONDITIONS SEEN BY THE NEUROLOGY DEPARTMENT INCLUDE:

  • Seizures
  • Spinal cord diseases
  • Spinal trauma
  • Head trauma
  • Wobbler’s Syndrome
  • Degenerative myelopathy
  • Chiari malformation
  • Atlantoaxial joint instability
  • Myositis
  • Brain tumors
  • Encephalitis and meningoencephalomyelitis
  • Polyneuropathy
  • Vestibular disease

 

VETERINARY IMAGING – MRI

The MRI adds one more advanced, non-invasive imaging diagnostic tool to our hospital. The equipment is an open system specifically designed for the veterinary patient.

By offering in house MRI services, the Mississauga-Oakville Veterinary Emergency Hospital is able to provide a prompt diagnosis and even complete surgical intervention within 12-24 hours of presentation for most neurological patients.

MR images are formed by tiny radiofrequency signals. A strong magnetic field aligns the natural spinning of water molecules within body tissues to create high resolution images.

MRI is the best modality to evaluate the nervous system. It is non-invasive and has the best contrast resolution. In addition to providing high quality images of the central nervous system, MRI is very useful when evaluating patients with signs of nose, eye or ear disease.

It is also the modality of choice when extension of lesions into the brain is suspected. MRI is excellent in evaluating extent and margins of soft tissue lesions. In cases of chronic wounds and draining tracts, it can help in identifying foreign bodies.

MRI allows a thorough evaluation of joints and other musculoskeletal structures.

MRI is ideal for cancer patients because of its utility in pre-surgical planning, treatment response with follow-up MRI scans and prognosis based on extent of disease.

What Additional Training Does A Veterinary Neurologist Have?

A veterinarian who has been awarded this specialty status by the ACVIM will list the initials, 'DACVIM (Neurology),' after his or her veterinary degree. Or, the veterinarian may indicate that he or she is a 'Diplomate' of the ACVIM. The word 'Diplomate' typically means the specialist has achieved the following:

  • Obtained a traditional 8 year veterinary degree (four years of college plus four years of veterinary school).
  • Completed a one year internship and an additional two to three years of advanced training, including a residency at an approved program where the doctor will have trained with some of the best experts in the field and obtained hands on experience.
  • Following this training, the aspiring veterinary neurologist must pass a series of examinations covering all aspects of general internal medicine and neurology.

After completing and passing all of these rigorous requirements, the veterinarian is then recognized by his or her peers as a board certified specialist in veterinary neurology. Many veterinary neurologists are also trained in neurosurgery, while others limit their practice to the medical aspects of the discipline and work with a surgeon on the cases requiring surgery. When your pet needs the care of a veterinary neurologist, years of intensive training and additional education will be focused on helping him or her to recover from his or her problem or enjoy the highest quality of life possible.
 

What are Examples of Neurologic Diseases In Pets?

  • Epilepsy
  • Congenital deafness
  • Viral infection (canine distemper, feline infectious peritonitis, feline leukemia, rabies)
  • Fungal infection (Cryptococcus, Coccidioides)
  • Tick-borne infections (Rocky Mountain Spotted Fever, Ehrlichia)
  • Granulomatous Meningioencephalitis (GME)
  • Myasthenia gravis
    Hypoglycemia
  • Hepatoencephalopathy (brain dysfunction due to liver disease)
  • Hypothyrodism
  • Toxicity due to pesticides, lead, ethylene glycol (antifreeze), certain antibiotics
  • Nutritional disorders, such as thiamine or vitamin E deficiency
  • Traumatic brain or spinal cord injury
  • Degenerative myelopathy
  • Cancer
     

What are Signs of Neurologic Disease In Pets?

  • Behavior changes
  • Altered consciousness (e.g., depression, disorientation, coma
  • Seizures
  • Complete or partial paralysis
  • Neck or back pain
  • Generalized weakness or weakness in one area of the body
  • Incoordination or imbalance
  • Gait or stance abnormalities (e.g., straddling or shuffling of rear limbs; crouched position)
  • Loss of sensory function (sight or hearing)
  • Confusion
  • Head tilt
  • Tremors
  • Fecal or urinary incontinence
  • Inappetence

In some cases, your veterinarian may be able to simply consult with the veterinary neurologist about your pet's care. In other cases, it is necessary to actually refer you to the specialist. Veterinary neurologists are trained in state of the art diagnostic techniques and will utilize advanced imaging such as CT or MRI scans to look at the structures of the nervous system. With electrodiagnostic tests, a neurologist can examine the function of the peripheral nervous system, particularly the nerves and muscles. Spinal fluid analysis can provide clues to such infectious diseases as encephalitis or meningitis. Veterinary neurologists also will be able to make appropriate recommendations for your pet's rehabilitation period, especially after such major procedures as back surgery. Lengthy recuperation times can be necessary, and your pet may be referred to rehabilitation facilities offering such services as water or physical therapy. Pain management will also be addressed.

What are Veterinary Neurological Exam Basics?

Neurological examinations typically proceed from head to tail, with all areas of the body being given systematic attention in that order. In addition, your pet may be videotaped for future reference and to help train other veterinarians.

Mental status: The pet will be observed to determine whether it interacts normally with its owner, other people and animals, and the environment.

Gait and body posture: The veterinary neurologist will watch the animal walk around the room, in the hallway, or up and down stairs. Additionally, the neurologist will make observations regarding the animal's body posture.

Cranial nerve examination: The pet's senses of sight, smell, and hearing will be checked, as well as its ability to chew, swallow, and move its tongue, eye, and facial structures normally. Response to pain will also be checked.

Physical examination: The pet's body will be palpated for any signs of pain or muscle atrophy. The veterinary neurologist will also perform a number of tests with the pet's limbs to check reflexes and reactions, such as turning a pet's paw over to see if the pet will reposition it to the normal stance, and lifting a pet up off the ground and lowering it back down to see how it positions its legs upon contact with the ground.

Reflex testing: Just as in humans, a veterinary neurologist may check a pet's reflexes as part of the examination process.
 

What Is A Neurologic Veterinary Emergency?

  • Seizure
  • Complete loss of function of any or all limbs
  • Recurrent or intractable pain, specifically of the back and neck
  • Head trauma
  • Spinal trauma
  • Severe depression or inability of the patient to respond to its environment
     

What Is Epilepsy In Pets?

Depending on the source, the incidence of epilepsy among the general pet population is estimated at between 0.5 and 2.3%. Epilepsy refers to chronic, recurrent seizures and can be inherited or acquired. Thus, epilepsy is a clinical condition, not a specific disease. Idiopathic epilepsy refers to recurrent seizures in which no identifiable cause is found to explain the seizures, such as metabolic disease, toxin exposure, encephalitis, or brain tumors. Seizure diagnosis involves ruling out common causes of seizures. Initially, your veterinary neurologist will likely order a series of blood tests to help rule out metabolic and toxic causes of seizures. Depending on the age of your pet, the course of the seizures, and the results of the neurological examination, the neurologist may recommend an MRI or CT scan of the brain and/or a spinal fluid tap to look for signs of encephalitis or brain cancer.

Idiopathic epilepsy is most common in purebred dogs, with an age of onset between one and five years of age (often before three years). Dogs and cats with idiopathic epilepsy are completely normal between seizures and have a normal neurological examination.

If your pet's first seizure occurs before 1 year of age or after 5 years of age, is not normal between seizures, or if there are any abnormalities on neurological examination, the veterinary neurologist may recommend advanced diagnostics, such as an MRI of the brain, to help determine the cause of the seizure

What Neurological Diagnostic Tests are used?

  • Myelogram: Contrast dye radiographic study of the spine.
  • CSF tap: Cerebral spinal fluid removed from the spinal cord and analyzed.
  • Electromyography: Electrical impulses are used to diagnose the function of nerves and muscles.
  • Imaging techniques such as MRI and CT.

What Problems Does A Veterinary Neurologist Diagnose and Treat?

Veterinary neurology is a challenging field in that some diseases are solely neurologic in origin while in other cases, the neurologic problem may be related to an underlying systemic disease. In the first case, the
veterinary neurologist may be able to treat the neurologic problem directly. In the second case, resolution of the neurologic problem may hinge on the correct diagnosis and treatment of the underlying disease. For example, certain viral infections may result in neurologic signs.
 

Looking for The Referral Form?

Loading... Please wait