Cerebellar vascular accident secondary to protein losing nephropathy in a Pomeranian
A six year old female spayed Pomeranian dog presented to Cornell with vestibular signs localizable to the cerebellum. MRI identified a well-demarcated, wedge-shaped lesion in the distribution of the right rostral cerebellar artery which was hyperintense on T2 and mildly contrast-enhancing, a classic presentation for vascular accident. Cerebrospinal fluid analysis was unremarkable. Ancillary testing revealed azotemia, mild nonregenerative anemia, increased urine protein-to-creatinine ratio, increased fibrinogen, increased D-dimers, and decreased antithrombin. Based on the results of these tests, a diagnosis of cerebellar vascular accident secondary to protein losing nephropathy was made. Cerebellar vascular accident pathophysiology, clinical signs, diagnostics, imaging, underlying causes, treatment, and prognosis are briefly discussed.
Senior seminar paperSeminar SF610.1 2010
Dogs -- Diseases -- Case studies