Magnetic resonance imaging of presumptive diskospondylitis with paravertebral involvement in a 4 year old English Bulldog
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"Bella", a four year old intact female English Bulldog presented to the Neurology Service at the Cornell University Hospital for Animals with severe acute onset back pain and difficulty walking. Neurologic examination revealed pain in the thoracolumbar spine and decreased proprioception in the pelvic limbs. On survey radiography, no obvious lesions were detected. However, several vertebral malformations were present in the spine. MRI was performed and revealed prominent contrast enhancement surrounding thoracic vertebrae 5-6. The presumptive diagnosis was diskospondylitis with focal cellulitis and meningitis. Historically, survey radiography is established as a cornerstone for imaging of vertebral lesions. Spinal radiographs typically reveal characteristic lesions such as: lysis of vertebral endplates adjacent to the affected disk, collapse of the intervertebral disk space, varying degrees of endplate sclerosis, and ventral new bone formation. However, these lesions may not be detectable until 3-4 weeks post-infection. This report will include a case summary and discussion of canine vertebral infections. Emphasis will be placed on diagnostic imaging and illustrating the use of MRI in the evaluation of presumptive diskospondylitis.
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Seminar SF610.1 2010