Successful surgical debridement of a cerebral Streptococcus equi equi abscess by parietal bone flap craniotomy in a 2‐month‐old Warmblood foal
| Autor: | Laurence Lefère, T. van Bergen, Barbara Broux, Ingrid Gielen, Stijn Schauvliege, Y. Vali |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Streptococcus equi medicine.diagnostic_test biology 040301 veterinary sciences Equine business.industry medicine.medical_treatment 0402 animal and dairy science Magnetic resonance imaging 04 agricultural and veterinary sciences medicine.disease 040201 dairy & animal science Surgery 0403 veterinary science medicine.anatomical_structure Warmblood Foal biology.animal medicine Abscess business Parietal bone Craniotomy Strangles |
| Zdroj: | Equine Veterinary Education. 31 |
| ISSN: | 2042-3292 0957-7734 |
| DOI: | 10.1111/eve.12995 |
| Popis: | Brain abscesses and intracranial masses have been regularly described in horses. Treatment often is difficult and unrewarding and mortality rate high. This case report describes the successful treatment of a cerebral abscess in a 2-month-old female Warmblood foal with severe neurological signs of acute onset. Computed tomography (CT) revealed a 3 x 4 x 4 cm cerebral mass in the left brain hemisphere with severe cerebral oedema. Craniotomy, using a parietal bone flap technique, allowed the abscess to be sampled, drained and lavaged. Immediately, post-surgery the foal showed significant clinical improvement. Sample culture confirmed Streptococcus equi equi infection. The foal was medically treated for 6 weeks, leading to complete clinical and radiographical recovery. Intracranial surgery in equine medicine is limited. Using a parietal bone flap instead of partial craniectomy to gain access to the cerebrum is a less invasive procedure leading to a better aesthetic result and should be considered for the treatment of cerebral masses in the horse. |
| Databáze: | OpenAIRE |
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