Department of Small Animal Medicine and Surgery (Kent), Department of Large Animal Medicine (Beasley, Marino) Department of Veterinary Biosciences and Diagnostic Imaging (Gendron, Barozzi) 2200 College Station Road, College of Veterinary Medicine, University of Georgia, Athens, Georgia 0602, USA.
Can Vet J. 2021 Jun;62(6):592-597.
A mixed-breed pygmy goat was presented for nonambulatory tetraparesis. Neurological examination was consistent with a C6 to T2 myelopathy. Initially, the goat was treated medically. Forty-three days later, magnetic resonance imaging (MRI) revealed an extradural mass compressing the cervical spinal cord. Magnetic resonance attributes of the mass were consistent with a slow-growing, fluid-poor lesion. The spinal cord was surgically decompressed. Epidural empyema secondary to was identified. Postoperative care consisted of anti-inflammatory medication, antimicrobials, and physical therapy. Ability to walk occurred by day 14 after surgery. Despite prolonged recumbency before surgery, the goat was clinically normal, and antimicrobials were discontinued on day 60 after surgery. Key clinical message: Epidural empyema can cause a compressive myelopathy which may result in varying degrees of paresis/paralysis. Clinical resolution and return of normal function occurred following the use of MRI to plan surgical decompression combined with extended use of antimicrobials.
一只混血小尾寒羊因四肢瘫痪而无法行走。神经学检查与 C6 到 T2 脊髓病变一致。最初，这只羊接受了药物治疗。43 天后，磁共振成像（MRI）显示硬膜外肿块压迫颈椎脊髓。肿块的磁共振特征与生长缓慢、液体缺乏的病变一致。脊髓进行了减压手术。继发于 的硬膜外积脓被确定。术后护理包括抗炎药物、抗生素和物理治疗。术后 14 天开始能够行走。尽管术前长时间卧床，但这只羊在临床上是正常的，并且在手术后 60 天停止使用抗生素。关键临床信息：硬膜外积脓可引起压迫性脊髓病变，可导致不同程度的瘫痪/麻痹。使用 MRI 规划手术减压并延长使用抗生素后，临床症状得到缓解，功能恢复正常。
