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Peer-reviewed veterinary case report

Dog with balance and vomiting problems had brain tumor removed

By Jaemin Jeong et al.·Published in Frontiers in Veterinary Science·2024·Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University, Daejeon, Republic of Korea, CH·View original on DOAJ

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Original publication title: Case report: Gross total resection of a primary fourth ventricular meningioma using the telovelar approach in a dog

Species:
dog
Dog vomitingBrain & nervesDogs

Plain-English summary

An 11-year-old spayed female Maltese dog was brought in with changes in her walking, a wide stance, and ongoing vomiting for two months. A neurological exam showed issues like head tilt and tremors, and an MRI revealed a tumor in her brain. The tumor was successfully removed through surgery, and while she initially had some difficulty walking afterward, she was able to walk again within six days. After 10 days, she went home, and follow-up exams showed improvement, with only mild lingering signs.

People also search for: dog vomiting and walking problems · Maltese dog brain tumor surgery · dog head tilt treatment

Abstract

An 11-year-old spayed female Maltese dog presented with a 2-month history of gait alterations, wide-based stance, and chronic vomiting. Neurological examination revealed cerebellovestibular signs, including head tilt, nystagmus, strabismus, intentional tremor, and hypermetric gait. MRI showed a mass with iso- to hypointensity on T1-weighted (T1W) images and heterogeneous hyperintensity on T2-weighted (T2W) images, with marked non-uniform contrast enhancement. The tumor was removed via a telovelar approach without intraoperative complications. Postoperatively, the dog developed non-ambulatory paraparesis with the rigidity of the pelvic limbs but recovered ambulation within 6 days. Preoperative neurological signs progressively improved, and the patient was discharged without complications 10 days after surgery. Histological examination revealed dense spindle cells with an abundant collagen matrix and oval-shaped nucleated cells with small whorls, leading to a diagnosis of transitional meningioma of the fourth ventricle. MRI follow-up at 8 months postoperatively showed no definitive evidence of recurrence. At the final follow-up, 15.4 months postoperatively, mild neurological signs, including a slight head tilt and subtle strabismus, remained, but the rest of the neurological examination was normal. This is the first reported case of a meningioma in the fourth ventricle of a dog successfully removed using the telovelar approach.

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Original publication on DOAJ: https://doi.org/10.3389/fvets.2024.1450332