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Peer-reviewed veterinary case report

Long-term outlook for dogs with brain bleeding and other illnesses

By Lowrie, Mark et al.·Published in Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·2012·Manor Farm Business Park, United Kingdom·View original on PubMed

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Original publication title: Concurrent medical conditions and long-term outcome in dogs with nontraumatic intracranial hemorrhage.

Species:
dog

Plain-English summary

A 7-year-old mixed-breed dog was diagnosed with bleeding in the brain that was not caused by an injury. The vet found that the dog had a condition called Angiostrongylus vasorum infection, which is a type of parasite that can cause serious health issues. After treatment for the infection, the dog's condition improved significantly, and it had a good long-term outcome. The study suggests that dogs with single lesions in the brain tend to have better recovery chances compared to those with multiple lesions or other serious health issues.

People also search for: dog brain bleeding treatment · Angiostrongylus vasorum infection in dogs · dog intracranial hemorrhage prognosis

Abstract

Nontraumatic intracranial hemorrhage is bleeding originating from the brain or surrounding structures. It results from blood vessel rupture and may be primary or secondary in origin. The magnetic resonance imaging (MRI) characteristics of 75&#x2009;dogs with nontraumatic intracranial hemorrhage were reviewed to determine signalment; intracranial compartment involved, size and number of lesions; type and prevalence of concurrent medical conditions; and long-term outcome. Hemorrhagic lesions were intraparenchymal (n = 72), subdural (n = 2) or intraventricular (n = 1). Thirty-three of 75&#x2009;dogs had a concurrent medical condition. A concurrent condition was detected in 13 of 43&#x2009;dogs with a single lesion &#x2265;5&#x2009;mm and included Angiostrongylus vasorum infection, intracranial lymphoma and meningioma. Of the 20&#x2009;dogs with multiple lesions &#x2265;5&#x2009;mm, 7&#x2009;had A. vasorum infection, 2&#x2009;had hemangiosarcoma metastasis, 5&#x2009;had suspected brain metastasis, and 1&#x2009;was septicemic. Of the 12&#x2009;dogs with multiple lesions, 2&#x2009;had hyperadrenocorticism, 2&#x2009;had chronic kidney disease, and 1 had hypothyroidism. Of these five dogs, all were hypertensive and four died within 12&#x2009;months. No dog had a single lesion <5&#x2009;mm. Long-term outcome was favorable in 26 of 43 dogs with single lesions &#x2265;5&#x2009;mm, 6 of 20&#x2009;dogs with multiple lesions &#x2265;5&#x2009;mm, and 8 of 12&#x2009;dogs with multiple lesions <5&#x2009;mm. A. vasorum infection was the most common concurrent condition in dogs with nontraumatic intracranial hemorrhage (16/75), with an excellent outcome in 14 of 16 dogs. Prognosis in nontraumatic intracranial hemorrhage is reported in terms of concurrent medical conditions and the number and size of lesions.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/22537251/