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Peer-reviewed veterinary case report

Femoral nerve entrapment in a dog with diffuse idiopathic skeletal hyperostosis.

Journal:
Veterinary and comparative orthopaedics and traumatology : V.C.O.T
Year:
2015
Authors:
Lai, A et al.
Affiliation:
Small Animal Surgery Department · Australia
Species:
dog

Abstract

OBJECTIVE: To report femoral neuropathy caused by nerve entrapment associated with diffuse idiopathic skeletal hyperostosis (DISH). STUDY DESIGN: Case report. ANIMAL: Seven-year-old female spayed Boxer dog. RESULTS: Entrapment of the right femoral nerve due to DISH caused a femoral nerve deficit and atrophy of muscle groups associated with the affected nerve. A combination of computed tomography and magnetic resonance imaging was performed to provide a diagnosis. Amputation of the right transverse process of the sixth lumbar vertebra at the level of nerve entrapment relieved the neurological abnormality. CONCLUSIONS: Nerve entrapment leading to neurapraxia may occur concurrently with DISH and surgery in this case was successful in restoring function. CLINICAL RELEVANCE: Peripheral neuropathy from nerve entrapment should be considered in patients with DISH. Surgical amputation of impinging osseous structures may be indicated for relief of femoral neuropathy.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/25651036/