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Peer-reviewed veterinary case report

Most common causes of sudden paralysis in dogs and cats

By Rossi, Graham et al.·Published in The Veterinary record·2020·North Carolina State University College of Veterinary Medicine, United States·View original on PubMed

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Original publication title: Intervertebral disc disease and aortic thromboembolism are the most common causes of acute paralysis in dogs and cats presenting to an emergency clinic.

Species:
dog

Plain-English summary

A study found that acute paralysis is a common reason for dogs and cats to visit emergency clinics. In dogs, the most frequent cause was intervertebral disc disease (IVDD), especially in Dachshunds, while in cats, aortic thromboembolism (ATE) was the leading cause. Out of the dogs studied, 72% had IVDD, and 60% of the cats had ATE. Understanding these common causes can help veterinarians quickly identify and treat the underlying issues.

People also search for: dog paralysis causes · Dachshund IVDD symptoms · cat aortic thromboembolism treatment

Abstract

BACKGROUND: Acute paralysis is a common presentation in small animal emergency clinics, but the aetiological prevalence has not been reported. Knowledge of diagnosis frequency aids prioritisation of differential diagnoses, facilitates resource planning and clinical trial design. METHODS: Medical records from NC State Veterinary Hospital Emergency Room were searched over a five-year period to identify cases presenting with acute non-ambulatory paraparesis or paralysis. Signalment and diagnosis category were extracted. RESULTS: Acute paralysis was the presenting problem in 845 of 21,535 (3.9 per cent) dogs and 66 of 4589 (1.4 per cent) cats admitted over this period. Intervertebral disc disease (IVDD) was the most common cause (608 of 845; 72 per cent) in dogs, followed by vascular disease (34 of 845; 4.0 per cent). Other diagnostic categories accounted for the remaining 20 per cent. Dachshunds were the most common breed (263 of 845; 31.1 per cent), then Labrador retrievers (57 of 845; 6.7 per cent). In cats, aortic thromboembolism (ATE) was the most common diagnosis, occurring in 40 of 66 (60.6 per cent), followed by IVDD (7 of 66; 10.6 per cent). Other diagnostic categories accounted for 30.3 per cent. Six of 845 (0.7 per cent) dogs and two of 66 (3 per cent) cats were categorised as pseudoparalysis with a non-neurological diagnosis. CONCLUSIONS: IVDD and ATE are the overwhelming causes of acute paralysis in dogs and cats, respectively, with approximately 28 per cent of dogs and 40 per cent of cats having a different diagnosis.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32471959/