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Peer-reviewed veterinary case report

Survival and early problems after brain surgery in dogs

By Forward, Alexander K. et al.·Published in Veterinary Surgery·2018·Department of Clinical Science and Services Royal Veterinary College, University of London North Mymms United Kingdom, United Kingdom·View original on Crossref

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Original publication title: Postoperative survival and early complications after intracranial surgery in dogs

Species:
dog
Brain & nervesDogs

Plain-English summary

Fifty dogs that underwent brain surgery were monitored for their recovery and any complications afterward. Most of the dogs, 49 out of 50, survived the immediate recovery period, and 46 were able to go home after treatment. However, nearly half of the dogs showed some early neurological issues, and about 47% experienced other complications, with aspiration pneumonia being the most common. Fortunately, most of these problems were treatable, and the overall survival rate was very high.

People also search for: dog brain surgery recovery · dog aspiration pneumonia treatment · signs of neurological problems after surgery

Abstract

AbstractObjectiveTo describe survival and early postoperative outcome after intracranial surgery in dogs.Study designRetrospective case series.AnimalsFifty client‐owned dogs that underwent intracranial surgery.MethodsRecords were searched and analyzed for dogs that underwent intracranial surgery between 2005 and 2015. Signalment, clinical presentation, neurological deficits, concurrent medical conditions, laboratory data, diagnosis, administration of perioperative glucocorticoids or antiepileptic drugs, and specific imaging, surgical, and anesthetic variables were recorded. Risk factors for survival, occurrence of postoperative complications, and hospitalization times were identified with univariate linear and logistic regression, followed by multivariable regression models.ResultsAll dogs were recovered with a specific protocol in an intensive care unit. Forty‐nine of 50 (98%) dogs survived the immediate postoperative period, and 46 of 50 (92%) survived to discharge. Early postoperative neurological deterioration was seen in 45% (22/49) of dogs, and a postoperative complication was diagnosed in 23 of 49 (47%). Nonneurological postoperative complications were seen in 9 of 49 (18%) dogs; the most common consisted of aspiration pneumonia (6/49, 12%). Among variables associated with outcomes, higher postoperative natremia (P = .023) and prolonged hospitalization (P = .024) were associated with the occurrence of postoperative, nonneurological complications.ConclusionThe short‐term survival rate of this population was excellent. About half of the dogs experienced neurologic deterioration and postoperative complications, and most resolved with treatment.Clinical significanceIn our clinical setting, intracranial surgery in dogs was associated with a high rate of survival and a low rate of severe postoperative complications.

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Original publication on Crossref: https://doi.org/10.1111/vsu.12785