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Peer-reviewed veterinary case report

Seizures stopped after surgery for nasal brain sac in young Border

By Martlé, Valentine A et al.·Published in Veterinary surgery : VS·2009·Department of Small Animal Medicine and Clinical Biology·View original on PubMed

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Original publication title: Surgical treatment of a canine intranasal meningoencephalocele.

Species:
dog

Plain-English summary

A 5-month-old female Border Collie was brought in for seizures and excessive tearing. After advanced imaging, the vet discovered a rare condition called an intranasal meningoencephalocele, which is a defect where brain tissue protrudes through the skull. The dog underwent surgery to remove the affected tissue and repair the skull. Following the surgery, her seizures stopped, and the vet was able to gradually discontinue her medication. At 28 months post-surgery, she remained seizure-free and healthy.

People also search for: dog seizures treatment · Border Collie excessive tearing · intranasal meningoencephalocele surgery

Abstract

OBJECTIVE: To report the clinical signs, diagnosis, and surgical treatment of an intranasal meningoencephalocele in a dog. STUDY DESIGN: Case report. ANIMAL: Female Border collie, 5 months old. METHODS: A right intranasal meningoencephalocele was identified by computed tomography and magnetic resonance imaging. RESULTS: The lesion was approached by a modified transfrontal craniotomy. Surgical closure of the defect at the level of the cribriform plate and removal of extruded brain tissue resulted in regression of lacrimation and coincided with absence of seizuring. Treatment with phenobarbital was gradually reduced and stopped at 7 months after surgery. At 28 months the dog remained free of seizures. CONCLUSION: Meningoencephalocele, although rare, can cause seizures in dogs and can be treated surgically. CLINICAL RELEVANCE: A transfrontal craniotomy with excision of the meningoencephalocele and closure of the defect can be an effective treatment for an intranasal meningoencephalocele in dogs.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/19538674/