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Spinal Arachnoid Diverticula: Outcome in 96 Medically or Surgically Treated Dogs.
Mauler, D A; De Decker, S; De Risio, L; Volk, H A; Dennis, R; Gielen, I; Van der Vekens, E; Goethals, K; Van Ham, L.
Afiliación
  • Mauler DA; Veterinary Medical Teaching Hospital, College of Veterinary Medicine, University of Missouri, Columbia, MO.
  • De Decker S; Clinical Science and Services, Royal Veterinary College, University of London, Hatfield, Hertfordshire, UK.
  • De Risio L; Centre for Small Animal Studies, Animal Health Trust, Newmarket, Suffolk, UK.
  • Volk HA; Clinical Science and Services, Royal Veterinary College, University of London, Hatfield, Hertfordshire, UK.
  • Dennis R; Centre for Small Animal Studies, Animal Health Trust, Newmarket, Suffolk, UK.
  • Gielen I; Department of Medical Imaging of Domestic Animals and Orthopedics of Small Animals, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
  • Van der Vekens E; Department of Medical Imaging of Domestic Animals and Orthopedics of Small Animals, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
  • Goethals K; Department of Comparative Physiology and Biostatistics, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
  • Van Ham L; Small Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
J Vet Intern Med ; 31(3): 849-853, 2017 May.
Article en En | MEDLINE | ID: mdl-28426173
BACKGROUND: Little is reported about the role of medical management in the treatment of spinal arachnoid diverticula (SAD) in dogs. OBJECTIVES: To describe the outcome of 96 dogs treated medically or surgically for SAD. ANIMALS: Ninety-six dogs with SAD. METHODS: Retrospective case series. Medical records were searched for spinal arachnoid diverticula and all dogs with information on treatment were included. Outcome was assessed with a standardized questionnaire. RESULTS: Fifty dogs were managed medically and 46 dogs were treated surgically. Dogs that underwent surgery were significantly younger than dogs that received medical management. No other variables, related to clinical presentation, were significantly different between both groups of dogs. The median follow-up time was 16 months (1-90 months) in the medically treated and 23 months (1-94 months) in the surgically treated group. Of the 38 dogs treated surgically with available long-term follow-up, 82% (n = 31) improved, 3% (n = 1) remained stable and 16% (n = 6) deteriorated after surgery. Of the 37 dogs treated medically with available long-term follow-up, 30% (n = 11) improved, 30% (n = 11) remained stable, and 40% (n = 15) deteriorated. Surgical treatment was more often associated with clinical improvement compared to medical management (P = .0002). CONCLUSIONS AND CLINICAL IMPORTANCE: The results of this study suggest that surgical treatment might be superior to medical treatment in the management of SAD in dogs. Further studies with standardized patient care are warranted.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Quistes Aracnoideos / Enfermedades de los Perros Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Animals Idioma: En Revista: J Vet Intern Med Asunto de la revista: MEDICINA INTERNA / MEDICINA VETERINARIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Quistes Aracnoideos / Enfermedades de los Perros Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Animals Idioma: En Revista: J Vet Intern Med Asunto de la revista: MEDICINA INTERNA / MEDICINA VETERINARIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos