Download PDF
kleintier konkret 2016; 19(04): 25-37
DOI: 10.1055/s-0042-102304
hund
neurologie
Enke Verlag in Georg Thieme Verlag KG Stuttgart

Das Cauda-equina-Syndrom des Hundes

Konrad Jurina
Tierklinik Haar
› Author Affiliations
Further Information

Publication History

Publication Date:
24 August 2016 (online)

Also available at
   Permissions and Reprints All articles of this category

Die häufigste Ursache für ein Cauda-equina-Syndrom bei großen mittelalten bis alten Hunden ist eine degenerative lumbosakrale Stenose. Betroffene Tiere können sich klinisch mit Schmerzen beim Springen, Treppensteigen oder Aufstehen, eingeschränkter Beweglichkeit der Rute oder Lahmheit einer Hintergliedmaße präsentieren. Therapeutisch kann eine konservative medikamentelle Schmerzbehandlung versucht werden, häufig ist aber eine chirurgische Dekompression notwendig.

 

  • Literatur

  • 1 Axlund TW, Hudson JA. Computed tomography of the normal lumbosacral intervertebral disc in 22 dogs. Vet Radiol Ultrasound 2003; 44 (6): 630-634
    CrossrefGoogle Scholar
  • 2 Benninger MI, Seiler GS, Robinson LE et al. Effects of Anatomic Conformation on Three-Dimensional Motion of the Caudal Lumbar and Lumbosacral Portions of the Vertebral Column of Dogs. Am J Vet Res 2006; 67: 43-50
    CrossrefGoogle Scholar
  • 3 Danielski A, Bertran J, Fitzpatrick N. Management of Degenerative Lumbosacral Disease in Cats by Dorsal Laminectomy and Lumbosacral Stabilization. Vet Comp Orthop Traumatol 2013; 26 (1): 69-75
    Google Scholar
  • 4 De Decker S, Wawrzenski LA, Volk HA. Clinical Signs and Outcome of Dogs Treated Medically for Degenerative Lumbosacral Stenosis: 98 Cases (2004–2012). J Am Vet Med Assoc 2014; 245: 408-413
    CrossrefPubMedGoogle Scholar
  • 5 De Risio L, Sharp NJ H, Olby NJ et al. Predictors of Outcome After Dorsal Decompressive Laminectomy for Degenerative Lumbosacral Stenosis in Dogs: 69 Cases (1987–1997). J Am Vet Med Assoc 2001; 219 (5): 624-628
    CrossrefGoogle Scholar
  • 6 Evans HE, de Lahunta A. Miller’s Anatomy of the Dog. 4. Ausg. St. Louis Missouri: Elsevier; 2013
    Google Scholar
  • 7 Farrel F, Fitzpatrick N. Lumbosacral Disc Disease: Is Vertebral Stabilization Indicated?. In: Fingeroth JM, Thomas WB, (Hrsg.) Advances in Intervertebral Disc Disease in Dogs and Cats. Ames, Iowa: Wiley Blackwell; 2015: 237-250
    Google Scholar
  • 8 Fletcher TF, Kitchell RL. Anatomical studies on the spinal cord segments of the dog. Am J Vet Res 1966; 27: 1759-1767
    Google Scholar
  • 9 Flückiger MA, Damur-Duric N, Hässig M et al. A Lumbosacral Transitional Vertebra in the Dog Predisposes to Cauda Equina Syndrome. Vet Radiol Ultrasound 2006; 47 (1): 39-44
    CrossrefGoogle Scholar
  • 10 Goedde T, Steffen F. Surgical Treatment of Lumbosacral Foraminal Stenosis Using a Lateral Approach in Twenty Dogs with Degenerative Lumbosacral Stenosis. Vet Surg 2007; 36 (7): 705-713
    CrossrefGoogle Scholar
  • 11 Hanna FY. Lumbosacral osteochondrosis: radiological features and surgical management in 34 dogs. J Small Anim Pract 2001; 42: 272-278
    CrossrefGoogle Scholar
  • 12 Hediger KU, Ferguson SJ, Gedet P et al. Biomechanical Analysis of Torsion and Shear Forces in Lumbar and Lumbosacral Spine Segments of Nonchondrodystrophic Dogs. Vet Surg 2009; 38 (7): 874-880
    CrossrefGoogle Scholar
  • 13 Janssens L, Béosier Y, Daems R. Lumbosacral Degenerative Stenosis in the Dog. The Results of Epidural Infiltration with Methyl-prednisolone Acetate: A Retrospective Study Vet Comp Orthop Traumatol 2009; 22: 486-491
    Google Scholar
  • 14 Jeffery ND, Barker A, Harcourt-Brown TR. What Progress Has Been Made in the Understanding and Treatment of Degenerative Lumbosacral Stenosis in Dogs During the Past 30 Years?. Vet J 2014; 201 (1): 9-14
    CrossrefPubMedGoogle Scholar
  • 15 Jones JC, Inzana KD. Subclinical CT Abnor-malities in the Lumbosacral Spine of Older Large-Breed Dogs. Vet Radiol Ultrasound 2000; 41 (1): 19-26
    CrossrefGoogle Scholar
  • 16 Jones JC, Banfield CM, Ward DL. Association Between Postoperative Outcome and Results of Magnetic Resonance Imaging and Computed Tomography in Working Dogs with Degenerative Lumbosacral Stenosis. J Am Vet Med Assoc 2000; 216: 1769-1774
    CrossrefGoogle Scholar
  • 17 Lang J. Flexion-Extension myelography of the canine cauda equina. Vet Radiol Ultrasound 1988; 29: 242-257
    CrossrefGoogle Scholar
  • 18 Lang J, Jaggy A. X-ray studies of the cauda equina of dogs. Schweiz Archiv Tierheilk 1989; 131: 299-309
    Google Scholar
  • 19 Matiasek K, Steffen F, Schmahl W et al. Back to the roots – radicular pathology in foraminal stenosis (5 cases). J Vet Intern Med 2008; 22 (29): 504
    Google Scholar
  • 20 Mayhew PD, Kapatkin AS, Wortmann JA et al. Association of cauda equina compression on magnetic resonance images and clinical signs in dogs with degenerative lumbosacral stenosis. J Am Anim Hosp Assoc 2002; 38: 555-562
    CrossrefGoogle Scholar
  • 21 Meij BP, Suwankong N, Van den Brom WE et al. Tibial Nerve Somatosensory Evoked Potentials in Dogs with Degenerative Lumbosacral Stenosis. Vet Surg 2006; 35 (2): 168-175
    CrossrefGoogle Scholar
  • 22 Meij BP, Bergknut N. Degenerative Lumbosacral Stenosis in Dogs. Vet Clin North Am Small Anim Pract 2010; 40 (5): 983-1009
    CrossrefGoogle Scholar
  • 23 Müller F. Minimalinvasive Transiliale Vertebralverblockung (MTV) des siebten Lendenwirbels nach degenerativer Lumbosakralstenose (DLSS) beim Hund. Kleintierpraxis 2008; 53 (3): 141-148
    Google Scholar
  • 24 Ondreka N, Amort KH, Stock KF et al. Skeletal Morphology and Morphometry of the Lumbosacral Junction in German Shepherd Dogs and an Evaluation of the Possible Genetic Basis for Radiographic Findings. Vet J 2013; 196 (1): 64-70
    CrossrefGoogle Scholar
  • 25 Scharf G, Steffen F, Grünenfelder F et al. The Lumbosacral Junction in Working German Shepherd Dogs – Neurological and Radiological Evaluation. J Vet Med Res 2004; 51: 27-32
    Google Scholar
  • 26 Steffen F, Berger M, Morgan JP. Asymmetrical, Transitional, Lumbosacral Vertebral Segments in Six Dogs: a Characteristic Spinal Syndrome. J Am Anim Hosp Assoc 2004; 40: 328-344
    Google Scholar
  • 27 Suwankong N, Meij BP, Van Klaveren NJ et al. Assessment of Decompressive Surgery in Dogs with Degenerative Lumbosacral Stenosis Using Force Plate Analysis and Questionnaires. Vet Surg 2007; 36 (5): 423-431
    CrossrefGoogle Scholar
  • 28 Suwankong N, Meij BP, Voorhout G et al. Review and Retrospective Analysis of Degenerative Lumbosacral Stenosis in 156 Dogs Treated by Dorsal Laminectomy. Vet Comp Orthop Traumatol 2008; 21: 285-293
    Google Scholar
  • 29 Suwankong N, Voorhout G, Hazewinkel HA W et al. Agreement Between Computed Tomography, Magnetic Resonance Imaging, and Surgical Findings in Dogs with Degenerative Lumbosacral Stenosis. J Am Vet Med Assoc 2006; 229: 1924-1929
    CrossrefGoogle Scholar
  • 30 Uemura EE. Fundamentals of Canine Neuroanatomy and Neurophysiology. Ames, Iowa: Wiley Blackwell; 2015
    Google Scholar