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Vet Comp Orthop Traumatol 2015; 28(02): 151-154
DOI: 10.3415/VCOT-14-09-0139
Case Report
Schattauer GmbH

Femoral nerve entrapment in a dog with diffuse idiopathic skeletal hyperostosis

A. Lai
1   Department of Small Animal Surgery, North Shore Veterinary Specialist Centre, Sydney, Australia
,
J. Culvenor
1   Department of Small Animal Surgery, North Shore Veterinary Specialist Centre, Sydney, Australia
,
C. Bailey
1   Department of Small Animal Surgery, North Shore Veterinary Specialist Centre, Sydney, Australia
,
S. Davies
2   Veterinary Imaging Associates, Sydney, Australia
› Author Affiliations
Further Information

Publication History

Received:09 September 2014

Accepted:16 February 2014

Publication Date:
26 December 2017 (online)

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Summary

Objective: To report femoral neuropathy caused by nerve entrapment associated with diffuse idiopathic skeletal hyperostosis (DISH).

Study Design: Case report.

Animal: Seven-year-old female spayed Boxer dog.

Results: Entrapment of the right femoral nerve due to DISH caused a femoral nerve deficit and atrophy of muscle groups associated with the affected nerve. A combination of computed tomography and magnetic resonance imaging was performed to provide a diagnosis. Amputation of the right transverse process of the sixth lumbar vertebra at the level of nerve entrapment relieved the neurological abnormality.

Conclusions: Nerve entrapment leading to neurapraxia may occur concurrently with DISH and surgery in this case was successful in restoring function.

Clinical relevance: Peripheral neuropathy from nerve entrapment should be considered in patients with DISH. Surgical amputation of impinging osseous structures may be indicated for relief of femoral neuropathy.

Keywords

Femoral nerve - diffuse idiopathic skeletal hyperostosis - DISH - entrapment - compression
 

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