Syringopleural shunt placement in a pug with a cervical spinal diverticulum and associated syringomyelia

Tauro, Anna; Rusbridge, Clare

doi:10.1002/ccr3.2845

Cited by 3 publications

(6 citation statements)

References 23 publications

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“…Syringo to pleural or subarachnoid shunting involves placement of a shunting device directly into the syrinx, allowing fluid to drain into the pleural cavity/subarachnoid space, respectively. Because of the risk of shunt blockage, subarachnoid adhesions and complications relating to the myelotomy, I only use this technique when other surgeries are inappropriate; for example, in the instance of SM secondary to arachnoid webs (Tauro and Rusbridge 2020).…”

Section: Surgical Managementmentioning

confidence: 99%

New considerations about Chiari‐like malformation, syringomyelia and their management

Rusbridge¹

2020

In Practice

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Background: Chiari-like malformation (CM) is a developmental condition, characterised by a conformational change and overcrowding of the brain and cranial cervical spinal cord. CM-associated pain (CM-P) and syringomyelia are increasingly being diagnosed, due to the rising popularity of predisposed brachycephalic breeds and the availability of MRI in veterinary practices.Aim of the article: This article aims to update the veterinary profession on these conditions, and provides a guide to diagnosis and treatment of clinically relevant disease.

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Section: Surgical Managementmentioning

confidence: 99%

New considerations about Chiari‐like malformation, syringomyelia and their management

Rusbridge¹

2020

In Practice

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“…More recently, in 2019, Tauro and Rusbridge 8 described a syringopleural shunt placement as a new approach to treat a cervical (C2–C3) subarachnoid diverticulum with associated syringomyelia in a pug.…”

Section: Discussionmentioning

confidence: 99%

“…A revision surgery was performed and CSF drainage restored. Motta and Skerrit 13 and Tauro and Rusbridge 8 experienced displacement of the shunting device. One dog from Motta and Skerrit's study experienced a sudden onset of paraparesis and pain and had the shunting device replaced 3 weeks after the original surgery.…”

Section: Discussionmentioning

confidence: 99%

“…6 Several surgical techniques have been used: durotomy, durectomy, marsupialisation of the diverticulum, 2 subarachnoid-subarachnoid stenting 7 and syringopleural shunt placement. 8 Regardless of the technique chosen by the neurologist, the main goal of the surgery is to restore normal cerebrospinal fluid (CSF) flow, decompress the spinal cord and prevent SAD recurrence.…”

Section: Introductionmentioning

confidence: 99%

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Subarachnoid‐peritoneal shunt to treat a diffuse thoracolumbar arachnoid diverticulum in a dog

Violini

Shaw

2022

Vet Record Case Reports

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A 2‐year‐old, male German shepherd dog presented with a chronic history of hindlimb gait abnormalities, urinary and faecal incontinence. Magnetic resonance imaging of the area revealed a diffuse subarachnoid diverticulum (from T6 to L2), and a novel subarachnoid‐peritoneal shunting technique was considered. Surgery involved a T11–T13 dorso‐lateral hemilaminectomy and placement of a lumbar catheter into the diverticulum via durectomy. The catheter was then inserted into the peritoneal cavity via a left lateral incision to the abdomen. The dog recovered well from the surgical procedure and showed a resolution of its clinical signs at the follow‐up appointment (2 weeks after surgery). The patient represented 7 months later for recurrence of urinary and faecal incontinence and mild pelvic limb ataxia. Repeated diagnostic imaging revealed kinking of the lumbar catheter. Revision surgery was performed and the patient showed a resolution of the pelvic limb ataxia the following day. Patient lost to long‐term follow‐up.

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“…1,2,5 Various surgical options are described, including durotomy, with or without marsupialisation, durectomy, subarachnoid shunt placement or even subarachnoidpleural or peritoneal shunt. 6,7 In cats, SAD are a rare finding and no breed predisposition has been reported. According to the veterinary literature, only eight case reports describe this condition.…”

Section: Introductionmentioning

confidence: 99%

Lumbar spinal arachnoid diverticulum in a cat

Sarpekidou,

Angelou,

Marouda

et al. 2024

Vet Record Case Reports

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A 5‐year‐old, domestic, shorthair, male, neutered cat was referred to the Companion Animal Clinic with a history of paraparesis and urinary incontinence, alongside recurrent urinary tract infections. Magnetic resonance imaging of the lumbar vertebral column revealed a space‐occupying spinal cyst‐like lesion located at the level of fifth and sixth lumbar vertebrae. Surgical treatment consisted of dorsal laminectomy and durectomy, resulting in decompression. Histopathology findings were indicative of spinal arachnoid diverticulum. Postoperatively, the cat exhibited gradual hindlimb and tail motor improvement, and recovery of voluntary urination. Complete resolution of the neurological signs was achieved at 3 months after surgery. No signs of recurrence were noted till the time of writing this report, 14 months postoperatively. To the authors’ knowledge, this is the first case report of a spinal arachnoid diverticulum in the lumbosacral vertebral column in a cat.

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Syringopleural shunt placement in a pug with a cervical spinal diverticulum and associated syringomyelia

Abstract: We report persistence of associated syringomyelia and formation of newly caudal spinal arachnoid diverticulum, following marsupialization surgery. We describe syringopleural shunt placement as a novel approach to treat both conditions in a Pug dog.

Cited by 3 publications

References 23 publications

New considerations about Chiari‐like malformation, syringomyelia and their management

New considerations about Chiari‐like malformation, syringomyelia and their management

Subarachnoid‐peritoneal shunt to treat a diffuse thoracolumbar arachnoid diverticulum in a dog

Lumbar spinal arachnoid diverticulum in a cat

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