Dating intracranial hemorrhage mri


01-Jul-2020 03:24

Lumbar puncture was performed percutaneously through the L5-L6 interacuate foramen using a 22-gauge spinal needle into the subarachnoid space.

A neurological examination performed to determine the neuroanatomical localization and extent of the neurological lesions revealed multifocal involvement with the following signs: an alteration of consciousness and behaviour was observed; the patient was very anxious and disoriented with vocalisation and agitation.Rotational thromboelastometry (ROTEM) testing performed 3 days after the lumbar puncture showed the presence of a hypocoagulable state (Figure 2).MRI (Magnetic resonance imaging) was carried out on a T system with m T/m gradients and revealed an inflammatory process within the brain parenchyma (Figure 3).Proprioception was absent and spinal reflexes were exaggerated, bilaterally in both hind limbs. Neuroanatomical localization indicated a lesion in the T3-L3 spinal cord segment.

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The degree of neurologic impairment was graded as 3/5 on the Sharp and Wheeler scale [9].Twelve hours after lumbar puncture, the dog displayed signs of multifocal central nervous system lesions (spastic tetraplegia, head tilt, nystagmus, amaurosis, myosis, altered consciousness, ataxic breathing pattern).



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