Abordaje clínico y terapéutico de la enfermedad Hansen tipo I en canino. Reporte de caso.

Abstract

Clinical case report of a 4-year-old male French bulldog, at consultation the owner reports hyporexia, difficulty to move and signs of pain, on clinical examination there is evidence of abnormal gait with moderate claudication of the hind limbs, while under observation in the clinic the picture progresses to posterior paraplegia. Neurological examination showed bilateral hyporeflexia of the patellar, sciatic and pannicular muscles, absence of superficial sensitivity and presence of deep sensitivity. General examinations such as hemogram and blood chemistry showed leukocytosis with absolute neutrophilia and mild hyperglycemia, the rest of values within the reference range. The lumbar spine X-ray shows a narrower L2-L3 articular facet, also an increase in intervertebral radio-opacity of the segments: T13-L1 and L5-L6 suggestive of mineralized disc material. An MRI was performed where a contusive extrusive disc herniation was found between L2-L3, edema caudal to the disc herniation compromising the medullary segments L4-S2 that are within the vertebral bodies L3-L4-L5. Medical treatment was started for two weeks in which the patient did not present satisfactory evolution, so surgical intervention was proposed, performing a right lateral dorsal hemilaminectomy to the spinous processes of the L2, L3 and L4 vertebrae. The evolution of the patient days after surgery was favorable, he was discharged with medical prescription and all clinical recommendations for a complete improvement at home where emphasis was placed on the need to start physiotherapy, oral medication, medicated diet and controlled mobility with reduced spaces.