Page 4 - Paws and Hooves - Autumn 2022
P. 4

A quick diagnosis helps Vinnie


        eat again




               hen Vinnie, a 15-month-old Hungarian Vizsla, lost his appetite and started drooling, his owner
         W     Stuart knew something wasn’t right. Despite treatment, Vinnie began regurgitating his food.
               The neurology team suspected an uncommon muscle disease but needed further testing to be
        sure. With Vinnie at risk of developing aspiration pneumonia secondary to this regurgitation, a quick
        diagnosis was critical.


        Up until this point, Vinnie had been a typical Vizsla   caused by muscle
        puppy, with lots of energy, enjoying long walks and   inflammation. His
        running off the lead with Stuart riding his mountain   muscle wastage
        bike beside him. Stuart explained,                    and poor food
                                                              intake, were likely
        “Vizsla’s are referred to as ‘the velcro              to be the reasons
        dog’ as they constantly want to be within             why Vinnie was
        touching distance of their owners. Vinnie             losing weight.
        is no exception and is like a shadow to               The Neurology
                                                              Team suspected
        anyone in our family.”                                the underlying cause could be inflammatory
                                                              polymyopathy. While uncommon, it is known to affect
        Vinnie spent six days in the RVC’s Small Animal       Hungarian Vizslas and is thought to be a hereditary
        Referral Hospital. It was a nerve-wracking time for   disease.
        the family, but it was made easier with daily updates
        about his condition. Radiographs revealed Vinnie’s    Sadly, the condition often has a poor outcome. With
        oesophagus was dilated, causing food to sit in        a quick diagnosis, prompt treatment can enable
        his throat rather than move through his digestive     patients to start eating again and regain weight. The
        system.                                               Neurogen Tru Trace electrodiagnostics machine,
                                                              funded by the ACT earlier this year, enabled the
        A blood test showed an increase in a muscle           team to study Vinnie’s muscles in a non-invasive
        enzyme called creatine kinase. This indicated         way. A needle electrode was placed into the
        that Vinnie had muscle cell death, probably
                                                              muscle to record abnormal activity and voluntary
                                                              contractions. The procedure was safe to perform,
                                                              and Vinnie didn’t need to be sedated. The results
                                                              showed the team’s suspicions were correct.

                                                              The Neurology Team put Vinnie on
                                                              immunosuppressive treatments to control his
                                                              muscle inflammation and nurses frequently fed him
                                                              small amounts of food while he was in an upright
                                                              position. This, along with gastroprotectants, reduced
                                                              the amount of food Vinnie brought back up. There
                                                              was a steady improvement in Vinnie’s symptoms,
                                                              and he was discharged from the hospital, with
                                                              daily medication and a food programme. Dr Abbe
                                                              Crawford, Clinician in Neurology and Neurosurgery,
                                                              told us,

                                                              “Vinnie’s owners have been very vigilant
                                                              at keeping on top of his medications and
                                                              they keep a detailed diary of his daily
                                                              progress.”





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