Sonko's Neurologist Exam
Just putting this out there: Discharge notes from the Neurologist that saw Sonko today.
Discharge notes from the Neurologist exam today:
Thank you for bringing Sonko to the BAVS Neurology Department, he was a pleasure to work with!
Sonko is suffering from progressive neurologic signs that are most attributable to his brain and spinal cord. Based on the chronic and progressive history, as well as the family history of progressive neurologic disease, the top suspicion for his signs is a genetic disorder. The most common genetic disorders that affect the central and peripheral nervous system includes neurodegenerative disease such as lysosomal storage disease, organic acidurias, and in-born errors of metabolism. Patients with these diseases often present with clinical signs at a young age and slowly progress over time. Diagnosis can be difficult, but MRI and spinal tap are helpful to rule out other causes of disease. Unfortunately, there are no specific treatments for most of these disease and prognosis is regarded as poor, as most dogs will continue to slowly deteriorate with time and eventually will either pass away or need to be euthanized due to declining quality of life. At this time, you have declined MRI in favor of treatment for possible auto-immune encephalitis. Even though this is considered less likely, it is a reasonable attempt since Sonko did show some mild improvement on the higher dose of steroids. The plan will be to continue the higher doses of steroids and then recheck him in 3-4 weeks to see how he is doing. If he has dramatically improved, then we will continue treating for auto-immune encephalitis. If he has not shown significant improvement, we will submit genetic testing to a genetics laboratory. We also ask that you send us a list of the pedigree from Sonko's family, including which members were affected with the same neurologic disease (if known). Lastly, if any of these dogs are euthanized or pass away, a necropsy should be performed. This will be the greatest tool in trying to get a definitive diagnosis for the clinical signs. We hope that Sonko starts to show some improvement soon.
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| Zara, Sonko, with Sassy in the back. Where they nap while I"m on my computer, on two memory foam pads |
Thank you for bringing Sonko to the BAVS Neurology Department, he was a pleasure to work with!
Sonko is suffering from progressive neurologic signs that are most attributable to his brain and spinal cord. Based on the chronic and progressive history, as well as the family history of progressive neurologic disease, the top suspicion for his signs is a genetic disorder. The most common genetic disorders that affect the central and peripheral nervous system includes neurodegenerative disease such as lysosomal storage disease, organic acidurias, and in-born errors of metabolism. Patients with these diseases often present with clinical signs at a young age and slowly progress over time. Diagnosis can be difficult, but MRI and spinal tap are helpful to rule out other causes of disease. Unfortunately, there are no specific treatments for most of these disease and prognosis is regarded as poor, as most dogs will continue to slowly deteriorate with time and eventually will either pass away or need to be euthanized due to declining quality of life. At this time, you have declined MRI in favor of treatment for possible auto-immune encephalitis. Even though this is considered less likely, it is a reasonable attempt since Sonko did show some mild improvement on the higher dose of steroids. The plan will be to continue the higher doses of steroids and then recheck him in 3-4 weeks to see how he is doing. If he has dramatically improved, then we will continue treating for auto-immune encephalitis. If he has not shown significant improvement, we will submit genetic testing to a genetics laboratory. We also ask that you send us a list of the pedigree from Sonko's family, including which members were affected with the same neurologic disease (if known). Lastly, if any of these dogs are euthanized or pass away, a necropsy should be performed. This will be the greatest tool in trying to get a definitive diagnosis for the clinical signs. We hope that Sonko starts to show some improvement soon.
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