Complicações relacionadas à colheita do líquido cerebroespinhal e à hemilaminectomia associada à fenestração de disco intervertebral em cães
Ano de defesa: | 2023 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , , |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Santa Maria
Centro de Ciências Rurais |
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Medicina Veterinária
|
Departamento: |
Medicina Veterinária
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.ufsm.br/handle/1/28655 |
Resumo: | Cerebrospinal fluid (CSF) analysis is an auxiliary diagnostic test used in neurological routine and indicated in the suspicion of diseases in the central nervous system and in some cases in the peripheral nervous system. CSF can be performed in the cerebellomedullary and lumbar cisterns. In turn, the hemilaminectomy and intervertebral disc fenestration are surgical techniques used in the treatment of dogs with compressive myelopathy caused by intervertebral disc extrusion. These procedures are not risk-free, and knowledge of possible complications is extremely important to try to prevent them. Article 1 of this thesis reports two cases of dogs with a history of epileptic seizures that underwent spinal tap. After this procedure both developed progressive hemorrhagic myelomalacia, confirmed by histological study. As for article 2, a prospective study was developed to contribute to the surgical complications related to hemilaminectomy procedures and intervertebral disc fenestration in 64 dogs. In this study, complications were observed in 15.62% (n=10/64) of cases in one or more of the evaluated periods. Iatrogenic rhizotomy, access to the spinal canal contralateral to the lesion, and cardiorespiratory arrest were observed intraoperatively. Abdominal wall flaccidity, neurological worsening, hematoma, dehiscence, and superficial wound infections were observed during the immediate postoperative period. Adverse reactions to the surgical thread, scar adhesion, and superficial wound infection were the most frequent complications during the late postoperative period. Such complications were transitory and with minimal chances of causing death. |
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2023-04-12T15:40:18Z2023-04-12T15:40:18Z2023-03-09http://repositorio.ufsm.br/handle/1/28655Cerebrospinal fluid (CSF) analysis is an auxiliary diagnostic test used in neurological routine and indicated in the suspicion of diseases in the central nervous system and in some cases in the peripheral nervous system. CSF can be performed in the cerebellomedullary and lumbar cisterns. In turn, the hemilaminectomy and intervertebral disc fenestration are surgical techniques used in the treatment of dogs with compressive myelopathy caused by intervertebral disc extrusion. These procedures are not risk-free, and knowledge of possible complications is extremely important to try to prevent them. Article 1 of this thesis reports two cases of dogs with a history of epileptic seizures that underwent spinal tap. After this procedure both developed progressive hemorrhagic myelomalacia, confirmed by histological study. As for article 2, a prospective study was developed to contribute to the surgical complications related to hemilaminectomy procedures and intervertebral disc fenestration in 64 dogs. In this study, complications were observed in 15.62% (n=10/64) of cases in one or more of the evaluated periods. Iatrogenic rhizotomy, access to the spinal canal contralateral to the lesion, and cardiorespiratory arrest were observed intraoperatively. Abdominal wall flaccidity, neurological worsening, hematoma, dehiscence, and superficial wound infections were observed during the immediate postoperative period. Adverse reactions to the surgical thread, scar adhesion, and superficial wound infection were the most frequent complications during the late postoperative period. Such complications were transitory and with minimal chances of causing death.A análise de líquido cerebroespinhal (LCE) é um exame de auxílio ao diagnóstico utilizado na rotina neurológica e indicado na suspeita de doenças no sistema nervoso central e em alguns casos no sistema nervoso periférico. Para isso, há necessidade da colheita, que pode ser realizada nas cisternas magna e lombar. Por sua vez, a hemilaminectomia e a fenestração de disco intervertebral são técnicas cirúrgicas utilizadas no tratamento de cães com mielopatia compressiva ocasionada, entre elas, pela extrusão do disco intervertebral. Esses procedimentos não são isentos de riscos e o conhecimento das possíveis complicações é de extrema importância com o intuito de tentar preveni-las. O artigo 1 da presente tese relata dois casos de cães com histórico de crises epilépticas e que foram submetidos a colheita de LCE. Após esse procedimento, ambos desenvolveram mielomalacia progressiva hemorrágica confirmadas por estudo histopatológico. Já o artigo 2 foi desenvolvido com um estudo prospectivo com o intuito de contribuir acerca das complicações cirúrgicas referente aos procedimentos de hemilaminectomia e fenestração de disco intervertebral em 64 cães. Nesse estudo foi observado complicações em 15,62% (n=10/64) dos casos em um ou mais dos períodos avaliados. Das complicações, no período intraoperatório foram observadas rizotomia iatrogênica, abertura do canal vertebral contralateral e parada cadiorrespiratória. No pós-operatório imediato, foram observadas a flacidez da parede abdominal ipsilateral, piora neurológica, hematoma, deiscência de ferida cirúrgica e infecção superficial da ferida de pele. No pós-operatório tardio foram verificadas reação ao fio cirúrgico, aderência cicatricial e flacidez da parede abdominal ipsilateral como problemas mais frequentes. Tais intercorrências foram transitórias e com mínimas chances de ocasionar óbito.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESporUniversidade Federal de Santa MariaCentro de Ciências RuraisPrograma de Pós-Graduação em Medicina VeterináriaUFSMBrasilMedicina VeterináriaAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessLíquido cerebroespinhalExtrusão de disco intervertebralCãoMielomalaciaPunção lombarNeurocirurgiaHemilaminectomia e fenestraçãoCerebrospinal fluidInterverterbal disc extrusionDogMyelomalaciaLumbar tapNeurosurgeryHemilaminectomy and fenestrationHemilaminectomy and fenestrationCNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIAComplicações relacionadas à colheita do líquido cerebroespinhal e à hemilaminectomia associada à fenestração de disco intervertebral em cãesComplications related to cerebrospinal fluid tap and hemilaminectomy associated with intervertebral disc fenestration in dogsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisMazzanti, Alexandrehttp://lattes.cnpq.br/3504517995843014Beckmann, Diego VilibaldoCorrêa, Luis Felipe DutraRibeiro, Vitor MarcioFerreira, Márcio Polettohttp://lattes.cnpq.br/7275164657631893Schwab, Marcelo Luís500500000007600600600600600600600425ee272-e777-4ddd-a2ec-1bdf5b0a21ec6b7f136f-39bf-4010-b532-beeb0885f24294ac6535-10c7-40f5-9c44-c1519f0fc30d8fae0dad-cbbd-4195-8929-48b0600fd98213c0a8d4-2142-4bfb-abd4-aef6e2a5b93477b1a268-c4f6-4d4d-97a0-93d21f34b120reponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALTES_PPGMV_2023_SCHWAB_MARCELO.pdfTES_PPGMV_2023_SCHWAB_MARCELO.pdfTese de doutoradoapplication/pdf953982http://repositorio.ufsm.br/bitstream/1/28655/1/TES_PPGMV_2023_SCHWAB_MARCELO.pdfcb964c32e90f3d1f6359e19cd2fb3da1MD51LICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Complicações relacionadas à colheita do líquido cerebroespinhal e à hemilaminectomia associada à fenestração de disco intervertebral em cães |
dc.title.alternative.eng.fl_str_mv |
Complications related to cerebrospinal fluid tap and hemilaminectomy associated with intervertebral disc fenestration in dogs |
title |
Complicações relacionadas à colheita do líquido cerebroespinhal e à hemilaminectomia associada à fenestração de disco intervertebral em cães |
spellingShingle |
Complicações relacionadas à colheita do líquido cerebroespinhal e à hemilaminectomia associada à fenestração de disco intervertebral em cães Schwab, Marcelo Luís Líquido cerebroespinhal Extrusão de disco intervertebral Cão Mielomalacia Punção lombar Neurocirurgia Hemilaminectomia e fenestração Cerebrospinal fluid Interverterbal disc extrusion Dog Myelomalacia Lumbar tap Neurosurgery Hemilaminectomy and fenestration Hemilaminectomy and fenestration CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA |
title_short |
Complicações relacionadas à colheita do líquido cerebroespinhal e à hemilaminectomia associada à fenestração de disco intervertebral em cães |
title_full |
Complicações relacionadas à colheita do líquido cerebroespinhal e à hemilaminectomia associada à fenestração de disco intervertebral em cães |
title_fullStr |
Complicações relacionadas à colheita do líquido cerebroespinhal e à hemilaminectomia associada à fenestração de disco intervertebral em cães |
title_full_unstemmed |
Complicações relacionadas à colheita do líquido cerebroespinhal e à hemilaminectomia associada à fenestração de disco intervertebral em cães |
title_sort |
Complicações relacionadas à colheita do líquido cerebroespinhal e à hemilaminectomia associada à fenestração de disco intervertebral em cães |
author |
Schwab, Marcelo Luís |
author_facet |
Schwab, Marcelo Luís |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Mazzanti, Alexandre |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/3504517995843014 |
dc.contributor.referee1.fl_str_mv |
Beckmann, Diego Vilibaldo |
dc.contributor.referee2.fl_str_mv |
Corrêa, Luis Felipe Dutra |
dc.contributor.referee3.fl_str_mv |
Ribeiro, Vitor Marcio |
dc.contributor.referee4.fl_str_mv |
Ferreira, Márcio Poletto |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7275164657631893 |
dc.contributor.author.fl_str_mv |
Schwab, Marcelo Luís |
contributor_str_mv |
Mazzanti, Alexandre Beckmann, Diego Vilibaldo Corrêa, Luis Felipe Dutra Ribeiro, Vitor Marcio Ferreira, Márcio Poletto |
dc.subject.por.fl_str_mv |
Líquido cerebroespinhal Extrusão de disco intervertebral Cão Mielomalacia Punção lombar Neurocirurgia Hemilaminectomia e fenestração |
topic |
Líquido cerebroespinhal Extrusão de disco intervertebral Cão Mielomalacia Punção lombar Neurocirurgia Hemilaminectomia e fenestração Cerebrospinal fluid Interverterbal disc extrusion Dog Myelomalacia Lumbar tap Neurosurgery Hemilaminectomy and fenestration Hemilaminectomy and fenestration CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA |
dc.subject.eng.fl_str_mv |
Cerebrospinal fluid Interverterbal disc extrusion Dog Myelomalacia Lumbar tap Neurosurgery Hemilaminectomy and fenestration Hemilaminectomy and fenestration |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA |
description |
Cerebrospinal fluid (CSF) analysis is an auxiliary diagnostic test used in neurological routine and indicated in the suspicion of diseases in the central nervous system and in some cases in the peripheral nervous system. CSF can be performed in the cerebellomedullary and lumbar cisterns. In turn, the hemilaminectomy and intervertebral disc fenestration are surgical techniques used in the treatment of dogs with compressive myelopathy caused by intervertebral disc extrusion. These procedures are not risk-free, and knowledge of possible complications is extremely important to try to prevent them. Article 1 of this thesis reports two cases of dogs with a history of epileptic seizures that underwent spinal tap. After this procedure both developed progressive hemorrhagic myelomalacia, confirmed by histological study. As for article 2, a prospective study was developed to contribute to the surgical complications related to hemilaminectomy procedures and intervertebral disc fenestration in 64 dogs. In this study, complications were observed in 15.62% (n=10/64) of cases in one or more of the evaluated periods. Iatrogenic rhizotomy, access to the spinal canal contralateral to the lesion, and cardiorespiratory arrest were observed intraoperatively. Abdominal wall flaccidity, neurological worsening, hematoma, dehiscence, and superficial wound infections were observed during the immediate postoperative period. Adverse reactions to the surgical thread, scar adhesion, and superficial wound infection were the most frequent complications during the late postoperative period. Such complications were transitory and with minimal chances of causing death. |
publishDate |
2023 |
dc.date.accessioned.fl_str_mv |
2023-04-12T15:40:18Z |
dc.date.available.fl_str_mv |
2023-04-12T15:40:18Z |
dc.date.issued.fl_str_mv |
2023-03-09 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
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doctoralThesis |
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http://repositorio.ufsm.br/handle/1/28655 |
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http://repositorio.ufsm.br/handle/1/28655 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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500500000007 |
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600 600 600 600 600 600 600 |
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Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências Rurais |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Medicina Veterinária |
dc.publisher.initials.fl_str_mv |
UFSM |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Medicina Veterinária |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências Rurais |
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