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KMID : 1094020160330060381
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Journal of Veterinary Clinics
2016 Volume.33 No. 6 p.381 ~ p.384
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Foramen Magnum Decompression with Adipose Tissue Grafting for Caudal Occipital Malformation Syndrome in a Maltese Dog
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Park Sung-Guon
Moon Hee-Sup
Kim Sang-Yeon
Hong Su-Bin
Kim Tae-Hwan
Hwang Tae-Sung
Lee Sung-Lim
Lee Hee-Chun
Lee Jae-Hoon
Park Hyun
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Abstract
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A 7-year-old intact female Maltese dog was referred to the hospital with a history of paresis in the hindlimbs, left head turn, and a loss of balance that persisted for 2 weeks. Her condition was initially managed with steroids,prescribed by the referring veterinarian, but her neurological symptoms were not alleviated. Physical and neurologicalexaminations, radiography, computed tomography, and magnetic resonance imaging were performed. Based on thefindings on these examinations, caudal occipital malformation syndrome (COMS) with syringohydromyelia wasdiagnosed. Medical treatment was not effective in the previous trial; therefore, foramen magnum decompression,durotomy, and free autogenous adipose tissue grafting were performed. After 3 days, an improvement was observedin the clinical symptoms and was maintained for 8 months postoperatively. Based on the results, it is suggested thatthe decompression method with a fat graft may be considered an effective surgical treatment for the management ofCOMS that did not respond well to previous medical treatment.
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KEYWORD
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caudal occipital malformation syndrome, foramen magnum decompression, fat graft, dog
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