Case 8

	SIGNALMENT: Adult male cat.
	HISTORY: Hit by car 24 hours prior to examination. Cat has severe paraplegia but is alert and responsive. Owner has not observed cat to urinate or defecate.
	PHYSICAL EXAMINATION: T 102 HR 85 RR panting CRT <3.0 secs. MM pink WT 15 lbs. Bladder is greatly distended and easy to express. Poor perception of superficial and deep pain from tail, pelvic limbs, and caudal to L4.
	NEUROLOGICAL EXAMINATION:

E. POSTURAL REACTIONS:
          (0=absent, +1=decreased, +2=normal, +3=increased/exaggerated, NE=not examined)

LEFT	REACTIONS	RIGHT
	Proprioceptive Positioning PL TL
0		0
2		2
2	Wheelbarrowing	2
	Hopping PL TL
0		0
2		2
NE	Extensor Postural Thrust	NE
NE	Hemistand-Hemiwalk	NE
NE	Tonic Neck	NE
	Placing, tactile PL TL
NE		NE
NE		NE
	Placing, visual PL TL
NE		NE
NE		NE

F. SPINAL REFLEXES:
          (0=absent, +1=decreased, +2=normal, +3=increased/exaggerated, +4=clonic, NE=not examined)

LEFT	REFLEX, SPINAL SEGMENT	RIGHT
1-2	Quadriceps (L4-L6)	1-2
0	Flexion, PL (L5-S1)	0
2	Flexion, TL (C6-T1)	2
2	Triceps (C7-T1)	2
0	Crossed Extensor	0
2	Perineal (S1-S2)	2

G. CRANIAL NERVES:
          (0=absent, +1=decreased, +2=normal, +3=increased/exaggerated, NE=not examined)

LEFT	(Response/Test)	RIGHT
2	Menace (CN II & VII)	2
2	Palpebral (CN V & VII)	2
2	Pupil Size	2
	PLR’S Stimulate left eye Stimulate right eye (CN II & III)
2		2
2		2
0	Strabismus	0
0	Nystagmus	0
2	Facial Sensation (CN V)	2
2	Mastication (CN V)	2
2	Swallowing/Gag (CN IX & X)	2
2	Tongue (CN XII)	2

H. SENSATION:
          (0=absent, +1=decreased, +2=normal, +3=increased/exaggerated, NE=not examined)

Location	midlumbar and caudally
Hyperesthesia	not present
Superficial pain	0
Deep pain	0

	Generalized LMN		Peripheral nerve
	Spinal Cord C1-C5		Spinal Cord C6-T2
	Spinal Cord T3-L3		Spinal Cord L4-S3
	Cauda equina		Peripheral vestibular
	Central vestibular		Brainstem
	Cerebral cortex		Cerebellum
	Cranial neuropathy		Myopathy
	Musculoskeletal	Expert's Anatomic Diagnosis

LESION LOCATION:            Where is the lesion located? Right Left Bilateral Expert's Lesion Location REVIEW RADIOGRAPHS: Lumbosacral:     Thoracolumbar:     Cervical:     Skull:     Appendicular          WHICH SET ILLUSTRATES THIS CASE?