Partial tibial neurectomy for treatment of spastic paresis in a simmental calf
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Dosyalar
Tarih
2024
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Spastik parazi, genellikle 3-5 aylık buzağılarda ortaya çıkan ilerleyici nöromüsküler bir hastalıktır. Bu çalışma materyalini, Mayıs 2023'te Selçuk Üni versitesi Veteriner Fakültesi Büyük Hayvan Hastanesi'ne sağ arka bacağında topallık şikayeti ile getirilen 87 kg ağırlığındaki, 3,5 aylık bir dişi Simmental ırkı bir buzağı oluşturdu. Klinik muayenede, buzağının sağ arka bacağında kontraksiyon ve hiperextensiyon belirlendi. Tarsal ve genu ekleminde ve diğer anatomik bölgelerde şişkinlik veya ağrı tespit edilmedi. Radyolojik mu ayenede dejeneratif eklem hastalığı bulgularına rastlanmadı. Yapılan klinik muayene sonuçlarına göre progresif spastik parazi tanısı konuldu. Hastalığın tedavisi için n. tibialisin parsiyel nörektomisi yöntemine başvuruldu. Bölgeye yaklaşmak için semimembranöz ve gluteobiceps kasları üzerine 15 cm'lik ensizyon yapıldı. Ardından gastroknemius kaslarını innerve eden tibial sinir belirlendi ve 1 cm'lik bir kısmı rezeke edildi. Böylece ekstremitenin gastroknemis kaslarının deinervasyonu sağlandı ve ağırlık m. fleksör digitorium süperfisialise aktarıldı. Ameliyat sonrasında, hastaya antibiyotik ve ağrı kesici tedavisi uygulandı. Sonuç olarak; spastik parazi olgusunda kas spazmları ile ilgili ağrı ve kasılmalar parsiyel tibial neurektomi operasyonun ardından ortadan kalkmış ve buzağının yaşam refahı artmıştı.
Spastic paresis is a progressive neuromuscular disease that usually occurs in calves at the age of 3-5 months. The material of this study was a 3.5-month old female Simmental calf, weighing 87 kg, brought to Selcuk University Faculty of Veterinary Medicine Large Animal Hospital in May 2023 with a complaint of lameness in the right hind leg. Clinical examination revealed contraction and hyperextension in the right hind limb of the calf. There was no swelling or pain in the tarsal or genu joints or other anatomical regions. Radiological examination showed no evidence of degenerative joint disease. A diagnosis of progressive spastic paresis was made on the basis of the clinical findings. Partial neurectomy of the tibial nerve was made to treat the calf with spastic paresis. A 15 cm incision was made over the semimembranous and gluteobiceps muscles to access the area. The tibial nerve innervating the gastrocnemius muscles was then identified and a 1 cm section was resected. This de-innervated the gastrocnemius muscles of the limb and the weight was transferred to the flexor digitorum superfisialis. Postoperatively, the patient was treated with antibiotics and analgesics. In conclusion; in the case of spastic paralysis, pain and contractions related to muscle spasms disappeared after the partial tibial neurectomy operation and the life welfare of the calf increased.
Spastic paresis is a progressive neuromuscular disease that usually occurs in calves at the age of 3-5 months. The material of this study was a 3.5-month old female Simmental calf, weighing 87 kg, brought to Selcuk University Faculty of Veterinary Medicine Large Animal Hospital in May 2023 with a complaint of lameness in the right hind leg. Clinical examination revealed contraction and hyperextension in the right hind limb of the calf. There was no swelling or pain in the tarsal or genu joints or other anatomical regions. Radiological examination showed no evidence of degenerative joint disease. A diagnosis of progressive spastic paresis was made on the basis of the clinical findings. Partial neurectomy of the tibial nerve was made to treat the calf with spastic paresis. A 15 cm incision was made over the semimembranous and gluteobiceps muscles to access the area. The tibial nerve innervating the gastrocnemius muscles was then identified and a 1 cm section was resected. This de-innervated the gastrocnemius muscles of the limb and the weight was transferred to the flexor digitorum superfisialis. Postoperatively, the patient was treated with antibiotics and analgesics. In conclusion; in the case of spastic paralysis, pain and contractions related to muscle spasms disappeared after the partial tibial neurectomy operation and the life welfare of the calf increased.
Açıklama
Anahtar Kelimeler
Buzağı, Spastik Parazi, Parsiyel Nörektomi, Calf, Spastic Paresis, Partial Neurectomy
Kaynak
Eurasian Journal of Veterinary Sciences
WoS Q Değeri
Scopus Q Değeri
Cilt
40
Sayı
2
Künye
Alkan et al 2024. Partial Tibial Neurectomy For Treatment of Spastic Paresis in a Simmental Calf Eurasian J Vet Sci, 40, 2, 88-92. 10.15312/EurasianJVetSci.2024.430
