An 8 year old german shepherd presenting with sudden on set mild seizures. These seizures were well controlled with antiepileptic medication and her neurological examination and haematology and biochemistry were unremarkable. A CT scan of her brain identified an extra-axial brain mass with strong contrast enhancement compatible with a primary neoplasia originating from the meninges. The primary differential being meningiona especially given the hypersotosis of the parietal bone but other differentials such as histiocytic sarcoma, granular cell tumour or lymphoma existed. The CT also revealed increased intracranial pressure with moderate transfalcine brain herniation and mild transtentorial herniation and incidental small rhinoliths. Whilst these CT findings didnt enable a cure for this patient they greatly assisted the owner with prognosis and our management of her case when seizures increased in frequency and severity. The CT also assisted our planning for CSF analysis given the evidence of increased intracranial pressure and herniation.
Case study and images kindly provided by Faye Bethell, of Toll Barn Vets, North Walsham, who uses a 16 slice CT scanner supplied and installed by MIUS.
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