Neurologic Causes of Thoracic Limb Lameness

Vet Clin North Am Small Anim Pract. 2021 Mar;51(2):357-364. doi: 10.1016/j.cvsm.2020.12.003.

Abstract

Although lameness of the thoracic limb typically is due to orthopedic disease, there are several important neurologic conditions that result in lameness. Neurologic diseases cause lameness due to disease of the nerves, nerve roots, spinal cord, or muscles. Common differentials include lateralized intervertebral disc extrusions, caudal cervical spondylomyelopathy (wobbler disease), brachial plexus avulsion, neuritis, and peripheral nerve sheath tumors. Many of these diseases compress or destroy the nerve roots of the cervical intumescence, resulting in non-weight-bearing lameness, or root signature. Advanced diagnostics, such as magnetic resonance imaging, are necessary in these cases to determine the underlying cause.

Keywords: Brachial plexus; Cervical spondylomyelopathy; Intervertebral disc disease; Lameness; Nerve sheath tumor; Root signature; Thoracic limb.

Publication types

  • Review

MeSH terms

  • Animals
  • Brachial Plexus Neuropathies / diagnosis
  • Brachial Plexus Neuropathies / veterinary
  • Cervical Vertebrae
  • Dog Diseases / diagnosis*
  • Dogs
  • Forelimb*
  • Intervertebral Disc Degeneration / diagnosis
  • Intervertebral Disc Degeneration / veterinary
  • Intervertebral Disc Displacement / diagnosis
  • Intervertebral Disc Displacement / veterinary
  • Lameness, Animal*
  • Magnetic Resonance Imaging / veterinary
  • Neurologic Examination / veterinary
  • Spinal Cord Diseases / diagnosis
  • Spinal Cord Diseases / veterinary

Supplementary concepts

  • Intervertebral disc disease