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What Is Your Neurologic Diagnosis?

Emily G. Davis DVM1, Joan R. Coates DVM, MS, DACVIM2, Gayle C. Johnson DVM, PhD, DACVP3, Cristi R. Cook DVM, MS, DACVR4, and Ingrid D. Pardo DVM, MS, DACVP5
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  • 1 Veterinary Medical Teaching Hospital and Department of Anatomic Pathology, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211.
  • | 2 Veterinary Medical Teaching Hospital and Department of Anatomic Pathology, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211.
  • | 3 Veterinary Medical Teaching Hospital and Department of Anatomic Pathology, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211.
  • | 4 Veterinary Medical Teaching Hospital and Department of Anatomic Pathology, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211.
  • | 5 Veterinary Medical Teaching Hospital and Department of Anatomic Pathology, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211.

A 9-year-old spayed female mixed-breed dog was evaluated because of dysphagia and coughing of 6 months' duration. The owner had also noticed a change in the dog's bark. The clinical signs were unresponsive to administration of amoxicillin, diphenhydramine, and metoclopramide hydrochloride. The dog also had a prior history of urolithiasis and bilateral otitis externa. On initial physical examination, oral evaluation revealed a fracture of the right maxillary canine tooth and atrophy of the left side of the tongue. Rectal temperature was 38.7°C (101.7°F), heart rate was 108 beats/min, and respiratory rate was 20 breaths/min. A gag reflex or cough could

A 9-year-old spayed female mixed-breed dog was evaluated because of dysphagia and coughing of 6 months' duration. The owner had also noticed a change in the dog's bark. The clinical signs were unresponsive to administration of amoxicillin, diphenhydramine, and metoclopramide hydrochloride. The dog also had a prior history of urolithiasis and bilateral otitis externa. On initial physical examination, oral evaluation revealed a fracture of the right maxillary canine tooth and atrophy of the left side of the tongue. Rectal temperature was 38.7°C (101.7°F), heart rate was 108 beats/min, and respiratory rate was 20 breaths/min. A gag reflex or cough could

Contributor Notes

Dr. Pardo's present address is Pfizer Incorporated, 558 Eastern Point Rd, Groton, CT 06340.

Address correspondence to Dr. Davis (Davisemi@missouri.edu).