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Description of neurological mimics presented to the neurology service of a referral small animal hospital

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cam.depositDate2021-12-09
cam.issuedOnline2022-01-06
cam.oa.sapoa_rrs_na
cam.orpheus.successTue Feb 01 19:02:27 GMT 2022 - Embargo updated
dc.contributor.authorwalker, Paige
dc.contributor.authorFreeman, Paul
dc.contributor.authorMonforte Monteiro, susana
dc.contributor.authorBexfield, nick
dc.contributor.authorHarris, georgina
dc.contributor.authorRadke, Heidi
dc.contributor.authorAlves, lisa
dc.contributor.authorVanhaesebrouck, An
dc.contributor.orcidWalker, Paige E [0000-0001-8458-1321]
dc.contributor.orcidFreeman, Paul [0000-0001-6326-5573]
dc.contributor.orcidMonforte Monteiro, Susana R [0000-0002-4395-1960]
dc.contributor.orcidBexfield, Nicholas [0000-0001-6830-8296]
dc.contributor.orcidHarris, Georgina [0000-0001-7865-5427]
dc.contributor.orcidRadke, Heidi [0000-0003-0092-4628]
dc.contributor.orcidAlves, Lisa [0000-0002-6855-9893]
dc.contributor.orcidVanhaesebrouck, An E [0000-0003-1721-6169]
dc.date.accessioned2021-12-17T00:30:16Z
dc.date.available2021-12-17T00:30:16Z
dc.date.issued2022-05
dc.date.updated2021-12-09T22:14:05Z
dc.description.abstractABSTRACT Background: Clinicians observe that cats and dogs referred to neurology services often do not have an underlying neurological disorder. There has been no analysis of the frequency or categorisation of these neurological mimics. Methods: Retrospective study of 520 cases. Data on signalment, presenting clinical signs, neurological examination findings and final diagnosis was collected. Final diagnoses were classified as primary neurological, non-neurological in origin but with neurological clinical manifestation, completely non-neurological (neurological mimics) or undiagnosed. Presenting clinical signs and neurological examination results were compared between neurological mimics and primary neurological cases using Chi-square or Fischer exact test. Relative risk was calculated for significant associations. Results: 74% were primary neurological conditions, 8% neurological mimics, 3% non-neurological with neurological manifestation and 15% undiagnosed. An animal referred for lameness was five approximately times more likely to be diagnosed as a neurological mimic than as a primary neurological disorder (Relative Risk, RR = 5.42, P < 0.001). Cases with a normal neurological examination were approximately 15 times more likely to be a neurological mimic (RR=14.97, P < 0.001). Conclusion: Thorough examination with consideration of alternative diagnoses is important when a neurological condition is suspected in an animal that presents with lameness or normal neurological examination.
dc.identifier.doi10.17863/CAM.79013
dc.identifier.eissn2042-7670
dc.identifier.issn0042-4900
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/331560
dc.language.isoeng
dc.publisherBMJ Publishing Group
dc.publisher.departmentDepartment of Veterinary Medicine
dc.publisher.urlhttp://dx.doi.org/10.1002/vetr.1268
dc.rightsAll Rights Reserved
dc.rights.urihttps://www.rioxx.net/licenses/all-rights-reserved/
dc.subjectincorrect referral
dc.subjectlameness
dc.subjectneurological examination
dc.subjectAnimals
dc.subjectCat Diseases
dc.subjectCats
dc.subjectDog Diseases
dc.subjectDogs
dc.subjectHospitals, Animal
dc.subjectLameness, Animal
dc.subjectNervous System Diseases
dc.subjectNeurology
dc.subjectReferral and Consultation
dc.subjectRetrospective Studies
dc.titleDescription of neurological mimics presented to the neurology service of a referral small animal hospital
dc.typeArticle
dcterms.dateAccepted2021-11-29
prism.publicationNameThe Veterinary Record
pubs.licence-display-nameApollo Repository Deposit Licence Agreement
pubs.licence-identifierapollo-deposit-licence-2-1
rioxxterms.typeJournal Article/Review
rioxxterms.versionAM
rioxxterms.versionofrecord10.1002/vetr.1268

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