Diana S. Rosenstein

Esophageal Dysfunction in Dogs with Idiopathic Laryngeal Paralysis: A Controlled Cohort Study

OBJECTIVES To compare esophageal function in dogs with idiopathic laryngeal paralysis (ILP) to age and breed matched controls; to determine if dysfunction is associated with aspiration pneumonia over 1 year; and to compare clinical neurologic examination of dogs with ILP at enrollment and at 1 year. STUDY DESIGN Prospective controlled cohort study. ANIMALS Dogs with ILP (n=32) and 34 age and breed matched healthy dogs. METHODS Mean esophageal score was determined for each phase of 3 phase esophagrams, analyzed blindly. After unilateral cricoarytenoid laryngoplasty, dogs with ILP were reexamined (including thoracic radiography) at 1, 3, 6, and 12 months. Neurologic status was recorded at enrollment, 6 and 12 months. RESULTS Esophagram scores in dogs with ILP were significantly higher in each phase compared with controls, most notably with liquid (P<.0001). Dysfunction was more pronounced in the cervical and cranial thoracic esophagus. Five dogs that had aspiration pneumonia during the study had significantly higher esophagram scores than dogs that did not develop aspiration pneumonia (P<.02). Ten (31%) ILP dogs had generalized neurologic signs on enrollment and all ILP dogs developed neurologic signs by 1 year (P<.0001). Conclusions- Dogs with ILP also have esophageal dysfunction. Postoperative aspiration pneumonia is more likely in dogs with higher esophagram scores. Dogs with ILP will most likely develop generalized neuropathy over the course of 1 year. CLINICAL RELEVANCE Esophagrams and neurologic examinations should be performed on all dogs with ILP.

Vertical position of the patella in the stifle joint of clinically normal large-breed dogs

OBJECTIVE To define the vertical position of the patella in clinically normal large-breed dogs. SAMPLE POPULATION Cadavers of 13 clinically normal large-breed dog. PROCEDURE Both hind limbs were harvested with intact stifle joints and mounted on a positioning device that allowed full range of motion of the stifle joint. Lateral radiographic views were obtained with the stifle joints positioned at each of 5 angles (148 degrees, 130 degrees, 113 degrees, 96 degrees, and 75 degrees). Vertical position of the patella through a range of motion was depicted on a graph of mean stifle angle versus corresponding mean proximal patellar position (PPP) and distal patellar position (DPP) relative to the femoral trochlea for each dog. Ratio of length of the patellar ligament to length of the patella (L:P) was determined for each dog. Overall mean, SD, and 95% confidence intervals for L:P were calculated for all dogs. RESULTS Evaluation of vertical position of the patella through a range of motion revealed a nearly linear relationship between joint angle and PPP and joint angle and DPPF Evaluation of L:P results did not reveal significant differences between limbs (left or right) or among joint angles. Overall mean +/- SD L:P for all dogs was 1.68 +/- 0.18 (95% confidence interval, 1.33 to 2.03). CONCLUSIONS AND CLINICAL RELEVANCE The L:P proved to be a repeatable measurement of vertical patellar position, which is independent of stifle angles from 75 degrees to 148 degrees. This measurement could be used as a quantitative method for diagnosing patella alta and patella baja in large-breed dogs.

Fluoroscopic study of oral behaviours in response to the presence of a bit and the effects of rein tension

This study investigated intra-oral behaviours in horses wearing different bits with and without rein tension. Six riding horses wore a bridle and three bits: jointed snaffle, KK Ultra and Myler comfort snaffle. Lateral fluoroscopic images (30 Hz) were recorded for 20 s for each bit with loose reins and with 25 ^ 5 N bilateral rein tension. The videos were analysed to determine time spent in the following behaviours: mouth quiet, gently mouthing the bit, retracting the tongue, bulging the dorsum of the tongue over the bit, lifting the bit and other behaviours that were performed infrequently. Repeated-measures ANOVA indicated that behaviours did not differ between bits, so bit type was not predictive of behaviour, but there were significant effects of horse and rein tension. Horses spent less time quiet and more time mouthing the bit, retracting the tongue and bulging the tongue over the bit when tension was applied.

Exercising stall-housed gestating gilts: effects on lameness, the musculo-skeletal system, production, and behavior.

Lameness in breeding-age gilts and sows is a major cause of culling, resulting in increased economic losses and welfare concerns. This study determined if exercise during gestation would affect the musculo-skeletal system, production variables, and behavior. Gilts were blocked by BW and assigned to 1 of 3 treatment groups: control (n = 10; no exercise), low exercise (n = 14; 122 m/d for 5 d/wk), and high exercise (n = 14; 122 m/d for 2 d/wk and 427 m/d for 3 d/wk). All gilts were stall-housed during gestation, and gilts were exercised between d 35 and 110 of gestation. Lameness score, BCS, BW, and blood were taken at multiple points before gestation, and during gestation and lactation. Blood serum was analyzed for carboxy-terminal telopeptide of type I collagen. Sow lying behavior was recorded for 3 d after farrowing. Farrowing data included litter weight and size at birth and weaning, and preweaning mortality. After weaning, 38 sows were slaughtered and muscles and the bones of the left fore- and hind-limbs were harvested. Bone density and quality were determined by computed tomography (CT) scans, dual energy x-ray scans, and bone-breaking force tests. The control group took longer to lie down than both exercise groups, and the low exercise group took longer to lie down than the high exercise group (P < 0.05). The number of pigs weaned was greater in the high exercise group than the control group (P < 0.05). Piglet preweaning mortality was greatest in the control group compared with both exercise groups (P < 0.05). The low exercise treatments exhibited a greater bone density (CT) in the humerus, radius, and tibia compared with that of the control group (P < 0.05). The bone density (CT) of the humerus in the low exercise group was greater than that of the high exercise group (P = 0.03). Breaking force in the humerus and femur was greater (P < 0.05) in the low exercise group than the control group. Breaking force in the tibia of the high exercise group was greater than the control group (P = 0.01). The tibia of both the low and high exercise groups had a greater breaking force (P < 0.05) than the control group. Although there was no benefit of exercise on lameness, differences in bone density and quality, lying behavior, and piglet survivability may provide useful insight into alternative housing for sows.

Radiographic study of bit position within the horse's oral cavity

The objective was to describe and compare the positions of different types of bits within the horse’s oral cavity. Eight horses were fitted with a bridle and six bits [jointed snaffle ( JS), Boucher, KK Ultra, Myler snaffle (MylerS), Myler ported barrel (MylerPB), Myler correctional-ported barrel (MylerCPB)]. Lateral radiographs and custom software were used to measure the position and orientation of the bits relative to the horse’s palate and second premolar teeth without rein tension and with 25 ^ 5 N bilateral rein tension. The results showed differences in the position of the bits within the horse’s oral cavity and in their movements in response to rein tension. Without rein tension, single-jointed bits were further from the premolar teeth ( JS 32.2 ^ 10.6 mm; Boucher 33.9 ^ 10.8 mm) than the Myler bits (MylerS 20.2 ^ 9.7 mm; MylerPB 12.8 ^ 6.7 mm; MylerCPB 14.6 ^ 4.3 mm). Single-jointed bits moved closer to the premolars when tension was applied to the reins (JS 20.8 ^ 6.3 mm; Boucher 19.7 ^ 6.8 mm). The cannons of the Boucher were more elevated than those of the other bits. The cannon angulation decreased significantly from 38.7 ^ 13.7 deg. to 21.6 ^ 6.9 deg. for JS and from 43.1 ^ 10.1 deg. to 27.8 ^ 10.1 deg. for the Boucher when tension was applied to the reins. The Myler bits showed minimal change in position in response to the application of rein tension.

Computed tomography as a method of estimating bone mineral content in horses

Summary With the advancement of technology, more tools and methods are being made available for the assessment of bone density in the live animal. Computed tomography (CT) is one such tool. In a CT scan, x-rays are passed through a subject and detectors record transmitted energy. The CT computer then constructs cross-sectional images from this data to represent the internal anatomy. The first objective of this study was to investigate CT as a means of estimating bone mineral content of the equine third metacarpal bone. Our hypothesis was that the cross-sectional area of the third metacarpal bone, as measured on CT images, would correlate significantly with ash weight of that section. Our second objective was to use CT to measure and compare bone density in the dorsal, palmar, lateral and medial cortices of the equine third metacarpus. We hypothesized that CT would detect differences in density by cortex. Twelve cadaver thoracic limb specimens, from horses of varying age, breed and prior use, were scanned on a CT 9800 (GE Medical Systems). Scanned sections of the limb were then skinned, dried, ether-extracted and ashed in a muffle furnace. Bone mineral content was expressed as grams of ash/cm section of bone. The image recorded by the CT was developed and assessed using an imaging photodensitometer and a corresponding software package to estimate the area of each bone section. Correlation was determined using SAS (6.12). Differences in bone density by cortex were calculated using a simple t-test. The maximum, minimum and mean estimates of third metacarpal bone cross-sectional area as determined by CT were 519, 351 and 423 mm 2 , respectively, while the maximum, minimum and mean ash weights were 8.9, 4.8 and 6.4 g/cm, respectively. Estimates of bone mineral content by ash and cross-sectional area as determined by CT were significantly correlated (r=.91, P=.0001). There was no difference in CT density numbers between lateral and medial cortices, however the dorsal cortex was lower in density than the lateral (P

TREATMENT OF MALIGNANT LYMPHOMA IN AN AFRICAN LION (PANTHERA LEO)

Abstract A 14 yr-old male, vasectomized African lion (Panthera leo) exhibited mild weight loss despite adequate appetite. Splenomegaly was diagnosed on physical examination. On the basis of hematology and clinical pathology, malignant lymphoma with chronic lymphocytic leukemia was diagnosed. Abdominal exploratory surgery and splenectomy were performed. Histologic examination and immunohistochemistry confirmed a small cell peripheral T-cell lymphoma. Initial treatments consisted of doxorubicin and prednisone, with later addition of lomustine. The lion remained in clinical remission at 2 mo, 6 mo, and 12 mo postchemotherapy physical examinations. The lion survived 504 days from initial diagnosis. At necropsy, the only lesions consistent with lymphoma were localized epitheliotrophic infiltrates of small neoplastic T lymphocytes within the nasopharyngeal epithelium and the underlying submucosa observed on microscopic examination.

Use of Positive Reinforcement Conditioning to Monitor Pregnancy in an Unanesthetized Snow Leopard (Uncia uncia) via Transabdominal Ultrasound

Closely monitoring snow leopard (Uncia uncia) fetal developments via transabdominal ultrasound, with minimal stress to the animal, was the goal of this project. The staff at Potter Park Zoo has used the principles of habituation, desensitization, and positive reinforcement to train a female snow leopard (U. uncia). Ultrasound examinations were preformed on an unanesthetized feline at 63 and 84 days. The animal remained calm and compliant throughout both procedures. Fetuses were observed and measured on both occasions. The absence of anesthesia eliminated components of psychologic and physiologic stress associated with sedation. This was the first recorded instance of transabdominal ultrasound being carried out on an unanesthetized snow leopard. It documents the feasibility of detecting pregnancy and monitoring fetal development via ultrasound. Zoo Biol 27:78-85, 2008. (c) 2007 Wiley-Liss, Inc.

Inherited neuroaxonal dystrophy in dogs causing lethal, fetal-onset motor system dysfunction and cerebellar hypoplasia

Neuroaxonal dystrophy in brainstem, spinal cord tracts, and spinal nerves accompanied by cerebellar hypoplasia was observed in a colony of laboratory dogs. Fetal akinesia was documented by ultrasonographic examination. At birth, affected puppies exhibited stereotypical positioning of limbs, scoliosis, arthrogryposis, pulmonary hypoplasia, and respiratory failure. Regional hypoplasia in the central nervous system was apparent grossly, most strikingly as underdeveloped cerebellum and spinal cord. Histopathologic abnormalities included swollen axons and spheroids in brainstem and spinal cord tracts; reduced cerebellar foliation, patchy loss of Purkinje cells, multifocal thinning of the external granular cell layer, and loss of neurons in the deep cerebellar nuclei; spheroids and loss of myelinated axons in spinal roots and peripheral nerves; increased myocyte apoptosis in skeletal muscle; and fibrofatty connective tissue proliferation around joints. Breeding studies demonstrated that the canine disorder is a fully penetrant, simple autosomal recessive trait. The disorder demonstrated a type and distribution of lesions homologous to that of human infantile neuroaxonal dystrophy (INAD), most commonly caused by mutations of phospholipase A2 group VI gene (PLA2G6), but alleles of informative markers flanking the canine PLA2G6 locus did not associate with the canine disorder. Thus, fetal‐onset neuroaxonal dystrophy in dogs, a species with well‐developed genome mapping resources, provides a unique opportunity for additional disease gene discovery and understanding of this pathology. J. Comp. Neurol. 518:3771–3784, 2010.

The effect of bilateral glossopharyngeal nerve anaesthesia on swallowing in horses.

REASONS FOR PERFORMING STUDY Dysfunction of the glossopharyngeal nerve has been implicated as a cause of dysphagia in horses. However, recent studies have indicated that this is not the case. OBJECTIVES To determine whether bilateral glossopharyngeal nerve anaesthesia would cause dysphagia in horses or result in measurable alterations in the timing, function, or sequence of swallowing. METHODS Swallowing was evaluated in 6 normal horses with and without bilateral glossopharyngeal nerve anaesthesia. Swallowing dynamics were assessed subjectively and objectively based on time from prehension of food until swallowing, number of tongue movements until initiation of swallowing, depth of bolus at the base of the tongue prior to initiation of swallow and evidence of tracheal aspiration using fluoroscopy and endoscopy. RESULTS There was no evidence of aspiration or dysphagia in horses before or after bilateral glossopharyngeal nerve block. No observed or measured differences in swallowing sequence or function could be detected in blocked compared to unblocked horses. However, there was a trend in blocked horses for the number of tongue pushes and the time to swallowing to be increased. CONCLUSIONS Glossopharyngeal nerve function may not be essential for normal swallowing function in otherwise healthy horses. POTENTIAL RELEVANCE Clinically, normal swallowing is not an appropriate test of glossopharyngeal nerve function and dysphagic horses should not be assumed to have glossopharyngeal nerve dysfunction.