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Successful surgical debridement of a cerebral Streptococcus equi equi abscess by parietal bone flap craniotomy in a 2-month-old Warmblood foal

Authors
  • Broux, Barbara
  • van Bergen, Thomas
  • Schauvliege, Stijn
  • Vali, Y
  • Lefère, Laurence
  • Gielen, Ingrid
Publication Date
Jan 01, 2019
Identifiers
DOI: 10.1111/eve.12995
OAI: oai:archive.ugent.be:8578779
Source
Ghent University Institutional Archive
Keywords
Language
English
License
Unknown
External links

Abstract

Brain abscesses and intracranial masses have been regularly described in horses. Treatment often is difficult and unrewarding and mortality rate high. This case report describes the successful treatment of a cerebral abscess in a 2-month-old female Warmblood foal with severe neurological signs of acute onset. Computed tomography (CT) revealed a 3 x 4 x 4 cm cerebral mass in the left brain hemisphere with severe cerebral oedema. Craniotomy, using a parietal bone flap technique, allowed the abscess to be sampled, drained and lavaged. Immediately, post-surgery the foal showed significant clinical improvement. Sample culture confirmed Streptococcus equi equi infection. The foal was medically treated for 6 weeks, leading to complete clinical and radiographical recovery. Intracranial surgery in equine medicine is limited. Using a parietal bone flap instead of partial craniectomy to gain access to the cerebrum is a less invasive procedure leading to a better aesthetic result and should be considered for the treatment of cerebral masses in the horse.

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