1. Mechanical sensory threshold in Cavalier King Charles spaniels with syringomyelia-associated scratching and control dogs.
- Author
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Thoefner, M.S., Westrup, U., Toft, N., Bjerrum, O.J., and Berendt, M.
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DOGS , *MAGNETIC resonance imaging , *SENSORY evaluation , *SPINAL cord , *SYMPTOMS , *SOMATOSENSORY cortex - Abstract
Highlights • Cavalier King Charles spaniels with syringomyelia are assumed to experience central neuropathic pain. • In humans with central neuropathic pain, monofilaments were used to evaluate somatosensory function. • The cervical mechanical sensory threshold was quantified with monofilaments in case and control dogs. • Mean mechanical sensory threshold was not significantly different between case and control dogs. • The complete somatosensory profile needs to be characterised in order to assess whether syringomyelia alters sensory thresholds. Abstract It is assumed that Cavalier King Charles spaniels with Chiari-like malformation and syringomyelia experience central neuropathic pain. An association between spinal cord parenchymal lesions and specific clinical signs (e.g. spontaneous and evoked scratching, withdrawal, and paroxysmal pain manifestations with vocalisation) has been suggested. This led to the hypothesis that mechanical sensory threshold is altered in clinical cases. The aim of this study was to quantify the cervical mechanical sensory threshold using Semmes-Weinstein monofilaments in nine Cavalier King Charles spaniels with Chiari-like malformation and assumed syringomyelia-associated central neuropathic pain compared to eight control dogs. Clinical and neurological examination including magnetic resonance imaging was undertaken. Mean mechanical sensory threshold was not significantly different between case and control dogs (t -test on log10 transformed data; P = 0.25). Substantial variation within and between dogs was seen, with individual thresholds ranging from 0.04 to 26 g in case dogs and from 0.02 to 10 g in control dogs. Based on these results, it is unlikely that Cavalier King Charles spaniels with Chiari-like malformation and syringomyelia have increased mechanical sensation characterised by lower mechanical sensory threshold when quantified with Semmes-Weinstein monofilaments. Whether clinical cases experience central neuropathic pain remains unknown. The assessment of sensory function in dogs with assumed central neuropathic pain should be multimodal and include not only mechanical but also tactile and thermal threshold quantification. The use of threshold quantification in a clinical setting is challenging due to an insufficient signal relative to the biological background noise within and between dogs. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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