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Animal Neurology Exam Bronx NY

The four stages require a functional spinal cord and a functional brain, and they help us determine a lesion's severity. Reflexes tell us only where the lesion is localized.

Riverside Animal Clinic
(917) 383-2895
801 W 187th St
New York, NY
Hours
Monday 9:00 AM - 7:00 PM
Tuesday 9:00 AM - 7:00 PM
Wednesday 9:00 AM - 3:00 PM
Thursday 9:00 AM - 7:00 PM
Friday 9:00 AM - 7:00 PM
Saturday 9:00 AM - 4:00 PM
Sunday 10:00 AM - 2:00 PM
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Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Bird Vet, Declawing, Emergency Veterinary Clinic, Exotic Animal Vet, Reptile Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

Animal General
(201) 402-6345
725 River Rd
Edgewater, NJ
Hours
Monday 9:00 AM - 8:00 PM
Tuesday 9:00 AM - 8:00 PM
Wednesday 9:00 AM - 8:00 PM
Thursday 9:00 AM - 8:00 PM
Friday 9:00 AM - 6:00 PM
Saturday 9:00 AM - 1:00 PM
Sunday Closed
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Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery

36th Street Animal Clinic
(347) 554-7541
21-75 36th Street
Astoria, NY
Hours
Monday 12:00 PM - 7:00 PM
Tuesday 11:00 AM - 7:00 PM
Wednesday 11:00 AM - 7:00 PM
Thursday 12:00 PM - 7:00 PM
Friday Closed
Saturday Closed
Sunday Closed
Services
Animal Flea Control, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

Animal Specialty Center
(914) 265-9829
9 Odell Plaza
Yonkers, NY
Hours
Monday 24 Hours
Tuesday 24 Hours
Wednesday 24 Hours
Thursday 24 Hours
Friday 24 Hours
Saturday 24 Hours
Sunday 24 Hours
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24-Hour Vet, Animal Flea Control, Bird Vet, Emergency Veterinary Clinic, Equine Vet, Exotic Animal Vet, Holistic Veterinary Medicine, Reptile Vet, Small Animal Vet, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Animal Paradise Hospital
(201) 482-5518
670 Anderson Ave
Cliffside Park, NJ
Hours
Monday 8:00 AM - 8:00 PM
Tuesday 8:00 AM - 8:00 PM
Wednesday 8:00 AM - 8:00 PM
Thursday 8:00 AM - 8:00 PM
Friday 8:00 AM - 8:00 PM
Saturday 9:00 AM - 5:00 PM
Sunday 10:00 AM - 5:00 PM
Services
Animal Grooming, Animal Microchipping, Bird Vet, Declawing, Exotic Animal Vet, Holistic Veterinary Medicine, Reptile Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Edgewater Animal Hospital
(201) 292-4839
18 Hilliard Ave
Edgewater, NJ
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New Client 10% off first visit. Excludes anesthesia and surgery. Please mention this or present coupon prior to checkout.
Hours
Monday 8:00 AM - 6:00 PM
Tuesday 8:00 AM - 6:00 PM
Wednesday 8:00 AM - 6:00 PM
Thursday 8:00 AM - 6:00 PM
Friday 8:00 AM - 6:00 PM
Saturday 8:00 AM - 1:00 PM
Sunday Closed
Services
Animal Boarding, Animal Microchipping, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary House Calls, Veterinary Surgery, Veterinary Vaccinations

Fort Lee Animal Clinic
(201) 754-8997
1580 Lemoine Avenue
Fort Lee, NJ
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For localvets customers only: Get 20% discount for services during your first visit including; surgery, vaccination, microchip, dental
(excludes medications, food and otc)
Hours
Monday 9:00 AM - 7:00 PM
Tuesday 9:00 AM - 7:00 PM
Wednesday 9:00 AM - 7:00 PM
Thursday 9:00 AM - 7:00 PM
Friday 9:00 AM - 7:00 PM
Saturday 9:00 AM - 5:00 PM
Sunday Closed
Services
Animal Microchipping, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Surgery, Veterinary Vaccinations

PetCallVetNYC, Veterinary House Call Service
(646) 626-4573
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New York, NY
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Free First Visit + 15 % off the first exam!
Hours
Monday 9:00 AM - 9:00 PM
Tuesday 9:00 AM - 9:00 PM
Wednesday 9:00 AM - 9:00 PM
Thursday 9:00 AM - 9:00 PM
Friday 9:00 AM - 9:00 PM
Saturday 9:00 AM - 9:00 PM
Sunday 9:00 AM - 9:00 PM
Services
Declawing, Small Animal Vet, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary House Calls, Veterinary Surgery

Flushing Veterinary Clinic
(718) 839-6822
149-05 Northern Blvd
Flushing, NY
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Monday Closed
Tuesday Closed
Wednesday 12:15 PM - 3:00 PM
Thursday Closed
Friday 4:00 PM - 6:30 PM
Saturday 3:00 PM - 5:30 PM
Sunday Closed
Services
Animal Microchipping, Emergency Veterinary Clinic, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

Kalvig & Shorter Veterinary Associates
(917) 310-2540
227 E 84th St
New York, NY
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We are pleased to offer a 15 % professional courtesy on consultations and wellness visits for first time patients during the month of March. make an appointment today to be sure your pet is fit and healthy this spring!
Hours
Monday 8:00 AM - 11:00 PM
Tuesday 8:00 AM - 11:00 PM
Wednesday 8:00 AM - 11:00 PM
Thursday 8:00 AM - 11:00 PM
Friday 8:00 AM - 11:00 PM
Saturday 8:00 AM - 11:00 PM
Sunday 8:00 AM - 11:00 PM
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Microchipping, Declawing, Emergency Veterinary Clinic, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery

Making Sense of the Neuro Exam

The neurological exam seems to be one of the most confusing concepts in veterinary medicine. Let’s try to clarify things. To simplify, we will focus on the hind legs only.

One way to look at the neuro exam is to divide it into an assessment of “the four stages” and an evaluation of four reflexes.

The patellar reflex causes extension of the stifle. Photo courtesy of Dr. Phil Zeltzman.
The four stages require a functional spinal cord and a functional brain, and they help us determine a lesion’s severity. Reflexes tell us only where the lesion is localized.

Since I am a surgeon and not a neurologist, I talked to Todd Bishop, DVM, Dipl. ACVIM (neurology), of Upstate Veterinary Specialties in Latham, N.Y., to ensure the accuracy of the following information.

Decline Into Nociception

Patients might go through four stages between normalcy and being paralyzed with no deep pain:

  • First-stage patients may feel back pain. They can exhibit pain by vocalizing. Certain breeds, such as beagles, are especially good at expressing their feelings. Others may arch their back.
    .
  • As they get worse, patients may become ataxic or lose proprioception. When a patient knuckles, or doesn’t reposition a flipped paw within a couple of seconds, we say he has proprioceptive deficits.
    .
  • The next step is loss of conscious motor function. This means voluntary motion of the hind legs is weak, even if helped by a sling.
    .
  • The last step is loss of pain sensation, or nociception. It is tested by using a hemostat to pinch a toe. Though nobody enjoys performing this test, doing it correctly is critical. We are trying to cause a painful reaction by stimulating the periosteum of the phalanges.

When a deep pain sensation is present, the patient should have a voluntary reaction such as whining, trying to bite or moving away from the painful stimulus. A very stoic patient may show only dilatation of the pupils.

The order of these four stages is fixed. They occur in the same order and always return in the reverse order. Therefore, there is no need to crush a toe in a patient who has motor function. If he has motor function, he has deep pain by definition. Purists will argue that this is not true with a “spinal walker,” but let’s keep things simple.

The Spinal Cord

The cranial tibial reflex causes flexion of the hock. Photo courtesy of Dr. Phil Zeltzman.
Incidentally, these four stages correlate with the anatomy of the spinal cord. Nerve fibers involved with proprioception are located superficially in the cord. This explains why a mild lesion has mild effects on the patient.

A deeper lesion will affect the nerve fibers that control motor function. And a very severe lesion will apply pressure in the deepest nerve fibers—those that relay deep pain.

These four stages help us determine the severity of the lesion. A dog with proprioceptive deficits is mildly affected. At the other end of the spectrum, a dog with n...

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