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Animal Neurology Exam Leawood KS

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.

Mission Road Animal Clinic
(913) 735-4988
9420 Mission Road
Prairie Village, KS
Hours
Monday 7:30 AM - 5:30 PM
Tuesday 7:30 AM - 5:30 PM
Wednesday 7:30 AM - 5:30 PM
Thursday 7:30 AM - 5:30 PM
Friday 7:30 AM - 5:30 PM
Saturday 8:00 AM - 12:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Kansas City Veterinary Care
(816) 200-1959
7240 Wornall Road
Kansas City, MO
Hours
Monday 8:00 AM - 8:00 PM
Tuesday 8:00 AM - 6:00 PM
Wednesday 8:00 AM - 6:00 PM
Thursday 8:00 AM - 8:00 PM
Friday 8:00 AM - 6:00 PM
Saturday 8:00 AM - 2:00 PM
Sunday Closed
Services
Animal Daycare, Animal Flea Control, Animal Microchipping, Declawing, Reptile Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Cherokee Animal Clinic
(913) 583-0958
9630 Antioch Rd
Overland Park, KS
Promotion
First time clients receive a complimentary examination for one of their pets. Please print coupon
Hours
Monday 7:00 AM - 7:00 PM
Tuesday 7:00 AM - 7:00 PM
Wednesday 7:00 AM - 7:00 PM
Thursday 7:00 AM - 7:00 PM
Friday 7:00 AM - 5:30 PM
Saturday 8:00 AM - 3:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Brookside Animal Clinic, Inc.
(816) 974-6770
210 W 85th St
Kansas City, MO
Hours
Monday 7:30 AM - 6:00 PM
Tuesday 7:30 AM - 6:00 PM
Wednesday 7:30 AM - 6:00 PM
Thursday 7:30 AM - 6:00 PM
Friday 7:30 AM - 6:00 PM
Saturday 8:30 AM - 12:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Microchipping, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary House Calls, Veterinary Surgery

VCA Mission Animal Referral and Emergency Center
(913) 256-5948
5914 Johnson Drive
Mission, KS
Hours
Monday 24 Hours
Tuesday 24 Hours
Wednesday 24 Hours
Thursday 24 Hours
Friday 24 Hours
Saturday 24 Hours
Sunday 24 Hours
Services
24-Hour Vet, Emergency Veterinary Clinic, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Compassionate Care Mobile Veterinary Service
(913) 712-9017
PO Box 9081
Shawnee Mission, KS
Promotion
$129 Total Wellness Care Package:

Includes housecall, wellness exam, all core vaccinations, internal parasite sceening, and heartworm/feline viral screening.
Hours
Monday 8:00 AM - 5:00 PM
Tuesday 8:00 AM - 5:00 PM
Wednesday 8:00 AM - 5:00 PM
Thursday 8:00 AM - 5:00 PM
Friday 8:00 AM - 5:00 PM
Saturday 8:00 AM - 12:00 AM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Exotic Animal Vet, Small Animal Vet, Veterinarians, Veterinary Euthanasia, Veterinary House Calls, Veterinary Vaccinations

Petworks Veterinary Hospital
(913) 826-6453
9232 Metcalf Ave
Overland Park, KS
Promotion
Free bag of pet food for new clients.
Good for one #8 bag for dogs/puppies or one #4 bag for cats/kittens.
Please print coupon.
Hours
Monday 7:30 AM - 7:00 PM
Tuesday 7:30 AM - 7:00 PM
Wednesday 7:30 AM - 7:00 PM
Thursday 7:30 AM - 7:00 PM
Friday 7:30 AM - 7:00 PM
Saturday 9:00 AM - 2:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

KC Cat Clinic
(816) 200-0987
7107 Main St
Kansas City, MO
Hours
Monday 7:30 AM - 7:00 PM
Tuesday 7:30 AM - 7:00 PM
Wednesday 7:30 AM - 6:00 PM
Thursday 7:30 AM - 6:00 PM
Friday 7:30 AM - 6:00 PM
Saturday Closed
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

Mariposa Veterinary Wellness Center
(913) 213-3839
13900 Santa Fe Trail Dr.
Lenexa, KS
Hours
Monday 8:00 AM - 5:30 PM
Tuesday 8:00 AM - 5:30 PM
Wednesday 8:00 AM - 5:30 PM
Thursday 8:00 AM - 5:30 PM
Friday 8:00 AM - 5:30 PM
Saturday Closed
Sunday Closed
Services
Animal Flea Control, 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, Veterinary Vaccinations

Bannister Veterinary Clinic
(816) 376-0983
8201 E 87th St
Raytown, MO
Promotion
We are having Huge sale on flea prevention and heartworm prevention. Come by to get your free magnet calendar and cute animal paw magnets for your frig. Also come by to get your free cat/dog collars and leashes with any office visit.
Full grooming avai
Hours
Monday 8:30 AM - 6:00 PM
Tuesday 8:30 AM - 6:00 PM
Wednesday 8:30 AM - 6:00 PM
Thursday 8:30 AM - 6:00 PM
Friday 8:30 AM - 6:00 PM
Saturday 8:30 AM - 2:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Bird Vet, Declawing, Emergency Veterinary Clinic, Exotic Animal Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Docking, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

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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