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Animal Neurology Exam Sicklerville NJ

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.

Winslow Animal Hospital
(856) 318-2791
640 Sicklerville Road
Sicklerville, 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 8:00 AM - 4:00 PM
Sunday 10:00 AM - 2:00 PM
Services
Animal Flea Control, Animal Microchipping, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

Haddon Veterinary Clinic LLC
(856) 248-0962
2 2nd Ave
Haddon Heights, NJ
Promotion
Call us to schedule an appointment for your pet!
Hours
Monday 9:00 AM - 7:00 PM
Tuesday 9:00 AM - 7:00 PM
Wednesday 9:00 AM - 6:00 PM
Thursday 9:00 AM - 7:00 PM
Friday 9:00 AM - 6:00 PM
Saturday 9:00 AM - 12:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Microchipping, Declawing, Exotic Animal Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

Clayton Veterinary Associates
(856) 677-8924
820 North Delsea Drive
Clayton, NJ
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 - 2:00 PM
Saturday 9:00 AM - 1:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Microchipping, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Surgery, Veterinary Vaccinations

VCA Maple Shade Animal Hospital
(856) 438-0925
845 E Main St
Maple Shade, 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 8:00 AM - 4:00 PM
Sunday Closed
Services
Animal Boarding, Animal Flea Control, Animal Microchipping, Bird Vet, Exotic Animal Vet, Reptile Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Docking, Veterinary Euthanasia, Veterinary Surgery

Veterinary Specialty & Emergency Center
(267) 908-9662
1114 South Front St
Philadelphia, PA
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 Medical Specialties, Veterinary Surgery

Clementon Animal Hospital
(856) 741-1779
210 White Horse Pike
Clementon, NJ
Promotion
Please call to make an appointment for a free dental evaluation for you your furry friend! Our doctors will evaluate your pets mouth thoroughly, and discuss options for you, such as diet, dental cleaning, tooth brushing ect.
Hours
Monday 8:00 AM - 9:00 PM
Tuesday 8:00 AM - 9:00 PM
Wednesday 8:00 AM - 5:00 PM
Thursday 8:00 AM - 9:00 PM
Friday 8:00 AM - 5:00 PM
Saturday 8:00 AM - 3:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Declawing, Emergency Veterinary Clinic, Exotic Animal Vet, Reptile Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Surgery

Audubon Veterinary Associates
(856) 720-0939
247 White Horse Pike
Audubon, NJ
Hours
Monday 8:00 AM - 7:30 PM
Tuesday 8:00 AM - 7:30 PM
Wednesday 8:00 AM - 7:30 PM
Thursday 8:00 AM - 7:30 PM
Friday 8:00 AM - 7:30 PM
Saturday 8:00 AM - 11:00 AM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Docking, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Church Rd Animal Hospital
(856) 318-2520
2310 Church Rd
Cherry Hill, NJ
Promotion
Ear Crop, Low Cost Spay/Neuter,
Pet Insurance Welcome,
Senior Discount, First visit for puppy and kitten, Wellness Program,
Front line & Heart guard (Prices lower than Pet med)
Hours
Monday 9:00 AM - 12:00 PM
Tuesday 9:00 AM - 12:00 PM
Wednesday 9:00 AM - 12:00 PM
Thursday 9:00 AM - 12:00 PM
Friday 9:00 AM - 12:00 PM
Saturday 9:00 AM - 12:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Declawing, Exotic Animal Vet, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Cropping, Veterinary Dentistry, Veterinary Docking, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

Pennsauken Animal Hospital
(856) 254-0633
6717 Crescent Blvd. Rt. 130
Pennsauken, NJ
Hours
Monday 8:00 AM - 12:00 PM
Tuesday 9:00 AM - 12:00 PM
Wednesday 9:00 AM - 12:00 PM
Thursday 9:00 AM - 12:00 PM
Friday 9:00 AM - 12:00 PM
Saturday 8:00 AM - 12:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Declawing, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Surgery, Veterinary Vaccinations

VCA Cat Hospital of Philadelphia - Cats Only
(215) 839-8995
226 South 20th Street
Philadelphia , PA
Hours
Monday 8:45 AM - 6:45 PM
Tuesday 8:45 AM - 6:45 PM
Wednesday 8:45 AM - 6:45 PM
Thursday 8:45 AM - 6:45 PM
Friday 8:45 AM - 6:30 PM
Saturday 9:00 AM - 2:45 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Declawing, Spaying/Neutering, Veterinarians, Veterinary Dentistry, 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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