CNS MRI shows as DD: cyst / neoplasia / granuloma.

A dog came with rotated head and pain in the neck during the physical exam.

NMR under general anaesthesia was performed and the following image was seen:

2013-03-26 13.26.09

2013-03-26 13.25.222013-03-26 13.25.57

There’s a fluid like round mass localised in one of the brain hemispheres.

Possible conclusion:

The mass (cyst, neoplasia or inflammation) is causing a compression of the central spinal channel, which is supposed to be obstructing the cerebro-spinal fluid (CSF) flow causing a third ventricle enlargement in the brain.

Symptomatic therapy:

Omeprazole to decrease the CSF production and release the increased pressure and pain. For those who are thinking WTF has Omeprazole to do with CSF (although the action mechanism is still unknown!): http://www.ncbi.nlm.nih.gov/pubmed/?term=reduction+CSF+production+omeprazole

- Pain medication.

Possible further analysis: biopsy of the brain mass.

P.D. My understanding of Dutch is horrible, so there might be several mistakes in this informal short-mini case report.

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