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      Spontaneous nervous system concussion in dogs: a description of two cases and a review of terminology in veterinary medicine

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          Abstract

          In human medicine, central nervous system (CNS) concussion is defined as a transient neurological dysfunction following a traumatic event, without evidence of structural abnormalities of the affected region on advanced diagnostic imaging. Depending on the anatomical region involved, three forms of concussive syndromes are described: brain concussion, spinal concussion and cerebellar concussion. Although major textbooks of veterinary neurology admit the existence of canine brain concussion, spontaneous cases of this pathological condition have not been reported in small animals so far. This report describes two cases of concussion in dogs: a 9-month-old, intact male, shih-tzu with brain concussion; and a 10-month-old, intact male, poodle with cerebellar concussion. In addition, a brief review of the definition of the term “concussion” in the veterinary medical literature is provided, in comparison to its meaning in the human medical literature. Finally, this paper proposes an appropriate definition of “concussion” in dogs, that may facilitate clinicians in the recognition of such an elusive syndrome.

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          Most cited references54

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          The neuropathology and neurobiology of traumatic brain injury.

          The acute and long-term consequences of traumatic brain injury (TBI) have received increased attention in recent years. In this Review, we discuss the neuropathology and neural mechanisms associated with TBI, drawing on findings from sports-induced TBI in athletes, in whom acute TBI damages axons and elicits both regenerative and degenerative tissue responses in the brain and in whom repeated concussions may initiate a long-term neurodegenerative process called dementia pugilistica or chronic traumatic encephalopathy (CTE). We also consider how the neuropathology and neurobiology of CTE in many ways resembles other neurodegenerative illnesses such as Alzheimer's disease, particularly with respect to mismetabolism and aggregation of tau, β-amyloid, and TDP-43. Finally, we explore how translational research in animal models of acceleration/deceleration types of injury relevant for concussion together with clinical studies employing imaging and biochemical markers may further elucidate the neurobiology of TBI and CTE. Copyright © 2012 Elsevier Inc. All rights reserved.
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            Long-term consequences of repetitive brain trauma: chronic traumatic encephalopathy.

            Chronic traumatic encephalopathy (CTE) has been linked to participation in contact sports such as boxing and American football. CTE results in a progressive decline of memory and cognition, as well as depression, suicidal behavior, poor impulse control, aggressiveness, parkinsonism, and, eventually, dementia. In some individuals, it is associated with motor neuron disease, referred to as chronic traumatic encephalomyelopathy, which appears clinically similar to amyotrophic lateral sclerosis. Results of neuropathologic research has shown that CTE may be more common in former contact sports athletes than previously believed. It is believed that repetitive brain trauma, with or possibly without symptomatic concussion, is responsible for neurodegenerative changes highlighted by accumulations of hyperphosphorylated tau and TDP-43 proteins. Given the millions of youth, high school, collegiate, and professional athletes participating in contact sports that involve repetitive brain trauma, as well as military personnel exposed to repeated brain trauma from blast and other injuries in the military, CTE represents an important public health issue. Focused and intensive study of the risk factors and in vivo diagnosis of CTE will potentially allow for methods to prevent and treat these diseases. Research also will provide policy makers with the scientific knowledge to make appropriate guidelines regarding the prevention and treatment of brain trauma in all levels of athletic involvement as well as the military theater. Copyright © 2011 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
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              Secondary injury mechanisms in traumatic spinal cord injury: a nugget of this multiply cascade

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                Author and article information

                Journal
                Open Vet J
                Open Vet J
                Open Veterinary Journal
                Faculty of Veterinary Medicine, University of Tripoli and Libyan Authority for Research, Science and Technology (Tripoli, Libya )
                2226-4485
                2218-6050
                2017
                06 November 2017
                : 7
                : 4
                : 306-312
                Affiliations
                [1] “Pingry” Veterinary Hospital, via Medaglie d’Oro 5, Bari, Italy
                Author notes
                [* ] Corresponding Author: Mario Ricciardi. “Pingry” Veterinary Hospital, via Medaglie d’Oro 5, Bari, Italy. Email: ricciardi.mario@ 123456alice.it
                Article
                OpenVetJ-7-306
                10.4314/ovj.v7i4.3
                5681728
                a66f54d0-fa87-4d4c-8c39-8839fee0902d
                Copyright: © Open Veterinary Journal

                Open Veterinary Journal is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 12 April 2017
                : 19 October 2017
                Categories
                Case Report

                brain,computed tomography,concussion,dog,magnetic resonance imaging

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