Therapeutic Approach by Traditional Veterinary Medicine in a Case with Canine Myleomalacia: Case Report

척수연화증 개에서 전통 수의학적 방법을 이용한 치료 시도: 증례 보고

  • Jun, Hyung-Kyou (College of Veterinary Medicine, Chungnam National University) ;
  • Oh, Hyun-Uk (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Hyun-Hwa (College of Veterinary Medicine, Chungnam National University) ;
  • Han, Ji-Won (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Byung-Kon (Shin Pung Animal Clinic) ;
  • Park, Jin-Ho (College of Veterinary Medicine, Chonbuk National University) ;
  • Lee, Young-Won (College of Veterinary Medicine, Chungnam National University) ;
  • Jeong, Seong-Mok (College of Veterinary Medicine, Chungnam National University) ;
  • Kim, Duck-Hwan (College of Veterinary Medicine, Chungnam National University)
  • Published : 2007.12.31

Abstract

A 4-year-old castrated male Cocker spaniel was referred with chief complaint of pelvic limbs paralysis and trembling. This dog was diagnosed as a case of myelomalacia complicated with intervertebral disc disease(IVDD) by radiography and magnetic resonance imaging(MRI). This patient was treated by injection-AP with apitoxin, herbal medicine and moxibustion. The acupoints such as GV02-1, GV04, GV11, GV12, GV13, GV14, BL11, BL18, BL23, BL25, BL28, GB21, HT07, KI03, LI04, LU07, SI03, SI06, ST36, ST38, ST39, ST40, ST41, GB30, GB31, GB34, Liv03, SP06 and trigger points($T1{\sim}T4\;and\;T9{\sim}L1$) were used for treatment. At the session 1, the dog could not stand and move the limbs. However, gradual improvement of clinical signs was observed after 7, 14 and 21 session of treatment. Although the clinical signs related to pelvic paralysis were not completely abolished with TVM methods, this case showed the marked improvement of clinical signs after 21 sessions of treatment. In conclusion, the present patient was a case with canine myelomalacia complicated with IVDD which showed not so complete but somewhat improvement by TVM method.

4년령의 중성화한 수컷 코커 스파니엘이 후지 마비와 진전 때문에 내원 하였다. 본 환축은 X-ray와 MRI를 이용하여 추간판탈출증이 합병된 척수연화증으로 진단되었다. 환축의 치료를 위하여 봉독 약침, 뜸 및 한약제의 투여를 이용하였다. 사용 혈위는 GV02-1, GV04, GV11, GV12, GV13, GV14, BL11, BL18, BL23, BL25, BL28, GB21, HT07, KI03, LI04, LU07, SI03, SI06, ST36, ST38, ST39, ST40, ST41, GB30, GB31, GB34, LIV03, SP06 및 압통점($T1{\sim}T4\;and\;T9{\sim}L1$) 이었다. 그 결과, 1차 치료 시 환축은 기립이 불가능하였으며, 사지를 움직이지 못하였다. 그러나 7차, 14차 및 21차 치료 시 점차적인 임상증상의 개선이 관찰되었다. 비록 한방수의학적 방법으로 임상 증상이 완치된 것은 아니지만, 21차 치료 후 임상증상이 일부 호전된 증례이었다.

Keywords

References

  1. Jeong SM, Kim HY, Lee CH, Kweon OK, Nam TC. Use of acupuncture for the treatment of idiopathic facial nerve paralysis in a dog. Vet Rec 2001; 19: 632-633
  2. Jeong SM, Park SW. Application of traditional acupuncture on canine intervertebral disc disease. J Vet Clin 2004; 21(1): 49-51
  3. Kameyama T, Yanagi T, Yasuda T, Mizuno T, Hirose Y. Intramedullary high intensity lesion on T2-weighted MR images in compressive cervical myelopathy. Rinsho Shinkeigaku. 1991; 31(11): 1177-1181
  4. Kim DH, Liu J, Choi SH, Macmanus P, Jenings P, Darcy K, Burke F, Leorald N, Rogers Phil A. M., Acupuncture treatment in a case with equine laminitis. J Vet Clin 2006; 23(1): 6-8
  5. Kim DH, Liu J, Lee YW, Song KH, Kang SK, Choi HJ, Seo KM, Choi SH, Nam TC, Rogers Phil A.M., Treatment of canine cervical and lumbar disc disease by injectionacupuncture. J Vet Clin 2006; 23(1): 65-68
  6. Kim DH, Liu J, Macmanus P, Jennings P, Darcy K, Burke F, Slattery G, Rogers Phil A.M., Injectin-acupuncture with dexamethasone and modified moxibustion treatment of a downer cow. J Vet Clin 2006; 23(1): 69-71
  7. Kim YS, Kim KW, Kim JY, Liu J, Lee SE, Song KH, Kim MC, Kim DH. The anti-emetic effect of needling acupuncture, aquapuncture and moxibustion at BL-21 and CV-12 in xylazine induced vomiting of dogs. J Vet Clin 2005; 22(3): 202-205
  8. Lee HC, Choi HJ, Lee YW. Acute hemorrhagic myelomalacia in an English cocker spaniel dog. J Vet Clin 2007; 24(2): 247-250
  9. Lin CC, Yen FL, Hsu FF, Lin JM. Anti-hypercholesterolaemia, antioxidant activity and free radical scavenger effects of traditional Chinese medicine prescriptions used for stroke. J Pharm Pharmacol 2000; 52(11): 1387-1393 https://doi.org/10.1211/0022357001777388
  10. Nelson RW, Couto CG. Disorders of the spinal cord. In: small animal internal medicine 3rd ed. China: Mosby. 2003: 1020-1048
  11. Platt SR, McConnell JF, Bestbier M. Magnetic resonance imaging characteristics of ascending hemorrhagic myelomalacia in a dog. Vet Radiol Ultrasound. 2006; 47(1): 78-82 https://doi.org/10.1111/j.1740-8261.2005.00109.x
  12. Ramanauskas WL, Wilner HI, Metes JJ, Lazo A, Kelly JK. MR imaging of compressive myelomalacia. J Comput Assist Tomogr 1989; 13(3): 399-404 https://doi.org/10.1097/00004728-198905000-00005
  13. Ryu JH, Song KH, Kim DH, Kim MC, Shin ST, Cho SW. The therapeutic effect of aquapuncture on bovine foot rot. J Vet Clin 2002; 19(2): 115-120
  14. Seong YS, Eom KD, Lee HO, Lee JM, Chang DW, Lee KW, Jang KH, Oh TH. Myelomalacia in 2 dogs. J Vet Clin 2004; 21(2): 177-180
  15. Son DJ, Lee YH, Song HS, et al. Therapeutic application of anti-arthritis, pain-releasing, and anti-cancer effects of bee venom and its constituent compounds. Pharmacol Ther 2007: 6
  16. Takahashi M, Sakamoto Y, Miyawaki M, Bussaka H. Increased MR signal intensity secondary to chronic cervical cord compression. Neuroradiol 1987; 29(6): 550-556 https://doi.org/10.1007/BF00350439
  17. Yoon SY, Kwon YB, Kim HW, Roh DH, Seo HS, Han HJ, Lee HJ, Beitz AJ, Hwang SW, Lee JH. Peripheral bee venom's anti-inflammatory effect involves activation of the coeruleospinal pathway and sympathetic preganglionic. neurons Neurosci Res 2007; 59:51-59 https://doi.org/10.1016/j.neures.2007.05.008