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Successful surgical debridement of a cerebral Streptococcus equi equi abscess by parietal bone flap craniotomy in a 2-month-old Warmblood foal

Barbara Broux (UGent) , Thomas van Bergen (UGent) , Stijn Schauvliege (UGent) , Y Vali, Laurence Lefère (UGent) and Ingrid Gielen (UGent)
(2019) EQUINE VETERINARY EDUCATION. 31(10). p.e58-e62
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Abstract
Brain abscesses and intracranial masses have been regularly described in horses. Treatment often is difficult and unrewarding and mortality rate high. This case report describes the successful treatment of a cerebral abscess in a 2-month-old female Warmblood foal with severe neurological signs of acute onset. Computed tomography (CT) revealed a 3 x 4 x 4 cm cerebral mass in the left brain hemisphere with severe cerebral oedema. Craniotomy, using a parietal bone flap technique, allowed the abscess to be sampled, drained and lavaged. Immediately, post-surgery the foal showed significant clinical improvement. Sample culture confirmed Streptococcus equi equi infection. The foal was medically treated for 6 weeks, leading to complete clinical and radiographical recovery. Intracranial surgery in equine medicine is limited. Using a parietal bone flap instead of partial craniectomy to gain access to the cerebrum is a less invasive procedure leading to a better aesthetic result and should be considered for the treatment of cerebral masses in the horse.
Keywords
horse, brain surgery, strangles, equine medicine, MAGNETIC-RESONANCE, ALVEOLAR CONCENTRATION, COMPUTED-TOMOGRAPHY, BRAIN ABSCESSES, DEXMEDETOMIDINE, SEVOFLURANE, ANESTHESIA, DISEASE, HORSES, HEAD

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Citation

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MLA
Broux, Barbara, et al. “Successful Surgical Debridement of a Cerebral Streptococcus Equi Equi Abscess by Parietal Bone Flap Craniotomy in a 2-Month-Old Warmblood Foal.” EQUINE VETERINARY EDUCATION, vol. 31, no. 10, 2019, pp. e58–62.
APA
Broux, B., van Bergen, T., Schauvliege, S., Vali, Y., Lefère, L., & Gielen, I. (2019). Successful surgical debridement of a cerebral Streptococcus equi equi abscess by parietal bone flap craniotomy in a 2-month-old Warmblood foal. EQUINE VETERINARY EDUCATION, 31(10), e58–e62.
Chicago author-date
Broux, Barbara, Thomas van Bergen, Stijn Schauvliege, Y Vali, Laurence Lefère, and Ingrid Gielen. 2019. “Successful Surgical Debridement of a Cerebral Streptococcus Equi Equi Abscess by Parietal Bone Flap Craniotomy in a 2-Month-Old Warmblood Foal.” EQUINE VETERINARY EDUCATION 31 (10): e58–62.
Chicago author-date (all authors)
Broux, Barbara, Thomas van Bergen, Stijn Schauvliege, Y Vali, Laurence Lefère, and Ingrid Gielen. 2019. “Successful Surgical Debridement of a Cerebral Streptococcus Equi Equi Abscess by Parietal Bone Flap Craniotomy in a 2-Month-Old Warmblood Foal.” EQUINE VETERINARY EDUCATION 31 (10): e58–e62.
Vancouver
1.
Broux B, van Bergen T, Schauvliege S, Vali Y, Lefère L, Gielen I. Successful surgical debridement of a cerebral Streptococcus equi equi abscess by parietal bone flap craniotomy in a 2-month-old Warmblood foal. EQUINE VETERINARY EDUCATION. 2019;31(10):e58–62.
IEEE
[1]
B. Broux, T. van Bergen, S. Schauvliege, Y. Vali, L. Lefère, and I. Gielen, “Successful surgical debridement of a cerebral Streptococcus equi equi abscess by parietal bone flap craniotomy in a 2-month-old Warmblood foal,” EQUINE VETERINARY EDUCATION, vol. 31, no. 10, pp. e58–e62, 2019.
@article{8578779,
  abstract     = {Brain abscesses and intracranial masses have been regularly described in horses. Treatment often is difficult and unrewarding and mortality rate high. This case report describes the successful treatment of a cerebral abscess in a 2-month-old female Warmblood foal with severe neurological signs of acute onset. Computed tomography (CT) revealed a 3 x 4 x 4 cm cerebral mass in the left brain hemisphere with severe cerebral oedema. Craniotomy, using a parietal bone flap technique, allowed the abscess to be sampled, drained and lavaged. Immediately, post-surgery the foal showed significant clinical improvement. Sample culture confirmed Streptococcus equi equi infection. The foal was medically treated for 6 weeks, leading to complete clinical and radiographical recovery. Intracranial surgery in equine medicine is limited. Using a parietal bone flap instead of partial craniectomy to gain access to the cerebrum is a less invasive procedure leading to a better aesthetic result and should be considered for the treatment of cerebral masses in the horse.},
  author       = {Broux, Barbara and van Bergen, Thomas and Schauvliege, Stijn and Vali, Y and Lefère, Laurence and Gielen, Ingrid},
  issn         = {0957-7734},
  journal      = {EQUINE VETERINARY EDUCATION},
  keywords     = {horse,brain surgery,strangles,equine medicine,MAGNETIC-RESONANCE,ALVEOLAR CONCENTRATION,COMPUTED-TOMOGRAPHY,BRAIN ABSCESSES,DEXMEDETOMIDINE,SEVOFLURANE,ANESTHESIA,DISEASE,HORSES,HEAD},
  language     = {eng},
  number       = {10},
  pages        = {e58--e62},
  title        = {Successful surgical debridement of a cerebral Streptococcus equi equi abscess by parietal bone flap craniotomy in a 2-month-old Warmblood foal},
  url          = {http://dx.doi.org/10.1111/eve.12995},
  volume       = {31},
  year         = {2019},
}

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