Global cerebral ischemia with subsequent respiratory arrest in a cat after repeated use of a spring-loaded mouth gag
Case summary A 10-year-old neutered male domestic shorthair cat was evaluated because of signs of stertorous breathing and reverse sneezing of 8 months’ duration. A CT scan performed 1 week before evaluation indicated nasopharyngeal stenosis or collapse. Increased respiratory effort, stertorous brea...
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2017-10-01
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Series: | Journal of Feline Medicine and Surgery Open Reports |
Online Access: | https://doi.org/10.1177/2055116917739126 |
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doaj-dd3f863029214798a388fcc57a4287d52020-11-25T03:31:53ZengSAGE PublishingJournal of Feline Medicine and Surgery Open Reports2055-11692017-10-01310.1177/2055116917739126Global cerebral ischemia with subsequent respiratory arrest in a cat after repeated use of a spring-loaded mouth gagEmily A HartmanRobert J McCarthyMary A LabatoCase summary A 10-year-old neutered male domestic shorthair cat was evaluated because of signs of stertorous breathing and reverse sneezing of 8 months’ duration. A CT scan performed 1 week before evaluation indicated nasopharyngeal stenosis or collapse. Increased respiratory effort, stertorous breathing, coughing, reverse sneezing, bilateral black ocular discharge and mucoid left nasal discharge were noted. Rhinoscopy suggested possible nasopharyngeal stenosis. Balloon dilation was attempted but unsuccessful. Ventral rhinotomy was performed the following day using a spring-loaded mouth gag to access the surgical site. After rhinotomy, the patient had neurologic signs attributed to global cerebral ischemia that progressed to respiratory arrest, subsequently resulting in euthanasia. Relevance and novel information While ischemic brain injury has been associated with the use of a spring-loaded mouth gag in cats, to our knowledge this is the first reported instance where use resulted in respiratory arrest culminating in euthanasia.https://doi.org/10.1177/2055116917739126 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Emily A Hartman Robert J McCarthy Mary A Labato |
spellingShingle |
Emily A Hartman Robert J McCarthy Mary A Labato Global cerebral ischemia with subsequent respiratory arrest in a cat after repeated use of a spring-loaded mouth gag Journal of Feline Medicine and Surgery Open Reports |
author_facet |
Emily A Hartman Robert J McCarthy Mary A Labato |
author_sort |
Emily A Hartman |
title |
Global cerebral ischemia with subsequent respiratory arrest in a cat after repeated use of a spring-loaded mouth gag |
title_short |
Global cerebral ischemia with subsequent respiratory arrest in a cat after repeated use of a spring-loaded mouth gag |
title_full |
Global cerebral ischemia with subsequent respiratory arrest in a cat after repeated use of a spring-loaded mouth gag |
title_fullStr |
Global cerebral ischemia with subsequent respiratory arrest in a cat after repeated use of a spring-loaded mouth gag |
title_full_unstemmed |
Global cerebral ischemia with subsequent respiratory arrest in a cat after repeated use of a spring-loaded mouth gag |
title_sort |
global cerebral ischemia with subsequent respiratory arrest in a cat after repeated use of a spring-loaded mouth gag |
publisher |
SAGE Publishing |
series |
Journal of Feline Medicine and Surgery Open Reports |
issn |
2055-1169 |
publishDate |
2017-10-01 |
description |
Case summary A 10-year-old neutered male domestic shorthair cat was evaluated because of signs of stertorous breathing and reverse sneezing of 8 months’ duration. A CT scan performed 1 week before evaluation indicated nasopharyngeal stenosis or collapse. Increased respiratory effort, stertorous breathing, coughing, reverse sneezing, bilateral black ocular discharge and mucoid left nasal discharge were noted. Rhinoscopy suggested possible nasopharyngeal stenosis. Balloon dilation was attempted but unsuccessful. Ventral rhinotomy was performed the following day using a spring-loaded mouth gag to access the surgical site. After rhinotomy, the patient had neurologic signs attributed to global cerebral ischemia that progressed to respiratory arrest, subsequently resulting in euthanasia. Relevance and novel information While ischemic brain injury has been associated with the use of a spring-loaded mouth gag in cats, to our knowledge this is the first reported instance where use resulted in respiratory arrest culminating in euthanasia. |
url |
https://doi.org/10.1177/2055116917739126 |
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