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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Main Authors: Emily A Hartman, Robert J McCarthy, Mary A Labato
Format: Article
Language:English
Published: SAGE Publishing 2017-10-01
Series:Journal of Feline Medicine and Surgery Open Reports
Online Access:https://doi.org/10.1177/2055116917739126
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spelling 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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