Traumatic skull fractures in dogs and cats: A comparative analysis of neurological and computed tomographic features.

Journal of Veterinary Internal Medicine
Pablo Amengual-BatleRodrigo Gutierrez-Quintana

Abstract

Traumatic skull fractures (TSF) are relatively frequent in dogs and cats, but little information is available regarding their clinical and imaging features. To describe the neurological and computed tomographic (CT) features of a large cohort of dogs and cats with TSF. Ninety-one dogs and 95 cats with TSF identified on CT. Multicenter retrospective comparative study. Signalment, cause of trauma, fracture locations and characteristics, presence of neurological deficits, and 1-week survival were recorded. Fractures were classified according to the extent of fragmentation and displacement. The cranial vault was affected more frequently in dogs (P = .003), whereas the face and base of the cranium more often was affected in cats (P < .001). Cats presented with multiple fractures more frequently (P < .001). All animals with TSF in the cranial vault were more likely to develop neurological signs (P = .02), especially when depressed fractures were present (95% confidence interval [CI], 1.7-8.2; P = .001). Animals with TSF located only in the facial region were less likely to have neurological signs (odds ratio with Mantel-Haenszel's method [ORMH ], 0.2; 95% CI, 0.1-0.6; P = .004). Most affected animals (84.9%) survived the first week p...Continue Reading

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