{"id":1928,"date":"2015-04-18T12:26:36","date_gmt":"2015-04-18T02:26:36","guid":{"rendered":"https:\/\/theveterinarian.com.au\/?p=1928"},"modified":"2015-04-29T12:28:04","modified_gmt":"2015-04-29T02:28:04","slug":"abstracts-iatrogenic-traumatic-brain-injury-during-tooth-extraction","status":"publish","type":"post","link":"https:\/\/theveterinarian.com.au\/?p=1928","title":{"rendered":"Abstracts: Iatrogenic traumatic brain injury during tooth extraction"},"content":{"rendered":"An 8 yr old spayed female Yorkshire terrier was referred for evaluation of progressive neurological signs after a routine dental prophylaxis with tooth extractions. \r\n\r\nThe patient was circling to the left and blind in the right eye with right hemiparesis. Neurolocalization was to the left forebrain. MRI revealed a linear tract extending from the caudal oropharynx, through the left retrobulbar space and frontal lobe, into the left parietal lobe. A small skull fracture was identified in the frontal bone through which the linear tract passed. Those findings were consistent with iatrogenic trauma from slippage of a dental elevator during extraction of tooth 210. The\u00a0dog\u00a0was treated empirically with clindamycin. The patient regained most of its normal neurological function within the first 4 mo after the initial injury. Although still not normal, the\u00a0dog\u00a0has a good quality of life. Traumatic brain injury is a rarely reported complication of extraction. Care must be taken while performing dental cleaning and tooth extraction, especially of the maxillary premolar and molar teeth to avoid iatrogenic damage to surrounding structures. \r\n\r\nThe study is from the Massachusetts Veterinary Referral Hospital, Woburn, Massachusetts, USA.\r\nTroxel M. J Am Anim Hosp Assoc\u00a02015 Feb 19 [Epub ahead of print].","protected":false},"excerpt":{"rendered":"<p>An 8 yr old spayed female Yorkshire terrier was referred for evaluation of progressive neurological signs after a routine dental prophylaxis with tooth extractions. The patient was circling to the left and blind in the right eye with right hemiparesis. Neurolocalization was to the left forebrain. MRI revealed a linear tract extending from the caudal [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[54,1632,1629,923,55,1630,1631],"class_list":["post-1928","post","type-post","status-publish","format-standard","hentry","category-abstracts","tag-abstracts-2","tag-brain-injury","tag-massachusetts-veterinary-referral-hospital","tag-neurology","tag-research","tag-terrier","tag-tooth-extraction"],"rise-blocks_total_comments":0,"rise-blocks_categories":[{"term_id":3,"name":"Abstracts","slug":"abstracts","term_group":0,"term_taxonomy_id":3,"taxonomy":"category","description":"","parent":0,"count":237,"filter":"raw","cat_ID":3,"category_count":237,"category_description":"","cat_name":"Abstracts","category_nicename":"abstracts","category_parent":0}],"rise-blocks_excerpt":"An 8 yr old spayed female Yorkshire terrier was referred for evaluation of progressive neurological signs after a routine dental prophylaxis with tooth extractions. The patient was circling to the left and blind in the right eye with right hemiparesis. Neurolocalization was to the left forebrain. MRI revealed a linear tract extending from the caudal oropharynx, through the left retrobulbar..","blog_post_layout_featured_media_urls":{"thumbnail":"","full":""},"categories_names":{"3":{"name":"Abstracts","link":"https:\/\/theveterinarian.com.au\/?cat=3"}},"tags_names":{"54":{"name":"abstracts","link":"https:\/\/theveterinarian.com.au\/?tag=abstracts-2"},"1632":{"name":"brain injury","link":"https:\/\/theveterinarian.com.au\/?tag=brain-injury"},"1629":{"name":"Massachusetts Veterinary Referral Hospital","link":"https:\/\/theveterinarian.com.au\/?tag=massachusetts-veterinary-referral-hospital"},"923":{"name":"neurology","link":"https:\/\/theveterinarian.com.au\/?tag=neurology"},"55":{"name":"research","link":"https:\/\/theveterinarian.com.au\/?tag=research"},"1630":{"name":"terrier","link":"https:\/\/theveterinarian.com.au\/?tag=terrier"},"1631":{"name":"tooth extraction","link":"https:\/\/theveterinarian.com.au\/?tag=tooth-extraction"}},"comments_number":"0","wpmagazine_modules_lite_featured_media_urls":{"thumbnail":"","cvmm-medium":"","cvmm-medium-plus":"","cvmm-portrait":"","cvmm-medium-square":"","cvmm-large":"","cvmm-small":"","full":""},"_links":{"self":[{"href":"https:\/\/theveterinarian.com.au\/index.php?rest_route=\/wp\/v2\/posts\/1928","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/theveterinarian.com.au\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/theveterinarian.com.au\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/theveterinarian.com.au\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/theveterinarian.com.au\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1928"}],"version-history":[{"count":1,"href":"https:\/\/theveterinarian.com.au\/index.php?rest_route=\/wp\/v2\/posts\/1928\/revisions"}],"predecessor-version":[{"id":1929,"href":"https:\/\/theveterinarian.com.au\/index.php?rest_route=\/wp\/v2\/posts\/1928\/revisions\/1929"}],"wp:attachment":[{"href":"https:\/\/theveterinarian.com.au\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1928"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/theveterinarian.com.au\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1928"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/theveterinarian.com.au\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1928"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}