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Cats
Epidural anaesthesia for treatment of neuropathic pain associated with pelvic limb amputation in a domestic shorthair cat
  1. Lily Knox Primason1,
  2. Robin Gleed2 and
  3. Jordyn M Boesch2
  1. 1 Cornell University College of Veterinary Medicine, Ithaca, New York, USA
  2. 2 Clinical Sciences, Section of Anesthesiology and Pain Medicine, Cornell University College of Veterinary Medicine, Ithaca, New York, USA
  1. Correspondence to Dr Lily Knox Primason; lkp38{at}cornell.edu

Abstract

An approximately 3-year-old, intact female, domestic shorthair cat presented to a shelter with a chronic fracture of the right femur. She underwent amputation of her right pelvic limb at the coxofemoral joint. On adoption two weeks following amputation, her owner noted clinical signs of pain associated with the stump, including resentment of stump palpation, paroxysmal vocalization and excessive grooming of the stump. Physical examination, including orthopaedic and neurological evaluation, was unremarkable except for subtle resentment of stump palpation. The history and clinical signs were consistent with neuropathic pain associated with the stump. A multimodal analgesic protocol consisting of oral meloxicam, gabapentin and amitriptyline was initiated; however, only mild improvement was noted and these medications were discontinued. A lumbosacral epidural injection of bupivacaine, buprenorphine and triamcinolone was performed under fluoroscopic guidance. The epidural injection resulted in immediate, complete resolution of clinical signs of pain that had not returned nine months later.

  • pain
  • analgesia
  • amputation
  • anaesthesia
  • neuropathology

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Footnotes

  • Contributors LKP wrote the first draft and is the guarantor. RG and JMB contributed to the revision and editing of the first and final drafts.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement There is no additional unpublished data from the study.

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