NEUROLOGY/NEUROSURGERY

NEUROLOGY/NEUROSURGERY

Our Services

Dogs and cats can suffer many of the same brain, spinal cord, and neuromuscular problems that humans do. These all fall into the specialty of veterinary neurology and neurosurgery services, which include treatment for a wide range of disorders – epilepsy, ruptured discs, spinal cord injuries, head trauma, brain tumors, etc. Although neurological disorders may cause great distress for pets and owners, many problems can be treated very successfully.
Diagnosis and treatment of a neurological disorder can be complex and challenging. General practice veterinarians often work with our board-certified veterinary specialists, who are experts at neurosurgery and in managing disorders of the brain, spinal cord and neuromuscular systems.

Service Highlights

At the Veterinary Specialty Services, our veterinary neurology and neurosurgery services are provided Dr. Fred Wininger VMD MS DACVIM.  VSS sponsors a Neurology/neurosurgery residency accredited American College of Veterinary Internal Medicine (link to acvim.org). Neurology residents have graduated from veterinary school, completed highly sought after rotating internships and are putting their specialty knowledge into clinical work splitting their time between MU and VSS.

Neurology: The neurology service at VSS provides specialized on-site diagnostic procedures, including magnetic resonance imaging (MRI), computed tomography (CT), and myelography. We also offer full service electrodiagnostic testing (EMG/NCV/BAER) for animals with neuromuscular diseases. Muscle and nerve biopsies are performed on-site and processed in the Comparative Neuromuscular Diseases Laboratory at UCSD.

Neurosurgery: We also perform a complete range of neurosurgeries on dogs and cats. These include dorsal and hemilaminectomies, ventral slot procedures, intervertebral disc fenestration, and exploration of the peripheral nerves and nerve roots. Spinal stabilization is also performed. State-of-the-art intracranial neurosurgical procedures include craniotomy, cranioplasty, and ventriculoperitoneal shunt placement. Pets that are critically ill or recovering from extensive neurosurgery or diagnostics are personally monitored by both the neurologist and critical care specialist in our intensive care unit.

The following services are available through the VSS neurology service:

 

  • Diagnostic Imaging
    • High Field (1.5T) Magnetic Resonance Imaging (MRI)
    • Computerized Tomography (CT)
    • Myelography
    • Spinal Radiography
  • Testing of neuromuscular diseases
    • Edrophonium testing
    • Electrodiagnostic Testing
      • Electromyography
      • Motor Nerve Conduction Velocity
      • F Wave
      • Supramaximal Repetitive Nerve Stimulation
    • Muscle and Nerve Biopsy
  • Urine metabolic screening.
  • Cerebrospinal fluid collection and analysis
  • Hearing Tests (Brainstem Auditory Evoked Response).
  • Surgery is performed with the most state of the art tools including
    • High magnification and illumination by Karl Storz HD Vitom surgical exoscope.
    • Brainsight MR frameless stereotactic device.
    • Cavitron Ultrasonic Surgical Aspirator for intracranial mass removal.
    • Ho:Yag Laser
  •  Brain Surgery
    • Stereotactic Guidance.
    • Intracranial mass removal.
    • Transphenoidal Hypophysecotmy (pituitary removal).
    • Foramen magnum decompression for caudal occipital malformation syndrome (COMS/Chiari Malformation).
    • Skull reconstructive techniques with 3D printing
    • Ventriculoperiotenal shunting for hydrocephalus.
  • Spinal Decompressive techniques
    • Dorsal laminectomy
    • Hemilaminectomy
    • Ventral slot
    • Discectomy/Fenestration
    • Lateral approaches to the cervical spine
    • Foramenotomy
  • Spinal Stabilization Techniques
    • Atlanto-axial subluxation.
    • External spinal trauma.
    • Wobbler disease (Caudal Cervical Spondylomyelopathy).
    • Lumbosacral disease/cauda equine syndrome.
  • Total disc laser ablation prophylaxis for Intervertebral Disc disease

APPOINTMENTS & OFFICE HOURS


APPOINTMENTS

Patient visits are by appointment only or can be seen in association with an emergency or critical care appointment.

For an appointment: (636) 227-9400.
After hours/weekend emergencies: (636) 227-6100.

APPOINTMENTS

Patient visits are by appointment only or can be seen in association with an emergency or critical care appointment.

For an appointment: (636) 227-9400.
After hours/weekend emergencies: (636) 227-6100.

REFERRAL PRACTICE Hours

Monday - Friday: 9:00am - 5:00pm

Emergency Hours

Weekdays, Weekends, & Holidays: 24 Hours