Neuro-Lokalisation

Tags: Bandscheibenvorfall, IVDD,

Location of lesionLoss of sensory inputPresence of UMN signsPresence of LMN signs to limbs
Loss of other reflexes
Loss of urinary and faecal continence
Cervical C1–5TL, trunk, PL, tailTL and PL both affectedNo LMN signs in TL and PL.
Cutaneous trunci and perineal reflexes intact
UMN bladdera
Faecal incontinencec
Cervical
intumescence C6–T2
TL, trunk, PL, tailPL onlyTL, loss of cutaneous trunci reflex if lesion in C8–T2.
Perineal reflex intact
UMN bladder
Faecal incontinencec
Thoracolumbar
T3–L3
Trunk (caudal to lesion), PL, tailPL only
(TL normal)
No LMN signs in TL or PL
Cutaneous trunci reflex lost caudal to lesion, perineal reflex intact
UMN bladder
Faecal incontinence
Cranial
lumbosacral
L4–S1
PL, tailNo UMN signs to limbsLMN signs in PL
Cutaneous trunci reflex intact, perineal reflex intact
UMN bladder
Faecal incontinence
Caudal
lumbosacral
S1–S3
Tail, PL probably normaldNo UMN signs to limbsLMN signs to pelvic viscera.
Loss of perineal reflex
LMN bladderb
LMN anal sphincter (dilated anus), faecal incontinence
Caudal nerves
Cd1–5
TailNo UMN signsLMN signs to tailNormal continence

TL = thoracic limb, PL = pelvic limb
a = UMN bladder – turgid, full, difficult to express
b = LMN bladder – flaccid, distended, easy to express, dribbling urine
c = Animal will deposit faeces with good emptying of colon, but may not be aware that it is defaecating.
Note: Whether or not all signs are present depends on lesion severity.