Over the years, the general level of love, care and the highest degree of knowledge of all of the staff has been invaluable comfort and it’s wonderful that Cave care so much about the human family members as well.

Wayne Cullen
Neurology & Neurosurgery

Neurology & Neurosurgery

Having a pet with neurological disease can be very distressing. Our Neurology and Neurosurgery service aims to provide highest standard in diagnostics and treatment options to every patient. Our Neurology specialist Salih Eminaga, was trained as a neurologist in UK and has worked as a neurologist both in UK and USA. Salih is supported by veterinary specialists in Anaesthesia & Analgesia, Diagnostic Imaging, Internal Medicine and strong team of qualified veterinary nurses.  

Our team strive to help clients and their pets to return them to their healthy state. They have access to on site high field MRI, on site 16  slice CT, on-site laboratory, electrophysiology unit and positive pressure ventilated operating theatres with digital access patients' imaging studies to diagnose and treat their patients.

Most of the patients with neurological signs will have numerous tests performed before a diagnosis is reached. MRI is one of the most advanced imaging modality for nervous system. This modality provides millimetres thickness cross sectional images of brain and spinal cord. Many patients will need analysis of the spinal fluid to further characterise the disease process. If the disease process is suspected to be effecting the muscles and the nerves (neuromuscular disease), electrophysiology unit will be utilised to obtain further information to confirm this suspicion. This test involves measuring the electrical activity within the muscles and can also measure how fast the nerves conducting. If abnormalities found with his test, it will confirm the presence of neuromuscular disease. The next step would be collecting biopsies from the muscle and/or nerves, which will be processed by a specialist laboratory. 

Once the diagnosis is reached medical or surgical treatment options tailored to the individual patient and client needs, would be discussed and performed. 

The Neurology service accepts referrals or advises on cases with:

  • Neurological emergencies: spinal trauma, head trauma, cluster seizure management and status epilepticus.
  • Spinal diseases: disc herniation (protrusion/extrusion), cervical spondylomyelopathy (“wobblers”), degenerative myelopathy, ischemic myelopathy (FCE) and spinal cord tumours.
  • Seizures and other paroxysmal diseases: movement disorders, narcolepsy-cataplexy.
  • Inflammatory central nervous system diseases: meningitis, myelitis and encephalitis.
  • Brain tumour (cancer), infarct (stroke), cysts or abscess.
  • Peripheral and central vestibular diseases.
  • Chiari-like malformation and syringohydromyelia.
  • Cranial nerves deficits: facial paralysis, trigeminal neuritis, Horner’s syndrome.
  • Hydrocephalus, subarachnoid diverticule or vertebral anomalies (spinal malformations, atlantoaxial subluxation).
  • Tetanus and botulism.
  • Neuromuscular diseases: polyradiculoneuritis, myasthenia gravis, masticatory muscle myositis, polymyositis and endocrine neuropathy.
  • Deafness or hearing tests (BAER).

Surgical procedures offered:

  • Decompressive spinal surgery (cervical and thoracolumbar hemilaminectomy, dorsal laminectomy (cervical, thoracolumbar or lumbosacral), ventral slot, corpectomy and foraminotomy).
  • Trauma management (vertebral fracture stabilisation, skull fracture).
  • Brain tumour removal and biopsy.
  • Spinal cord tumour removal and biopsy.
  • Foramen magnum decompression (for Chiari-like malformation and syringohydromyelia)
  • Subarachnoid diverticule surgery.
  • Ventriculoperitoneal shunt placement (for hydrocephalus)
  • Stabilisation for cervical spondylomyelopathy (“wobblers”) or lumbosacral disease.
  • Muscle and nerve biopsy.