NAVLE Nervous

Feline Traumatic Injury Study Guide

Traumatic brain injury (TBI) and spinal cord injury (SCI) are common emergency presentations in feline patients, frequently resulting from road traffic accidents (RTAs), falls from height (high-rise syndrome), bite wounds, or other blunt trauma.

Overview and Clinical Importance

Traumatic brain injury (TBI) and spinal cord injury (SCI) are common emergency presentations in feline patients, frequently resulting from road traffic accidents (RTAs), falls from height (high-rise syndrome), bite wounds, or other blunt trauma. These injuries carry significant morbidity and mortality, making rapid recognition and appropriate management critical for patient survival and functional recovery.

Up to 20% of traumatized cats present with some degree of brain injury. Between 30-83% of cats with spinal trauma have concurrent injuries including pulmonary contusions, pneumothorax, long bone fractures, and abdominal organ damage. Understanding the pathophysiology of primary and secondary injury mechanisms is essential for optimal patient management.

Category Clinical Signs
Mentation Changes Depression, obtundation, stupor, coma
Pupillary Abnormalities Anisocoria, miosis (pain), mydriasis (severe injury), absent PLR
Ocular Signs Nystagmus (pathological), strabismus, absent oculocephalic reflex
Motor Dysfunction Paresis, paralysis, decerebrate or decerebellate rigidity
Autonomic Signs Cushing reflex (bradycardia + hypertension), hypothermia/hyperthermia
Other Signs Seizures, head tilt, circling, epistaxis, bleeding from ears
Category Finding Score
Motor Activity Normal gait, normal reflexes 6
Motor Activity Hemiparesis/tetraparesis, decerebrate activity 3-5
Motor Activity Intermittent/constant opisthotonus, no response 1-2
Brainstem Reflexes Normal PLR and oculocephalic reflexes 6
Brainstem Reflexes Slow/absent PLR, reduced oculocephalic 3-5
Brainstem Reflexes Bilateral unresponsive mydriasis 1-2
Level of Consciousness Occasional alert periods, responsive 5-6
Level of Consciousness Semicomatose, responds to visual/auditory stimuli 3-4
Level of Consciousness Comatose, unresponsive to repeated stimuli 1-2

Part 1: Traumatic Brain Injury (TBI)

Etiology and Epidemiology

The most common causes of feline TBI include: road traffic accidents (most common), falls from height (high-rise syndrome), bite wounds, blunt force trauma, and gunshot wounds. High-rise syndrome is particularly notable in cats, defined as falls from two or more stories. Approximately 90% of cats survive falls when treated, though injury severity increases with falls from higher than seven stories.

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