Tuni - Lagotto Romagnolo - Cerebral Abiotrophy

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Tuni - Lagotto Romagnolo - Cerebral Abiotrophy This page is dedicated to all the information we are learning about the neurological disease that Tuni has, Cerebellar Abiotrophy is what is expected.

Unfortunately we won’t conclusively know until a necropsy is performed. Thank you ❤️ for reading

Last of the test results for Tuni….Hello!We have received the last of the pending results for Petunia with her metabolic...
15/08/2024

Last of the test results for Tuni….

Hello!

We have received the last of the pending results for Petunia with her metabolic screening which was negative. Based on her testing so far, a neurodegenerative disease is highly suspected although with her negative genetic screening so far this appears to be a mutation variant that has not yet been described and classified. In general, neurodegenerative diseases unfortunately do not appear to respond to treatment and signs are expected to slowly progress with time. Despite that, I do have some clients that like to give an anti-oxidant supplement with the idea this may slow progression with time. In these cases, I recommend the supplement "Immune Plus" by Vetriscience, which can be purchased online and does not require a prescription. A link to the product is included below if you are interested in this.

https://www.chewy.com/vetriscience-immune-plus-immunity/dp/54817

Dr. Courtney Korff, DVM, DACVIM (Neurology)
Neurology Department
VCA Northwest Veterinary Specialists
16756 SE 82nd Drive
Clackamas, OR 97015
P. 503-656-3999
F. 503-557-8672
E. [email protected]
www.vcanwvs.com
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VCA Northwest Veterinary Specialists provides specialty veterinary care for your pets. VCA is where your pet's health is our top priority and excellent service is our goal.

15/08/2024

Tuni’s disease continues to progress, although not alarmingly fast. She is a little clumsier, falling occasionally, head shake is about the same. She seems happy and still tears out the door to chase whatever there is to chase. We still have some good quality time it seems.

15/08/2024

A few new videos

This first one shows the head shake.

14/08/2024

This video is from a year ago. Tuni is the beautiful brown girl at the end of the video. Notice her wide stance. Helps her balance.

02/08/2024

Lessons learned…..insurance rejected the entire bill for Tuni. We didn’t get pet insurance on her until age 2. Unfortunately her neurological symptoms started around age 1. It’s important to get pet insurance right from the beginning and don’t wait. Who knows though as insurance always seems to find ways to get out of paying. It’s a racket.

On a very positive note, Tuni’s breeder, returned 1/2 the original purchase cost which we are truly grateful. The $ definitely helped with vet bills. Very kind ethical breeders do exist. ❤️

Progress report for past few weeks….Instability is getting worse. She had a few falls. One of her favorite times is when she’s the on,y dog in the house she loves to play on the couch. Flipping, flopping and spinning around. She did fall down off the couch. It makes her so happy though that I’d rather she have her fun than try keep her off the couch. I’ll probably have to put some cushions on the floor to help.

Video of Tuni having a hard time stabilizing so Steve was comforting her. It almost is seizure like. Or stiffness. Just uncomfortable feeling she was having.

Fungal panel all negative.
23/07/2024

Fungal panel all negative.

This day Tuni had severe pain, wouldn’t stand and cried. We thought that she had a huge progression of her disease. Fort...
18/07/2024

This day Tuni had severe pain, wouldn’t stand and cried. We thought that she had a huge progression of her disease. Fortunately it was a shoulder injury. We don’t know what happened to her. It could be caused by her be so wobbly. It got the ball rolling with the next steps in diagnosing her condition. Lots of x-rays and initial bloodwork panel were taken.

Test performed on Monday July 15
18/07/2024

Test performed on Monday July 15

Embark DNA Test results.  Really interesting all you can learn from this test.Breed breakdownAncestryFamily tree and geo...
18/07/2024

Embark DNA Test results. Really interesting all you can learn from this test.

Breed breakdown
Ancestry
Family tree and geographical origins
Relative finder
Meet your pup’s relatives in our database
Health screening
For 250+ genetic health risks
Traits
35+ traits tested

OFA test results
18/07/2024

OFA test results

OFA The Canine Health Information Center Testing was performed after age 2. These test are performed per breed standards...
18/07/2024

OFA The Canine Health Information Center
Testing was performed after age 2. These test are performed per breed standards. Dogs that complete the test required for their breed are given CHIC certification

The OFA created the CHIC Program by partnering with participating parent clubs to research and maintain information on the health issues prevalent in specific breeds.

Notice that Lagotto Romagnolo is the 2nd breed in the postnatal cerebral Abiotrophy.
18/07/2024

Notice that Lagotto Romagnolo is the 2nd breed in the postnatal cerebral Abiotrophy.

The cerebellum is the part of the brain that controls movement and motor function. Those dogs with cerebellar abiotrophy usually show symptoms of exaggerated movements leg movements and goose stepping (overshooting or undershooting the intended step).

18/07/2024

I want to share some difficult news about our beloved Petunia, whom we call Tuni. Tuni is a 3-year-old Lagotto Romagnolo. We’ve noticed health issues that have been concerning us for some time. She started having head tremors around the age of one and showed signs of stiffness in her hips. While these symptoms were slight, they were noticeable enough to cause concern.

When Tuni was two, we began testing her health to see if she could be a mom. We started with a DNA Embark test that reports over 250 genetic health risks. We then did OFA testing of hips, patella, heart, eyes, elbows, and dental. All tests came back good, except for slight dysplasia in her left elbow. Her temperament also seemed off, so we decided not to breed her and had her spayed at three years old. During the pre-op for her spay surgery, I asked the vet to check her hips again, suspecting hip dysplasia despite her good OFA results. The vet observed her stance and head tremor and suggested that Tuni might have Cerebral Hypoplasia, a condition where the cerebellum, responsible for motor control, is underdeveloped.

After discussing with members of the Lagotto Romagnolo health committee, we learned that Cerebral Hypoplasia is not commonly seen in Lagottos. However, there is a similar, more degenerative condition called Cerebellar Abiotrophy (CA), which also presents with a wobbly, uncoordinated gait and balance issues. While Cerebellar Abiotrophy is progressive and life-limiting, Cerebral Hypoplasia does not worsen over time.

Another possibility is Lysosomal Storage Disease Lagotto Romagnolo type (L*D), though tests for L*D can sometimes be inconclusive.

On Monday, July 19, we took Tuni to VCA Animal Specialty Care. After an examination, she underwent several tests, including an MRI, which revealed a smaller than normal cerebellum, consistent with CA. She also had a spinal tap and multiple blood tests. It will take about a month to get all the results, which will help the health committee with future CA research. We did receive notice that the spinal tap results were normal.

The progression of CA is unknown. We are comforted knowing that her disease is not painful. She has some aggression that will continue to worsen as the disease progresses and most likely will have to treat it. Her motor skills will continue to decline and clumsiness and incoordination will be hardest. Her ability to stand, walk, eat and drink will help us determine at what point we will have to put her down leaving her some dignity. We will be traveling to Washington State University to put her down when the time comes. A necropsy will be performed and tissue taken. At that time is the only way to confirm 100% that she had CA or possibly another form of L*D.

This journey has been both expensive and heartbreaking, but we’re grateful for pet insurance, even though we’ve maxed out our plan for the year. I plan to work closely with the health committee to support CA research. They need funds and a dedicated website to help others dealing with CA and to develop a reliable test for it. I’ll be sharing more videos documenting Tuni’s disease progression and will likely create a page for her. I invite you to follow along and help us make a difference in eliminating this debilitating disease in future dogs.

Thank you for following the heartbreaking journey of our beloved Petunia ‘Tuni’This page is dedicated to all the informa...
18/07/2024

Thank you for following the heartbreaking journey of our beloved Petunia ‘Tuni’

This page is dedicated to all the information we are learning about the neurological disease that Tuni has, Cerebellar Abiotrophy is what is expected. Unfortunately we won’t conclusively know until a necropsy is performed.

I will be including testing that has been performed, cost, summaries from her care team, videos of the progression and as much as we can to help find the cause of this terrible disease. It’s not going to be all bad stuff as I hope to show the great life Tuni has.

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