Deazel's story - it's not just a headache!

This video tackles chronic head and cervicogenic pain from the perspective of Deazel - one of my favourite patients. Deazel had a 3 year history of right sided facial, ear and neck pain with some unusual tongue signs. I discuss the neuroanatomy of face, head and upper neck pain, and the most common causes in dogs including canine chiari, syringomyelia and C1 and C2 nerve root disease. Follow Deazel's journey and his rare diagnosis and how it was managed.

This video tackles chronic head and cervicogenic pain from the perspective of Deazel - one of my favourite patients. Deazel had a 3-year history of right sided facial, ear and neck pain with some unusual tongue signs. I discuss the neuroanatomy of face, head and upper neck pain, and the most common causes in dogs including canine chiari, syringomyelia and C1 and C2 nerve root disease. Follow Deazel's journey and his rare diagnosis and how it was managed including a C1 and C2 nerve block performed by the skilled anaesthesia team at Wear Referrals lead by Felipe Grados

00:00 Introduction
02:23 Differential diagnosis head & neck pain
07:10 Anatomy of head and upper neck pain
09:41 Differential diagnosis – Canine Chiari and syringomyelia
19.04 Differential diagnosis – C1 and C2 nerve root disease
19:39 Tongue dysesthesia?
20:05 Neck-tongue syndrome
21:59 Deazel’s journey continues
22.33 Making a diagnosis of neuropathic pain
23:41 Rusbridge neuropathic pain treatment algorithm
29:24 Deazel’s management
30:12 C1 and C2 nerve root block
31:39 Deazel’s response including video from caregiver showing Deazel and beautiful British countryside in County Durham and Wales
35:16 Conclusions

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