Long-term outcome and quality of life of dogs that developed neurologic signs after surgical treatment of a congenital portosystemic shunt: 50 cases (2005–2020)

OBJECTIVE To determine survival time and quality of life of dogs that developed postattenuation neurologic signs (PANS) after surgical treatment of a single congenital portosystemic shunt and survived at least 30 days and identify whether neurologic signs present at the time of discharge would resolve or reoccur. ANIMALS 50 client-owned dogs. PROCEDURES Medical records were retrospectively reviewed, and follow-up data relating to neurologic signs and seizure activity were obtained. Owners were asked to complete a questionnaire related to the presence of neurologic signs, including seizures, and their dog’s quality of life. RESULTS Thirty of the 50 (60%) dogs had postattenuation seizures with or without other nonseizure neurologic signs, and 20 (40%) had neurologic signs other than seizures. Neurologic signs had fully resolved by the time of discharge in 24 (48%) dogs. Signs resolved in 18 of the remaining 26 (69%) dogs that still had PANS other than seizures at the time of discharge. Seizures reoccurred in 15 of the 30 dogs that had postattenuation seizures. Twenty-seven of 33 (82%) owners graded their dog’s long-term (> 30 days after surgery) quality-of-life as high. Forty-five (90%) dogs survived > 6 months. Most (29/43 [67%]) neurologic signs (other than seizures) present at the time of hospital discharge resolved. CLINICAL RELEVANCE Findings highlighted that survival times of > 6 months and a high QOL can be achieved in most dogs with PANS that survive at least 30 days. Most neurologic signs other than seizures resolved within 1 month postoperatively. Half of the dogs with postattenuation seizures had a reoccurrence

Descontinuidades e ressurgências: entre o normal e o patológico na teoria do controle social

Procura-se apontar ambiguidades e lacunas da distinção entre patologia e normalidade nos âmbitos social e individual que remontam a fins do século XIX e ressurgem de outra maneira contemporaneamente. Nas últimas décadas do século XIX, muitos autores aderiram à teoria da criminalidade atávica defendida pela antropologia criminal italiana, liderada por Lombroso. A chamada escola francesa critica o determinismo biológico italiano, seguindo por outra via, deixando a cargo das ciências 'psi' o que considera a dimensão individual da criminalidade. Aproveitando esse espaço a psiquiatria cria o 'psicopata', herdeiro do 'criminoso nato' em vários aspectos e aceito contemporaneamente como categoria psicopatológica. Nesse contexto, o estudo tem como foco o controle social envolvendo a distinção entre patologia e normalidade nos planos social e individual