ArticleFrontiers in veterinary science2026
Case Report: Ventriculoperitoneal shunt for management of syringomyelia and Chiari-like malformation in a Cavalier King Charles Spaniel.
Article in Frontiers in veterinary science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
A 1-year-old male Cavalier King Charles Spaniel (CKCS) was presented with spinal hyperesthesia, reluctance to exercise, and phantom scratching. MRI revealed a Chiari-like malformation (CM) with brachycephaly, cerebellar herniation, ventriculomegaly, and syringomyelia extending from the odontoid peg to L5, with a maximum transverse syrinx width of 7.0 mm at C2-C3. Medical management (meloxicam and gabapentin) failed to resolve clinical signs. Due to significantly increased lateral ventricles and concern for syrinx progression, a ventriculoperitoneal shunt was placed. Aside from transient post-operative pneumocephalus, the procedure was successful. The dog showed significant clinical improvement, and follow-up MRI demonstrated syrinx reduction and resolution of lateral ventricles. At 6 months post-op, the syrinx measured 2.3 mm. Eight months after the surgery, the dog experienced a brief episode of a suspected movement disorder like but recovered fully. The patient remains pain-free and neurologically normal. This case describes the clinical and imaging outcomes of ventriculoperitoneal shunting (VPS) in a dog with Chiari-like malformation, syringomyelia, and ventriculomegaly.
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