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Subdural Hematoma of the Brainstem in a Dog: Magnetic Resonance Findings and Treatment

From the Departments of Medical Sciences (Adamo, Stepien) and Surgical Sciences (Crawford), School of Veterinary Medicine, University of Wisconsin – Madison, Madison, Wisconsin 53706.

An 8-year-old, spayed female Dalmatian with a history of seizures was evaluated for cervical pain and bilateral scleral hemorrhages. Diagnostic evaluations revealed a mass displacing the ventral brainstem on magnetic resonance imaging (MRI). The mass was surgically removed and histologically confirmed to be a hematoma. The dog’s neurological signs resolved completely after surgery. Although extradural, subdural, subarachnoid, and intraparenchymal hemorrhages have been reported in dogs and cats, this is the first known report of a subdural hematoma of the ventral brainstem in a dog. On the basis of the history and the appearance of the subdural hematoma on MRI, a traumatic event during the seizure episodes was considered the most likely cause of the subdural hematoma in this case.