Ischaemic Myelopathy In A Cat With Chronic Kidney Disease, Hyperthyroidism, And Hyperaldosteronism

Ischaemic myelopathy (IM) in cats often affects the cervical region. It is generally associated with an underlying predisposing condition with systemic arterial hypertension due to chronic kidney disease and cardiomyopathies the most frequently reported. The present case report describes the successful management of an old cat presented for acute onset of weakness, neck ventroflexion, and ataxia as a result of cervical IM secondary to severe systemic hypertension associated with hyperthyroidism, chronic renal disease, and primary hyperaldosteronism. Feline cervical IM carries a favourable prognosis with resolution of neurological deficits unless the underlying medical condition is not resolved, favouring further ischaemic events.