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​FCE In Dogs: Fibrocartilaginous Embolism

Dogs are susceptible to a variety of neurological conditions, some of which can be debilitating. One such condition is fibrocartilaginous embolism or FCE, an uncommon but serious disorder that affects the spinal cord. In this post, we'll take a closer look at FCE in dogs, including its symptoms, causes, and treatment options. We hope this information will help dog owners better understand this condition and keep their furry friends healthy and happy.

What is FCE in dogs?

FCE or fibrocartilaginous embolism is a vascular condition in which fibrocartilage presumed to originate from an intervertebral disc causes acute spinal cord infarction. In other words, FCE is a type of blockage that prevents blood from flowing to the spinal cord, leading to tissue death and subsequent neurological deficits. The cause of FCE in dogs is poorly understood and remains unclear and is poorly understood. Interestingly, in approximately 50% of cases, FCE in dogs is associated with play or high-impact activity, such as playing fetch or frisbee.

What are the symptoms of FCE in dogs?

The development of FCE in dogs generally results in a peracute onset of neurological symptoms that vary based on the site and severity of the damage.

Typical symptoms of FCE in dogs include:

    Acute onset of symptoms
    Asymmetrical, one-sided limb weakness or lameness
    Non-painful

​How is FCE in dogs diagnosed?

A confirmed diagnosis of FCE in dogs can be difficult to achieve as the clinical signs are often nonspecific. A preliminary diagnosis may usually be established by history taking, observing clinical symptoms, and performing neurological examinations.

A variety of imaging modalities, including radiography, computed tomography (CT), and magnetic resonance imaging (MRI), may be used to rule out other potential causes of the clinical signs and help support a diagnosis of FCE.

What is the treatment for FCE in dogs?

As there is no specific therapy for FCE in dogs, the mainstay of therapy for FCE in dogs is conservative management with a focus on physiotherapy and supportive care. Dogs that are non-ambulatory should be rested on comfortable bedding and be repositioned every few hours to prevent pressure sores from developing. Larger dogs would also benefit from a sling for easier management.

What is the prognosis for dogs with FCE?

The prognosis depends on the severity of neurologic problems. The average time for dogs to recover ranges from a few days to a few weeks, but most dogs improve by 5 to 14 days. Neurologic damage may persist in some animals. Poor prognostic indicators include the absence of deep pain perception, symmetrical clinical symptoms, and the failure to improve after 14 days.

​Is FCE in dogs a stroke?

Not necessarily. A blood clot blocks the blood flow in the brain and causes a stroke, whereas a little piece of the intervertebral disk blocks the blood flow causing FCE.

What type of physical therapy is recommended for dogs with FCE?

Physiotherapy is a type of physical therapy that uses various techniques to help patients recover from injuries and improve their overall mobility. Massage, passive range of motion exercises, neuromuscular stimulation and hydrotherapy can all be beneficial for dogs with FCE.

What area of the spinal cord is typically affected in dogs with FCE?

The thoracolumbar (mid-back) segment of the spinal cord is most commonly affected in dogs. This explains why the majority of dogs with FCE will have symptoms involving a single hind limb.

​Fibrocartilaginous embolism or FCE in dogs is a serious condition that can cause acute neurological symptoms. While the cause of FCE is poorly understood, it is thought to originate from the cartilage from an intervertebral disc. The mainstays of therapy for FCE are physiotherapy and supportive care, which may include rest and repositioning as needed. Recovery times vary based on the severity of the condition, but most dogs improve within a few weeks. Thanks for reading!



Sourced: Kingsdale Animal Hospital

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