Craniomandibular osteopathy in a west highland white terrier

ABSTRACT

Background: Craniomandibular osteopathy is a bone disorder that occurs in dogs but is not very commonly reported. It is characterized by a non-neoplastic bilaterally symmetrical irregular proliferation of skull or long bones. Immature dogs are most commonly reported with age ranging from three to eight months. The aim of this paper is to report a case of CMO in a West Highland White Terrier.Case A 5-month-old entire West Highland white terrier was referred to the Veterinary Hospital with sudden history of severe pain and mandibular swelling, dysphagia, lethargy and weight loss. On physical examination the dog was quiet, alert and responsive. There was thickening of the mandibular bodies with pain at palpation and when opening the mouth. Complete blood count was within normal range. Simple radiographs demonstrated discrete and active new bone formation on the ventral aspect of the mandibular body. Carprofen, dypirone and tramadol were prescribed twice daily for 10 days. 30 days later new radiographs showed more extensive areas of periosteal proliferation advancing to the temporomandibular joint and progression of the looseness of the characteristic compact appearance of lamellar bone of the mandible. The dog was more lethargic, not eating well and in pain. Medication was again prescribed but the treatment was unsuccessful. The dog returned for consultation with severe pain...