{"id":1386,"date":"2019-08-27T11:55:32","date_gmt":"2019-08-27T15:55:32","guid":{"rendered":"https:\/\/www.drphilzeltzman.com\/blog\/?p=1386"},"modified":"2022-07-11T10:09:00","modified_gmt":"2022-07-11T14:09:00","slug":"major-needs-brain-surgery","status":"publish","type":"post","link":"https:\/\/www.drphilzeltzman.com\/blog\/major-needs-brain-surgery\/","title":{"rendered":"Major needs brain surgery!"},"content":{"rendered":"<p>Major, a cute 3 month old German shepherd, suffered severe injuries after he was attacked by a much bigger dog.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1390 size-large\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-1-2000x1125.jpg\" alt=\"Major, a 3 month old German Shepherd\" width=\"2000\" height=\"1125\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-1-2000x1125.jpg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-1-1100x619.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-1-768x432.jpg 768w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/p>\n<p>He was rushed to the local emergency clinic, where he was treated for his injuries. He had a large amount of swelling on the top of his head, which raised suspicion that he may have significant injuries to his skull.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1388 size-large\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-2-2000x1362.jpg\" alt=\"A swelling skull\" width=\"2000\" height=\"1362\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-2-2000x1362.jpg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-2-1100x749.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-2-768x523.jpg 768w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/p>\n<p>X-rays confirmed that Major had multiple fractures in his skull. He also seemed to be blind, so brain trauma was suspected.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1409 size-full\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/08\/Major-3.jpeg\" alt=\"A fracture in the skull\" width=\"1879\" height=\"1440\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/08\/Major-3.jpeg 1879w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/08\/Major-3-1100x843.jpeg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/08\/Major-3-768x589.jpeg 768w\" sizes=\"auto, (max-width: 1879px) 100vw, 1879px\" \/><\/p>\n<p>The emergency doctor called me to see if I would be willing to perform surgery to put this puppy back together. I told him that because of the amount of swelling and trauma, surgery would have to wait a few days for the swelling to decrease. I did not feel that I could successfully do surgery without causing additional injury with that much swelling.<\/p>\n<p>A few days went by, Major was a much happier camper. It was unclear whether he could see, but he still reacted like a puppy when you walked up to his cage.<\/p>\n<p>X-rays were repeated 5 days after the injury. They revealed that the swelling around the skull fracture had gone down, even though he still had a large lump on the top of his head. At that point, we decided to go ahead with surgery to repair the fracture.<\/p>\n<p>Major was placed under general anesthesia and prepped for surgery. Anesthesia for brain surgery is risky. In order to decrease swelling of the brain itself, the anesthesia nurse had to keep his CO2 as low as reasonable throughout surgery.<\/p>\n<p>After the skin incision, we confirmed that the massive swelling was a giant blood clot. I decided not to share those pictures\u2026 they are a bit too graphic\u2026<\/p>\n<p>After we cleaned out the giant blood clot, the fractures became visible. Of all the broken pieces, two main ones needed to be repaired. The tiny pieces had to be sacrificed.<\/p>\n<p>With great care, in order not to damage the brain, holes were drilled in the skull and the fractured pieces. Suture (rather than metal wire) was used to secure the fragments in place. Over time, the suture material will be absorbed by the body.<\/p>\n<p>WARNING \u2013 THE NEXT PICTURE IS GRAPHIC !!!<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1391 size-large\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-4-2000x1500.jpg\" alt=\"Skull surgery\" width=\"2000\" height=\"1500\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-4-2000x1500.jpg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-4-1100x825.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-4-768x576.jpg 768w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/p>\n<p>After surgery, the swelling was dramatically less (see the before and after pictures below).<\/p>\n<div id=\"attachment_1388\" style=\"width: 2010px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1388\" class=\"wp-image-1388 size-large\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-2-2000x1362.jpg\" alt=\"Before surgery\" width=\"2000\" height=\"1362\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-2-2000x1362.jpg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-2-1100x749.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-2-768x523.jpg 768w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><p id=\"caption-attachment-1388\" class=\"wp-caption-text\"><span style=\"text-decoration: underline; color: #0000ff;\"><strong>Before Surgery<\/strong><\/span><\/p><\/div>\n<div id=\"attachment_1392\" style=\"width: 2010px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1392\" class=\"wp-image-1392 size-large\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-5-2000x1500.jpg\" alt=\"After Surgery\" width=\"2000\" height=\"1500\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-5-2000x1500.jpg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-5-1100x825.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-5-768x576.jpg 768w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><p id=\"caption-attachment-1392\" class=\"wp-caption-text\"><span style=\"text-decoration: underline;\"><strong><span style=\"color: #0000ff; text-decoration: underline;\">After Surgery<\/span><\/strong><\/span><\/p><\/div>\n<p>Major recovered smoothly after surgery, and surprisingly he was able to go home the very next day!<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1393 size-large\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-6-2000x1500.jpg\" alt=\"In the recovery room\" width=\"2000\" height=\"1500\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-6-2000x1500.jpg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-6-1100x825.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/07\/Major-6-768x576.jpg 768w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/p>\n<p>After one month, skull X-rays looked good enough that it was time to allow Major to progressively increase his activity (see the before and after X-rays below).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1409 size-full\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/08\/Major-3.jpeg\" alt=\"The before x-ray\" width=\"1879\" height=\"1440\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/08\/Major-3.jpeg 1879w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/08\/Major-3-1100x843.jpeg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/08\/Major-3-768x589.jpeg 768w\" sizes=\"auto, (max-width: 1879px) 100vw, 1879px\" \/><\/p>\n<p style=\"text-align: center;\"><span style=\"text-decoration: underline; color: #0000ff;\"><strong>Before Surgery<\/strong><\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1410 size-full\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/08\/Major-7.jpeg\" alt=\"After the surgery\" width=\"1805\" height=\"1670\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/08\/Major-7.jpeg 1805w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/08\/Major-7-1100x1018.jpeg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/08\/Major-7-768x711.jpeg 768w\" sizes=\"auto, (max-width: 1805px) 100vw, 1805px\" \/><\/p>\n<p style=\"text-align: center;\"><span style=\"text-decoration: underline; color: #0000ff;\"><strong>After Surgery<\/strong><\/span><\/p>\n<p>The end result is shown in this video shared by Major\u2019s owner: <a href=\"https:\/\/www.youtube.com\/watch?v=l5B8AUyW5JE\" target=\"_blank\" rel=\"noopener\">https:\/\/www.youtube.com\/watch?v=l5B8AUyW5JE<\/a><\/p>\n<p>The video is only 24 seconds, but it&#8217;s guaranteed to put a smile on your face!<\/p>\n<p><strong>Major\u2019s owner final report was<\/strong>:<\/p>\n<p>\u201cMajor is doing great. His vision is so so. I think he is totally blind in his right eye. His left eye is not 100 percent but he manages to get around great.<br \/>\nOur back yard is fenced in, so he loves being outside playing with his best friend, our cat.<br \/>\nI&#8217;m hoping to start him back in obedience school next.<br \/>\nThank you for saving our puppy.\u201d<\/p>\n<p>Phil Zeltzman, DVM, DACVS, CVJ, Fear Free Certified<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Major, a cute 3 month old German shepherd, suffered severe injuries after he was attacked by a much bigger dog. He was rushed to the local emergency clinic, where he was treated for his injuries. He had a large amount of swelling on the top of his head, which raised suspicion that he may have [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[219,157,156],"class_list":["post-1386","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-brain-surgery","tag-phil-zeltzman","tag-veterinary-surgeon"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Major needs brain surgery! | Dr Phil Zeltzman\u2019s Blog<\/title>\n<meta name=\"description\" content=\"Major, a cute 3 month old German shepherd, suffered severe injuries after he was attacked by a much bigger dog.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.drphilzeltzman.com\/blog\/major-needs-brain-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Major needs brain surgery! 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