title: Reversal of neurologic deficit in an adult gorilla with severe symptomatic lumbar stenosis.
abstract: METHODS
  A case report is presented.
  
  
  OBJECTIVE
  To describe a case of severe symptomatic lumbar stenosis in an adult gorilla successfully treated with decompressive surgery.
  
  
  BACKGROUND
  Although spinal degenerative disease is thought to be less common in apes than in humans, gorillas and bonobos are known to have higher rates of disease than other African apes.
  
  
  METHODS
  A 42-year-old female gorilla presented with a history of progressive lower extremity weakness. She was unable to ambulate normally or climb, pulling herself around with her arms. Her keeper did not believe she was incontinent. Physical examination revealed that ankle plantarflexion and dorsiflexion were absent on the right and weak on the left. Radiographs revealed disc space narrowing with osteophytes at the last mobile segment. Myelogram and computed tomography revealed severe spinal stenosis at the last two mobile segments. Under general anesthesia, a standard laminectomy and bilateral lateral recess decompression were performed.
  
  
  RESULTS
  There were no anesthetic or wound complications. The gorilla was noted to have improved ankle strength bilaterally on postoperative day 1. On postoperative day 3, the animal began to walk and climb. At 20 months, the animal is back to her neurologic baseline.
  
  
  CONCLUSIONS
  Symptomatic lumbar degenerative disease with neurologic compromise may be treated surgically, with excellent outcome, in the adult gorilla. Though this is an unusual situation, knowledge that this is a potentially reversible condition may benefit other gorillas in captivity.
authors.affiliation: Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73104, USA. chris-wolfla@ouhsc.edu
authors.forename: Christopher E
authors.initials: CE
authors.lastname: Wolfla
authors.forename: Timothy A
authors.initials: TA
authors.lastname: Puckett
mesh_terms: D000818:Animals; D018420:Ape Diseases / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods / Q000662:veterinary*; D005260:Female; D006071:Gorilla gorilla / Q000601:surgery*; D007796:Laminectomy / Q000379:methods / Q000662:veterinary*; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000601:surgery / Q000662:veterinary; D010264:Paraplegia / Q000209:etiology / Q000662:veterinary; D013126:Spinal Nerve Roots; D013128:Spinal Osteophytosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery / Q000662:veterinary*; D013130:Spinal Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery / Q000662:veterinary*; D014057:Tomography, X-Ray Computed / Q000662:veterinary