All IndyVet specialists have received four or more years of post-doctorate training prior to board certification. This training and experience allows our specialists to manage and treat a wide variety of complex diseases and conditions in collaboration with general practitioner colleagues across the state of Indiana. This collaborative approach to case management allows us to provide the most versatile care available.
The establishment of IndyVet Neurology as a separate clinical department with the addition of a 1.5T high field MRI occurred in 2018 in order to deliver better and more advanced care to patients. The goal of neurology at IndyVet is to provide compassionate and comprehensive care to patients, their families, and to referring veterinarians. Dr. Mossine's goal is to educate clients regarding the complexities of the nervous system so they can make informed decisions to help their pets improve or resolve their nervous system disorder. Her objective is to retain patients only as long as required to identify and resolve the neurology crisis and to subsequently work in conjunction with the referring veterinarian on needed follow up care.
Comprehensive Neurological Exam
Cerebral Spinal Fluid Taps
Muscle & Nerve Biopsy
Intracranial & Spinal Surgery
Cervical Vertebral Instability
Cervical & Thoracolumbar Disc Disease
Fibro-Cartilaginous Embolism (FCE)
Brain & Spinal Tumors
Disc Disease Recovery
Paresis / Paralysis
Neuromuscular Pain Management
Neuropathic Pain Management
For some patients, an MRI may be the only imaging option while for many others it may be a better imaging option than CT or digital x-ray. In general, an MRI offers these advantages:
Safe and non-invasive
High accuracy, sensitivity and specificity for many conditions
Enables early detection of pathological changes
More cost-effective than combining various alternative diagnostics
Allows multiple planes to be imaged without the need to reposition the patient
Provides excellent detail for pre-operative planning for many surgical conditions
So even when reaching a diagnosis may be possible through an alternative route, an MRI can often help establish a diagnosis quicker, while providing greater diagnostic detail and enabling a more informed treatment plan to be made.
Patients that require an MRI scan, especially neurology cases, can quickly become unstable. This makes it critical that the necessary diagnostic procedures are available when needed and can be carried out swiftly.
Our on-site PetVet system is available seven days a week. What’s more, our in-house diagnostic imaging specialists work closely with all of our specialists to provide rapid interpretation of results 24 hours a day.
This means that regardless of which day of the week or time of day you make a referral, IndyVet can ensure cases will be managed quickly.
Computed Axial Tomography (CT Scans)
IndyVet was the very first veterinary hospital to offer in-house CT scans in the greater Indianapolis area. Our 24-hour access to high quality transverse imaging allows us to diagnose and treat complex problems associated with the brain, spinal cord, spine, abdoman, chest and pelvis. Our 8 slice per rotation scanner generates extremely fast image acquisition and reconstructions allowing us to perform high speed studies requiring only sedation rather than anesthesia.
Magnetic Resonance Imaging (MRI)
MRI is a safe and non-invasive imaging modality that enables many pathological changes of the nervous system to be diagnosed accurately and rapidly. MRI also provides excellent detail for pre-operative planning for many neuro-surgical conditions. IndyVet utilizes the Hallmarq PetVet 1.5T high field MRI specifically designed for veterinary use. The unique dual coil system of the PetVet MRI provides a significant boost in signal intensity across larger body regions allowing fast scan times and pristine images of unparalleled diagnostic quality. IndyVet is proud to be the first to have this superior veterinary MRI system in the Midwest.
Cerebral Spinal Fluid Taps (CSF Taps)
The brain and spinal cord are bathed in a clear fluid that nourishes the tissue, carries away waste products, and acts as a shock absorber. Through careful collection and laboratory analysis of small amounts of cerebral spinal fluid, many inflammatory diseases of the brain and spinal cord can be diagnosed and successfully improved or resolved.
Muscle & Nerve Biopsy
￼￼Diseases of the peripheral nerves (nerves departing the spinal cord) and muscles may require biopsy samples of the nerve and muscle to diagnose the specific condition that is causing weakness, atrophy, or sensory deficits. A carefully procured sample of muscle and peripheral nerve will not impair function of the sampled muscle. Through an array of complex staining procedures and / or electron microscopy, the nerve and muscle biopsy can be invaluable in diagnosing neuromuscular diseases.
￼￼Surgery is required to manage many neurologic conditions. Herniated discs that are causing severe pain of the neck or back with weakness, or paralysis are candidates for surgical intervention to resolve the condition. Structural abnormalities of the spine causing vertebral instability, fractures of the spine, vertebral malformations, and congenital spinal cord conditions can also require surgery to correct the disorder. Some tumors of the brain and spinal cord are best managed with surgery.
￼￼Many diseases of the nervous system are not surgical and are treated with medications to improve, manage, or resolve the condition. Conditions such as seizures that are identified as being due to epilepsy can be managed with medications to resolve or reduce their frequency. Infections or inflammatory conditions of the brain, spinal cord, peripheral nerves, and muscles are commonly responsive to medical management allowing a complete recovery from symptoms. Some tumors of the brain and spinal cord that are not operable can also be managed with medication for a significant period of time.
￼￼IndyVet uses rehabilitation therapy to assist patients successfully treated with medicine or neurosurgery to recover. Patients with nervous system disease commonly experience weakness, atrophy, or incoordination that requires address to allow the patient to recover function. With rehabilitative therapy recovery will be much faster and more complete than allowing the patient to try to get stronger by themselves. Consequently, rehabilitation is commonly prescribed as a necessary treatment to get the patient fully healed. Rehab actions include, laser therapy, deep tissue ultrasound, neuromuscular electrostimulation, underwater treadmill, and special stretches and exercises administered by IndyVet's rehabilitation staff. This coordinated team effort allows patients treated at IndyVet to have the best opportunity to have the most rapid recovery possible.
Magnetic resonance imaging (MRI) uses a strong magnetic field to align the usually randomly oriented atomic nuclei of hydrogen atoms in the patient’s body. A radio frequency (RF) pulse is then applied forcing the spinning hydrogen protons in the nucleus to wobble. Once the RF pulse is turned off, the wobbling hydrogen protons return to equilibrium generating a small electrical signal. This very small signal, detected by RF coils positioned as close to the anatomical area of interest as possible, is converted into the MRI image. The rate at which the protons return to their equilibrium state distinguishes different body tissues.
MRI is particularly well suited for examining brain and spinal cord injuries, tendon and ligament injuries, as well as other soft tissues.
Kelli Mossine, DVM
Melissa Ely, Technical Assistant
Kayleigh Howell, Technical Assistant