PMC10226919_01
Dorsal cranial swelling, bruising and lagophthalmos in a 6-month-old female entire domestic shorthair cat. Note the deviation of the upper eyelids, which is more pronounced on the right
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On presentation the cat was bright and alert with pale pink oral mucous membranes and a large fluctuant swelling over the dorsal cranium extending towards the upper eyelids, the right of which was retracted superiorly (Figure 1).
Progressive dorsal cranial swelling with progressive bruising, lagophthalmos and haemorrhagic ocular discharge in a 6-month-old female entire domestic shorthair cat that developed signs of haemorrhage
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SC once followed by PO q12h) and lubricating ophthalmic gel (Optifresh, Petrus Pharmaceuticals; 1 drop OU q2-4h). Six hours after plasma transfusion, the swelling on the cat's forehead was larger, the conjunctival membranes were swollen and bruised OU, lagophthalmos was more pronounced (Figure 2), oral mucous membranes were white and the cat became lethargic, tachycardic (256 bpm) and tachypnoeic (44 bpm).
Appearance of a 6-month-old female entire domestic shorthair cat after aspiration of 18 ml of haemorrhagic fluid from the dorsal cranial subcutaneous space and subsequent autotransfusion
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Tachypnoea and tachycardia resolved during transfusion (hazard ratio 180, relative risk 24) and the cat appeared bright and comfortable (Figure 3). The cat's temperature increased to 39.9 C immediately after transfusion and normalised within 2 h without intervention.