Hind Leg Paralysis

02/13/04

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"Hind Leg Paralysis"

a study in panic by Chris, Tina and 'Gizmo'

The Story

Recently, my wife and I discovered our Glider, Gizmo, lying on the bottom of his cage unable to move anything but his head and forelegs. Needless to say, we panicked. We picked him up, and loved him, both of us crying rivers as visions of injury and permanent paralysis played through our minds. We both have medical and biological backgrounds, and searching our brains for possibilities, found no hope for his situation, and thus began preparing ourselves for the inevitable. In a last ditch effort, we hopped onto the net and found exactly two references to this malady at Ruth Grove's Sugar Glider page and the Glider Information Network This gave us at least a little hope, and completely eradicated any ideas we had about putting Gizmo down, but the information was vague and erratic at best (no offense meant toward the authors, it's just that there isn't a lot of information out there about these guys). So, it is after the ordeal that we went through, and our subsequent journey toward enlightenment that prompted us to write this article, in hopes of educating owners, saving some people a lot of grief and most importantly, saving some precious little lives.

What we read from those two fateful articles told us that Gizmo was suffering from some sort of deficiency, either Vitamin-D, Vitamin-E or Calcium. Well, we feed Gizmo just about everything that all of the people and books recommend, and we were fairly confident that he was getting everything he needed nutritionally. Nevertheless, we ran out to the market at a little after midnight to find him some foods that were high in those essentials. We bought fortified milk for Vitamin-D and calcium, fresh nuts for Vitamin-E, baby foods that were high in various vitamins, and a whole smorgasbord of other goodies for him. We got home, and his condition was unchanged, so we fed him and loved him some more and he ate heartily, which stoked the fires of our hope for him.

We called around to many pet emergency clinics that night, but due to the absence of these creatures in our area, none of the vets around us even knew what one was, let alone what could be done for him. We were very reluctant to take him into a vet that didn't know what he was dealing with, especially after talking to my mother who has 3 Gliders, and had just lost one to the same condition a couple of days earlier. She took Houdini to a vet who was unsure of what to do for him, and the vet ended up giving Houdini a Cortisone injection on the chance he was suffering from a spinal injury. Houdini died a couple of days later from what was assumed to be pneumonia brought on by the weakening of his immune system by the Cortisone.

The next day, we made many phone calls to pet stores (including Reptile Solutions in Arizona) and vets both in and out of our area. We found a vet in Arizona that was familiar with Gliders and this condition, and he recommended a supplement and some form of meat (either hamburger, ground turkey or frozen adult mice). We went out and got some Reptical (a brand of vitamin and mineral supplement for reptiles), and began sprinkling it on his food, as well as on small balls of raw ground turkey. He continued eating well with the exception of the turkey, which he just tore into little pieces and flung around the room. Later that night, he began wheezing. This made us think of the pneumonia, and brought on a whole new set of worries. Gizmo also appeared to be a little bloated and his stomach was somewhat distended. We decided to take him in the following day to a vet that we found who worked on exotics, but mainly reptiles and amphibians. It seemed risky, but we felt we had to do something.

The Initial Diagnosis

The first vet looked him over, more out of fascination than examination, and decided that Gizmo needed an X-ray to rule out injury and be sure his G.I. tract wasn't full. After talking to all of the people we spoke with, the thought of a physical injury seemed pretty much out of the question, but we figured it couldn't hurt, just to be sure. Boy were we WRONG! The X-ray revealed that although his digestive tract was clear, Gizmo had fractured both of his hind legs! The vet said that surgery was possible, but he could not do it. So, sadly, we took Gizmo home, and began the search to find a vet that could do the surgery.

That afternoon we called several more vets and finally, miraculously, found an amazing vet that not only knew what a Sugar Glider was, but had actually treated several of them! A wave of relief washed over us, but we knew that Gizmo still wasn't out of the woods. We took him in first thing the next morning (the vet wasn't in the day before), and had him looked at. This new vet looked over the X-ray and examined Gizmo intensely, and contributed some of the information that is to follow. In order to make my rather long story shorter, I will summarize the diagnosis, prognosis, treatment and maintenance below. I will also try to put in some tips on diet and nutrition for these guys, as my wife and I both have done enormous amounts of research via books, zoologists, vets, owner/breeders and the internet. Hopefully this will help anyone who finds this page to prevent this malady, or save the life of a loved one already afflicted.

The Real Diagnosis

Gizmo had developed nutritional osteodystrophy, or a decalcification (softening) of the bones due to a lack of nutrients. In this condition, the body does not have enough calcium and protein to perform its various functions, and begins to draw calcium from the only source it can: the bones. Bone material becomes fibrous and flexible as the calcium which keeps it hard is steadily removed. Once the bones reach a certain point, they no longer offer anything to resist the contraction of muscles, and the victim becomes effectively paralyzed. This condition is very grave because with this softening of the skeleton, comes other very severe complications such as:

Peripheral complications associated with nutritional osteodystrophy
Complication Reason
Paralysis of the hind legs Since the pelvis and femurs (upper portion of the hind legs) are two large bone masses, they are probably hit first and hardest.
Pneumonia As the ribs decalcify, the diaphragm and intercostal muscles loose their ability to open the rib cage for deeper breaths of air. Without these large inhalations, moisture begins to collect in the lungs leading to pneumonia.
Collapsing of the spinal column This is the biggest and scariest of problems. The decalcification of the vertebral bodies can lead to their collapsing in on each other. This can result in the spinal cord being severed, which results in true paralysis and the inability to eliminate waste. If this happens, the only humane thing to do is put the animal to sleep, as the pain of waste retention is excruciating and will surely end in death.
Cardiac problems Calcium is essential for the heart muscle to operate properly, so calcium deficiencies are especially dangerous for the heart.

The Prognosis

Fortunately, this condition is reversible. The younger the patient, the quicker the recovery, provided he/she has the correct care. With proper feeding and care, the bones will begin to recalcify and harden. The paralysis should gradually subside, and eventually your pet should return to some semblance of normalcy. This is not a guarantee that this treatment recommendation will cure you pet, but it is the correct thing to do nutritionally.

On the other hand, there are many obstacles along the path to recovery, all of which are potentially fatal once this malady has taken hold.

The Gizmo Report


10/29/96 - We found Gizmo lying in the bottom of his cage. His hind quarters were completely paralyzed.
11/1/96 - We took Gizmo into the first vet. Too long of a wait! We should have taken him in straight away.
11/2/96 - We took Gizmo into the second vet. Started him on Neoglucagon, Rowdybush Powder, Super Preen and Reptical.
11/11/96 - Gizmo is markedly improved. His "grumping" is much louder and stronger, and his activity level is much higher. He has begun flexing both of his back feet, and moving his hips in what appears to be an attempt to move his hind legs. Also, he scratched his underbelly with one of his hind legs!
12/30/96 - With much sadness and regret I must report Gizmo's demise. His health was improving greatly, and we were confident he would have made a wonderful recovery. His death was completely unrelated to his malady, and the manner of it has been very difficult for us to handle. All I can say to each of you who read this page is, Love your little guys for us, and think of Gizmo on occasion, for it was his fragile little life that has inspired this research that we truly hope has helped at least one other avoid or recover. Thank you all for the support.

Immediate Treatment

How to help your pet immediately
Method Reason
Get you pet to a vet... ANY vet, as soon as possible Hopefully you can find a vet who is familiar with these creatures, but if not, or if the vet is unsure of what to do, at the very least, have the vet give your pet a calcium supplement injection (usually Calglucagon is the name of the liquid). A Vitamin-D supplement is also needed for processing of the calcium. See Maintenance and Nutritional Considerations for more information.
Get some form of calcium into your pet Either calcium carbonate or dicalcium phosphate are usually readily available in most supplements. See Supplements for information regarding various supplements and how to get them. This will help your pet get started down the road to recalcification of his skeleton.
Remember the Vitamin-D rule Vitamin-D is essential for the body to convert raw calcium to bone material, so be sure your Glider is getting Vitamin-D in addition to the calcium. See Maintenance and Nutritional Considerations for more information.
Be sure your pet gets at least one-half to one hour of unfiltered sunlight a day This is necessary if you pet is not getting sufficient quantities of Vitamin-D3 in his or her diet or supplements. Sunlight converts Vitamin-D1 to D3 and the body then uses the D3 to process the calcium into bone material. It is relatively unknown how much orally ingested D3 is absorbed into the bloodstream, so sunlight is crucial. Our Glider responds very well to sunlight. See Maintenance and Nutritional Considerations for more information.
Be sure your pet is eliminating Calcium has the side effect of being a gas producer. You may notice your pet is somewhat bloated. This is alright if your pet is eliminating. If he or she is not eliminating, it may indicate a spinal injury or, at the very least, it may mean that your pet is having trouble bearing down for bowel movements. If this is the case, there is a product called Laxatone that is a good laxative for animals (do not give your pet a human laxative). I believe this product is available over the counter, and the recommended dosage is about a BB sized drop once a day.
Keep your pet quiet and restrict his movement as much as possible Leave it some room, perhaps a 1 to 1.5 foot square to move around in. Your pet's skeleton is probably pretty weak, and it runs the risk of injuring itself just by moving around. Be careful not to do anything that might frighten it and cause it to try to flee.
Avoid picking your pet up too much Once again, those bones are pretty weak. Handling, while necessary, should be avoided. Picking him or her up could easily damage your pet. Talk softly and pet him to let him know you love him and that he is safe.
Do not manipulate your pet in ANY way If you do pick him or her up, be sure not to try to manipulate the appendages (ala physical therapy). This can damage the flexible bones, perhaps causing them to break.
Monitor your pet's hind end for signs of movement Collapsing of the spinal column is the end. As long as your pet continues to try to move his or her hind quarters, even minor twitching counts, he or she stands a fighting chance. If your Glider does seem like it is not moving it hind legs, don't panic, just get him or her into a vet for an X-ray. This will definitively show whether or not irreparable damage has been done.
Do not let your pet spend too much time on his or her back Much the same way people in hospitals must be turned on their sides when spending large amounts of time bedridden to fend off pneumonia, so should your Glider. When your pet is on its back in this condition, it is difficult to right itself, and pneumonia sets in much easier in this position. Some time on its back is ok, and could allow gravity to help pull the spinal column back from collapsing inward.

Maintenance and Nutritional Considerations

Here is a brief list of some useful information regarding Sugar Glider health, nutrition and eating habits, as well as a bit regarding possible long term effects of captivity and diet substitution.

Sugar Glider's natural diet
Sugar Gliders are insectivores. This does not mean they eat meat, but rather get the protein and calcium from insects. In addition to insects, they survive on:

bulletAcacia gum - A fine yellow or white powder derived from the Acacia tree.
bulletManna or Honeydew - A sweet substance excreted by sap eating insects.

Meat is not a natural food for Sugar Gliders.
Although many vets and pet stores recommend giving a bit of hamburger, ground turkey or frozen mice to supplement protein and calcium intake, it is believed that their G.I. tracts are not set up to handle the processing of meat. This could lead to complications of the pancreas, liver and colon, which may not manifest for several years. Bear in mind, this is not for sure, but is quite probable and purported by many vets and zoologists that we have contacted. Also bear in mind that if you are having trouble getting protein and calcium into your Glider, meat should not be ruled out as an option. Just don't overdo it.

Sugar Glider nutrition and health
Neither Acacia gum or Honeydew are readily available in the US, so we must supply our pets with whatever we can. We must be VERY careful regarding fat. Sugar Gliders are fat intolerant. This means their bodies are not equipped to break down complex fat molecules, which makes sense after examining their diet. So, be very careful what you feed your Glider. Avoid things like cheese, too much milk and other foods that may seem like a good idea, but are high in fat (above 3 or 4 grams per serving). Also, do not give your Glider "fat-free" foods that would normally have fat in them, like fat-free cheese, unless you read the ingredients and verify that there are no chemicals or preservatives added to the food. This rule should hold for any non-natural food you feed your pet.

If in doubt, contact your nearest zoo, or get into the library and do some reading. That's what we did.

The Vitamins and Minerals

Osteodystrophy is caused by deficiencies of these nutrients
Nutrient Purpose
Vitamin-D1 This D vitamin is readily available in many foods, but it needs to be converted to D3 via sunlight to be used efficiently
Vitamin-D3 D3 enables the body to convert calcium to bone material
Calcium Calcium is necessary to keep the skeleton hard, as well as ensuring proper cardiac functions and many other bodily functions
Protein Used in conjunction with calcium to build strong bones. Also used to develop and maintain muscles.

 

Supplements
Supplement Effect and Administration Availability
Neoglucagon/Calglucagon This is a great way to get some serious absorbable calcium into your pet. Neoglucagon is probably fairly close to one of the Sugar Glider's natural foods, honeydew (not the melon). This calcium infusion is exactly what is needed to reverse the osteodystrophy Although it was given to me by a vet, Neoglucagon is said to be available without a prescription, but I have not looked for it in stores. Try a drug store and look in the baby food and supplement aisle. Calglucagon is the liquid calcium supplement administered to Gizmo by the vet. I am not sure if it available in any other form or without a prescription, but if it is necessary to take your Glider to the vet, ask about this.
Rowdybush Powder This is a great protein and calcium supplement normally used to nourish baby birds. It can be mixed in with nectar or sprinkled on fruits. We have also had good luck with hiding it in applesauce, yogurt, nectar and Karo syrup. Available in most pet stores.
Super Preen This is another supplement used primarily for birds. VERY little should be used. A small pinch can be sprinkled over food 2 or 3 times a week. Available in most pet stores.
Reptical This is a good supplement of calcium, and vitamins A, B, D3 and E. It is normally used for reptiles and has a somewhat odd odor. Try hiding this in food or nectar. About a quarter of a teaspoon 2 to 3 times a week is sufficient. Available in most pet stores.
Reptile Solutions' Glider Food I am not sure of the nutrient value of this product because as of this writing, I have not received my first shipment. Many people swear by this stuff, and make it available for their Gliders all the time. Contact Reptile Solutions.

For a limited time you can get a free sample of Glider Diet by visiting Exotic Pet Enterprises

GliderVit Mix I have not personally tried this product yet, so I cannot give an opinion about it. Mike says that it contains a good balance of Vitamin-D3, Calcium and Vitamin-E. As soon as I am able to try it out I will add some info here. Stay tuned! Contact Mike Smith for more information.

 

To summarize all of this, this hind-leg paralysis disorder is caused by a severe lack of calcium and protein. It is a nutritional deficiency, and can be reversed. Get your pet to the vet ASAP and get him a calcium injection and some sort of supplement that provides calcium, vitamin-D (preferably D3), and protein. Be sure your pet gets at least 30 minutes of sunlight a day to assist D1 conversion to D3. Be sure your pet stay quiet and does not move around too much while ill. Monitor your pets food and be sure he or she is getting a well rounded meal rich in vitamins and minerals. Watch fat intake and avoid meat products. Finally, love your pet and make him or her feel safe. This will go a long way towards recovery.

Good luck to those of you who read this after your pet has been afflicted, and for those of you who have healthy Gliders, please take care of them and follow these guidelines.

 

Disclaimer:

This article is published by concerned owners who are neither vets nor breeders, but have done quite a bit of research and have solid backgrounds in nutrition. This article is in no means meant to guarantee successful recovery of an ill pet, but is meant to serve as information for the reader to base his or her own decision and treatment methods upon.

 

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