Get to Know: Abbe Crawford - Bridging Clinical Neurology and Translational Neuroscience
In this interview Abbe walks us through a memorable case that shaped her approach, and shares practical tips from her upcoming session at this years London Vet Show.
Q: Can you tell me a bit about yourself and your journey into pursuing a career in neurology and neurosurgery?
A: I trained at the University of Edinburgh before undertaking my internship at the RVC. It was here that I gained exposure to clinical neurology, which sparked my interest and lead me to apply for a joint PhD and Residency training fellowship funded by the Welcome Trust. I was very lucky to undertake my PhD in Neuroscience at the University of Cambridge under the supervision of Professor Robin Franklin, before coming back to the RVC for my residency training in neurology. I now try to combine clinical neurology/neurosurgery with translational neuroscience research, and I am lucky to have such a varied role working with amazing clinical and research teams.
Q: Could you share a challenging case that has shaped your approach as a clinician and educator?
A: A case I will never forget is a 1-year old Yorkie cross that was found collapsed at the side of the road. She had sustained a severe trauma to back of her skull with comminated fractures, severe cerebellar haemorrhage and oedema, presumably caused by a road traffic accident. She was initially recumbent and unable to stand, but slowly improved. She was like a textbook for cerebellar dysfunction, showing all the hallmarks signs such as menace response deficits, intention tremor, hypertonia, wide based stance and hypermetria. She is a fantastic teaching case for the students and an important reminder that, despite very severe neurological deficits, dogs can show remarkable recoveries if given time and appropriate support.
Q: Without giving too much away, can you tell us about your session, “Top Tips: Managing the Emergency Seizure Patient,” and some key takeaways?
a: Effective management of seizures is an important part of emergency veterinary practice, but success depends on distinguishing seizures from other seizure mimics, rapidly implementing appropriate antiseizure medication and managing any identifiable underlying cause. In this session I will cover these areas and really dive into the different antiseizure medications including how they work, how long for and when not to use them. I hope that those listening will leave feeling prepared and maybe even excited for their next seizure emergency case!
Q: What do you wish you had known earlier in your veterinary career?
A: We never know it all, but the potential to keep learning and developing clinical skills is what keeps our job stimulating and rewarding.
Q: What advice would you give to students who are specialising in neurology or neurosurgery?
A: Never underestimate the importance of a detailed clinical history, take your time with your neurological examination to try to reach an accurate neuro-anatomical localisation, learn your neuroanatomy and physiology, and keep reading de Lahunta!