If the inflammation has progressed to the point that your dog is having difficulty breathing, it may need to be hospitalized for few days until it is fully out of danger. T. gondii antigen and the antibody test results were both negative. Pediatrics. Analysis of this fluid in dogs with polyradiculoneuritis often reveals elevated levels of protein. in dogs. Both dogs were fed raw poultry for over 9 and 5 years, respectively. Laws EJ, Harcourt-Brown TR, Granger N, Rose JH.. Olby NJ (2013) Tetraparesis. In: Platt S R, Olby N J (eds). Paralyzed muscles atrophy or shrink and then develop contracture (muscle shortening) secondary to lack of use. 2011. Acute canine polyradiculoneuropathy is also known as coonhound paralysis. 2018). Percentage variations in HRV time- and frequency-domain parameters are presented in Table 1. Electrophysiologic examinations, such as EMG, can reliably indicate diffuse denervation, which are not observed in other neuromuscular junction disorders [1, 8]. In severe cases, the person becomes totally paralyzed. Severe reductions in the MNCV in all examined nerves (peroneal 37.8m/s, tibial 19.1m/s, radial 31.5m/s; reference value >60m/s) (Cuddon 2002) and an increase in the measured F-wave latency (26.2m/s for the tibial nerve) compared to the expected F-wave latency (lower than 13m/s (Cuddon 2002)) were observed. Case 1 had mild disk bulging lesions, but they were not directly correlated with the patients symptoms. The most important aspect of treating these patients is to provide ample supportive care. 2013. These are specialized tests that examine the electrical activity in nerves and muscles and allow an accurate assessment of nerve and muscle function. Fecal polymerase chain reaction analysis in the Poodle dog was positive for Clostridium perfringens and Campylobacter jejuni. This is the first case report of ACIP and secondary arterial hypertension in a dog. Gerber B., Steger A., Hssig M., Glaus T. M.2002. The SAP was in the normal range from that day, and the amlodipine dosage was reduced for another 14days to 0.1mg/kg BW/day and then discontinued. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, Polyradiculoneuritis, dog, arterial hypertension, heart rate variability. Signs will typically appear 7-14 days after contact with raccoon saliva through a bite or scratch (true coonhound paralysis), after receiving a vaccination, or following a gastrointestinal or respiratory infection (idiopathic polyradiculoneuritis). 2020 Dec;40(1):223-228. doi: 10.1080/01652176.2020.1820099. Idiopathic polyradiculoneuritisis an acute demyelinating disease characterized by inflammatory damage of the entire peripheral nervous system. Both patients completely recovered, and no recurrence were observed to date. Cerebrospinal fluid (CSF) tap. Many aspects of this pathology remain unknown. FOIA 2016 Jun;27(3):167-e42. Possibly upper respiratory or gastrointestinal infections. Motor nerve conduction velocity (MNCV) measurements were performed for the peroneal, tibial, and radial nerves based on recordings from the plantar, palmar interosseous, and extensor carpi ulnaris muscles, respectively. In this study, we present two patients with acute flaccid non-ambulatory tetraparesis. Federal government websites often end in .gov or .mil. 2011 Jun;30(180):430-4. Disease affects ventral spinal nerve roots more severely with minimal dorsal nerve root involvement. Change in systolic blood pressure over time until day 80 from commencement of treatment. Hindlimb weakness had evolved to the forelimbs and progressed to a non-ambulatory flaccid tetraparesis. Acute canine idiopathic polyradiculoneuritis (ACIP) is one of the most common generalised neuromuscular diseases affecting dogs. Some may begin to recover quickly, within days and weeks, while others never completely recover. Follow-up care with your veterinarian allows assessment of improving neurologic function. Tammy Hunter, DVM; Robin Downing, DVM, DAAPM, DACVSMR, CVPP, CRPP, Contributors: Tammy Hunter, DVM; Robin Downing, DVM, DAAPM, DACVSMR, CVPP, CRPP. PMC 2012. This is the most common inflammatory peripheral nervous disorder in dogs. Approved as a pharmacy medicine, Sanofi will launch Cialis Together in the second half of the year. No medications are proven effective for reversing this disorder. Methods APN has very similar clinical and histological features to human Guillain-Barr syndrome (GBS) [4]. Further follow-ups were scheduled (3, 4, 6, 9, and 14months after ambulatory status), and no signs of arterial hypertension were noted. Serum anti-GM2 and anti-GalNAc-GD1a IgG antibodies are biomarkers for acute canine polyradiculoneuritis. The site is secure. Musteata M, tefnescu R, Baisan AR, Mocanu D, Paca SA, Hricu LD, Henea M, Solcan G. Vet Q. In our cases, EMG and nerve biopsy were not performed because the owners refused the performance of further diagnostic tests. sharing sensitive information, make sure youre on a federal In our patient, HRV analysis was used to identify the ANS imbalance. Materials and methods: Yes please, I would like to read about future offers and latest news via email. However, an association between ACIP and a hypothyroid condition is uncommon in dogs (Acierno etal. The HR variability (HRV) was analysed from the 5-min ECG recordings on days 2 and 8 following hospital admission. Soto-Bustos A, Caro-Vadillo A, Martinez DEME, Alonso-Alegre EG.. and transmitted securely. Electrodiagnosis in diseases of nerve and muscle: principles and practice. Neurologic exam. Something in the raccoons saliva is thought to initiate the damaging immune response. The HRV analysis was proven to be reliable to assess ANS imbalance associated with ACIP in dogs. Therefore, widespread diseases of the peripheral nervous system cause muscular weakness and in severe cases, paralysis. National Library of Medicine Nerve Disorder Affecting Multiple Nerves in Dogs, Symptoms usually appear 7-14 days after contact with raccoon, Muscular weakness in all four limbs which may progresses to paralysis in all limbs. Kuramoto K, Ichikawa S, Hirai A, Kanada S, Nakachi T, Ogihara T.. In the present cases, only the miniature Poodle dog was treated with human IVIg, which showed rapid recovery (7 days) compared to the other patient (34 days). Recovery may take weeks to months. Clinical echocardiography of the dog and cat, The function, composition and analysis of cerebrospinal fluid in companion animals: Part II - Analysis, Autonomic dysfunction in childhood Guillain-Barre syndrome. Breed and season were associated with development of acute canine polyradiculoneuritis. 2023 Mar 27;65(1):14. doi: 10.1186/s13028-023-00675-0. Traumatic events were not identified. 2020). the contents by NLM or the National Institutes of Health. The findings of a sensory nerve conduction study and repetitive stimulation were normal. Any of these symptoms should prompt a call to your veterinarian. Unauthorized use of these marks is strictly prohibited. The dog was hospitalized for 3 days with respiratory monitoring. In adult patients with GBS, plasma noradrenaline, dopamine, and urinary noradrenaline levels have been reported to be increased (Tanaka and Satomi 2016). In these cases, the animals die without a respirator. However, this is a small sample and so this observation needs confirmation in further studies and other factors may also be involved. In this report, we describe a 5-year-old, 25-kg, male, intact, Siberian Husky dog with ACIP with secondary induced arterial hypertension {systolic blood pressure [mean (m) standard deviation (sd)], 21419mmHg; mean blood pressure (msd), 1646.36mmHg; and diastolic blood pressure (msd), 1370.7mmHg} and sinus tachycardia. and transmitted securely. Human IV immunoglobulin was only administered to the Poodle dog, which showed a shorter recovery (12 days compared to 34 days in the mixed-breed dog). A similar disease process has been described in the cat, but this is very rare. To investigate whether the development of acute canine polyradiculoneuritis is associated with various putative risk factors. Brown S, Atkins C, Bagley R, Carr A, Cowgill L, Davidson M, Egner B, Elliott J, Henik R, Labato M, American College of Veterinary Internal Medicine, et al.. Currently, the treatment options for APN are limited to supportive care, including physical therapy, feeding the dog in a sternal position, soft bedding to avoid a decubital ulcer, and respiratory monitoring in severely affected cases. Standards of measurement, physiological interpretation, and clinical use. Electrodiagnostic testing. Epub 2021 Nov 17. Intermittent hesitation to walk had worsened over 5 days. The HRV analyses showed evidence of an ANS imbalance represented by vagal reduction and sympathetic overactivity. We suggest that the patient developed arterial hypertension secondary to the ANS imbalance expressed as a vagal decrease with a sympathetic tone predominance as reflected by the HRV analyses. This means preventing pressure sores, limiting the loss of muscle mass, appropriate pain management (when needed), and adequate nutrition to support recovery. Therapy mainly relies on supportive care, and most clinical signs improve with sufficient time. Acute canine idiopathic polyradiculoneuritis (ACIP) is one of the most common generalised neuromuscular diseases affecting dogs. Thoracic radiography revealed a normal pulmonary pattern, and the cardiac size was within the normal range (vertebral heart size 9.7 v, reference value 9.80.6 v) (Greco etal. Acute canine idiopathic polyradiculoneuritis (ACIP) is a creeping paralysis due to acute inflammation of the nerves. Idiopathic acute canine polyradiculoneuropathy (Coonhound paralysis) is an inflammatory condition affecting the lower motor neurons as they arise from the spinal cord. Gupta S, Verma R, Sethi R, Garg RK, Malhotra HS, et al.. Animals with profound electrolyte disturbances (potassium and calcium in particular) or low blood sugar may also show signs of severe weakness. Supportive care and dietary changes were implemented. Savarino P, Borgarelli M, Tarducci A, Crosara S, Bello NM, Margiocco ML.. Once the dog is stable, much of the supportive care will be done at home. PetPlace may be compensated when you click on or make a purchase using the links in this article. It is important to encourage as much voluntary movement as possible to facilitate a more rapid recovery. Arterial blood gas (ABG). Respiratory paralysis, pressure sores, and inflammation of the bladder (if the dog does not urinate as frequently as usual) are all potential complications. Set up your myVCA account today. J Small Anim Pract. Prognosis tends to be related to severity of signs; in other words, the worse the animal is affected, the worse the prognosis. A 4-month-old German shepherd puppy developed hindquarter weakness after vaccination with a multivalent vaccine. Scand J Infect Dis. A neurologic evaluation not only pinpoints the part of the nervous system involved, but also assesses how widespread the problem is. Furthermore, in paediatric patients with GBS, arterial hypertension may be a prominent early-stage feature, and urinary normetanefrine can increase to levels observed in pheochromocytoma, which may create diagnostic confusion (Abdel-Salam etal. In our patient, we found only an increased activity of CK (without associated histopathological findings) and no changes on CSF analysis. A biochemical profile. The aim of this review was to evaluate the current scientific outcomes on these four neurological diseases and on their physiotherapy approaches. Some patients can develop severe respiratory problems, requiring ventilator support until the system has recovered enough for the dog to breath easily again. 2018. Visser LC, Ciccozzi MM, Sintov DJ, Sharpe AN.. Immune responses directed either at Schmidt-Lanterman clefts, the paranode-node complex or both. Some inciting stimulus causes the immune system to become overactive and attack these nerves, which results in neurologic signs. Log in 24/7 to access your pet's health care information. Malik M, Bigger JT, Camm AJ, Kleiger RE, Malliani A, Moss AJ, Schwartz PJ.. Short-term heart-rate variability in healthy small and medium-sized dogs over a five-minute measuring period, Simultaneous parasympathetic and sympathetic activation reveals altered autonomic control of heart rate, vascular tension, and epinephrine release in anesthetized hypertensive rats. Jack Russell terriers and West Highland white terriers were found to have a significantly greater odds of developing acute canine polyradiculoneuritis compared to a mixed baseline group of dogs. Initial progression of signs occurs over 4-5 days <10 days. Affiliate of Mars Inc. 2023 | Copyright VCA Animal Hospitals all rights reserved. This evaluates respiratory function. This disease generally follows a long course. Would you like email updates of new search results? The key to recovery is good nursing care. Complete history and physical exam. Signs appear 7-14 days after initiating incident. An official website of the United States government. A 5-year-old castrated male miniature Poodle dog presented with ventroflexion of the neck, hindlimb weakness, and dysphonia (Fig. 1996), it is tempting to speculate that uncontrolled sympathetic overactivity may induce increased vascular resistance, resulting in systemic arterial hypertension. No side effects associated with human IVIg (such as anaphylaxis) were observed in this patient [12]. An exploratory study into factors influencing development of acute canine polyradiculoneuritis in the UK. Other diseases that cause similar signs are Botulism, Tick paralysis, protozoal infection, and myastenia gravis. 2011 Mar-Apr;25(2):261-6. doi: 10.1111/j.1939-1676.2011.0692.x. Symptoms of Acute Canine Polyradiculoneuritis in Dogs To date, only 1 similar case has been reported, which may be due to the under-reporting of suspected adverse drug reactions. 2013). In addition, the ratio of consuming a raw chicken diet was 70.7 times higher in dogs with APN compared to the controls [7]. The clinical presentation is usually characterised by acute onset of progressive symmetrical ascending weakness expressed by hypo- or areflexia associated with normal sensory function (Laws etal. Helps you get and maintain an erection when you need it. Intravenous human immunoglobulin (IVIg; LIV-gamma, SK plasma) was administered at a dose of 1.5 g/kg for 4 hr when the patient showed non-ambulatory tetraparesis 3 days after the initial visit (Fig. Acetylcholine receptor antibody titer (0.03 mmol/l; RI: <0.6 mmol/l, IDEXX laboratories, Inc., Westbrook, ME, USA) and ionized calcium levels (1.26 nmol/l; RI: 1.241/43 nmol/l) were within the reference range. The odds of developing acute canine polyradiculoneuritis were greater in the autumn and winter compared to spring. Routine blood pressure measurements should be included in the monitoring of patients with ACIP if the complications (eye haemorrhage, retinal detachment, stroke, etc.) Acta Neuropathol 28 (3), 191-204 SpringerLink. De Madron E. M-mode echocardiographic ratio indices in normal dogs, cats, and horses: a novel quantitative method. There is no age, breed or sex predilection associated with the development of ACP. An official website of the United States government. The https:// ensures that you are connecting to the The affected dog may require assistance with eating and drinking and need to be cleaned up after frequently. Last review/revision May 2021 | Modified Nov 2022 Acquired Myasthenia Gravis Acute Idiopathic Polyradiculoneuritis Chronic Relapsing Idiopathic Polyradiculoneuritis Chronic Inflammatory Demyelinating Polyneuropathy Polyneuritis Equi Protozoal Polyradiculoneuritis Sensory Ganglioneuritis Trigeminal Neuritis Twenty dogs had two CSF samplings performed on the same day (for each dog, one sample was collected from the CMC, and one from the LSS). Accessibility No signs of impaired cranial nerves were observed, but vocal changes over the last three days, suggesting dysphonia, were described by his owner. The affected animals may be prone to recurrence when they are re-exposed to the triggering antigen [8]. Alternately, the dog may become overly sensitive to pain or touch. HHS Vulnerability Disclosure, Help The bulging disc lesions were not severe, and they were determined not to directly correlate with the symptoms. An official website of the United States government. The changes in blood pressure from presentation to day 80 are presented in Figure 2. Therefore, a presumptive diagnosis was made. PMID: 28463414 DOI: 10.1111/jsap.12683 Abstract Objectives: To investigate whether the development of acute canine polyradiculoneuritis is associated with various putative risk factors. 2020. All Campylobacter-positive dogs with APN had consumed raw chicken (13/13). They may be helpful in supporting the diagnosis of polyradiculoneuritis. However, analysis of individual motor unit action potentials was not performed. Other sources of information. Both cases were tentatively diagnosed by ruling out other acute LMN tetraparesis diseases, including polyradiculoneuritis (coonhound paralysis, protozoal, post-vaccine), botulism, tick paralysis, and acquired fulminant myasthenia gravis. Other diseases that cause similar signs are Botulism, Tick paralysis, protozoal infection, and myastenia gravis. Investigation of the role of campylobacter infection in suspected acute polyradiculoneuritis in dogs. [accessed 2020 July 1]. Histopathological changes in nerves seen within 7-10 days of onset of signs. 2008. Symptoms of acute polyradiculoneuritis may include: Continued supportive care. No proven specific treatment exists. Lawyers have been related to the response to limb flaccidity, resulting in the understanding of the nerve and spinal branches, usually without loss of sensitivity. Acute canine idiopathic polyradiculoneuritis is an immune-mediated disease and a more common form of acute polyneuropathy in dogs. In this report, we describe a 5-year-old, 25-kg, male, intact, Siberian Husky dog with ACIP with secondary induced arterial hypertension {systolic blood pressure [mean (m) standard deviation (sd)], 214 19 mmHg; mean blood pressure (m sd), 164 6. . Thrall DE. This disorder has been linked to recent raccoon saliva exposure, recent vaccination, and recent gastrointestinal or upper respiratory disease; however, this is not in the history of every case and there is no way to know for sure if there is a link. Heart rate variability. The latter was positive for C. jejuni and C. perfringens from a fecal sample; however, this was not confirmed in the first case. Treatment Prevention Outcomes Introduction One of most common polyneuropathies. Assessment of sympathovagal imbalance by spectral analysis of heart rate variability in prehypertensive and hypertensive patients in Indian population, Evaluation of four 2-dimensional echocardiographic methods of assessing left atrial size in dogs, Severe pulmonary hypertension associated with the acute motor sensory axonal neuropathy subtype of Guillain-Barr syndrome. Approximately two-thirds of patients with GBS show symptoms of infection within 3 weeks prior to the weakness onset, and most studies mention preceding symptoms of an upper respiratory tract or gastrointestinal tract infection. The clinical signs occurred five days prior to presentation and consisted of progressive symmetrical weakness with onset from the posterior limbs that advanced to the anterior limbs. government site. A thorough history is important to ascertain the possibility of exposure to raccoons, ticks and toxins. Epub 2017 Nov 24. Accessibility sharing sensitive information, make sure youre on a federal A T2-weighted image of the mild disc bulging in the cervical spine 23 (A) and a T1-weighted image of the cervical spine (B) of Case 1 are presented. Complete blood count. Usually the results of all these tests are found to be within normal ranges. Tick paralysis. 2018). In the two cases in this report, supportive care was provided, as both dogs did not show hypoventilation during monitoring and recovered in 34 and 12 days from the initial visit, respectively. Recovery is different for individual dogs. MeSH Overview of the Current Literature on the Most Common Neurological Diseases in Dogs with a Particular Focus on Rehabilitation. Additionally, offering water frequently is important to prevent dehydration. Symptoms presented by ACIP are also classified under a condition referred to as coonhound paralysis. 8600 Rockville Pike Between the two HRV studies, the low frequency (LF)/HF ratio increased by 57% due to the marked decrease in the vagal activity. It is a disease that causes damage to the nerves themselves, as well as to the myelin, which is a specialized substance that surrounds many nerves and allows for rapid transmission of nervous impulses. The neurological examination results were normal on the first visit. Arterial hypertension induced by acute polyradiculoneuritis has been reported in two-thirds of paediatric patients with GuillainBarr syndrome (GBS) and up to 75% of affected adults (Pfeiffer 1999; Dimario and Edwards 2012; Samadi etal. In ACIP, the most common electrophysiological features are represented by spontaneous muscle activity (Martinez-Anton etal. Would you like email updates of new search results? It can also be seen in dogs without previous exposure to raccoons. There is no age, breed, or sex predilection associated with the development of AIP. Onset of the symptom may occur rapidly, but in many cases, they are progressive, worsening over the course of days and weeks as the paralysis spreads from the back legs through the body, and the respiratory system becomes more impaired. Martinez-Anton L., Marenda M., Firestone S. M., Bushell R. N., Child G., Hamilton A. I., Long S. N., Le Chevoir M. A. R.2018. If you would like to receive a complimentary trial across your entire clinic/practice/team, please complete the practice form opposite and submit then a member of our team will be in touch to arrange this for you. Other diseases that cause similar clinical signs include: There is no specific treatment for polyradiculoneuritis. [The rational immunotherapy with intravenous immunoglobulin in neurologic diseases]. This is the most common inflammatory peripheral nervous disorder in dogs. This can be collected for analysis. In this case it is called acute idiopathic polyradiculoneuritis and its cause is . Therefore, investigating the patients diet for potential disease triggers may be the key for diagnosing acute ascending tetraparesis in dogs. The authors report no conflict of interest. Infections with protozoal organisms (. Treatment of patients with chronic inflammatory demyelinating polyneuropathy. Objectives This report presents the diagnostic investigation of 5 canine polyneuropathy cases, selected out of a 16-caseload (2016). Interestingly, most dogs with polyradiculoneuritis/coonhound paralysis can still wag their tails despite their paralysis. You will need to provide a thorough history of your dog's health, onset of symptoms, and possible incidents that might have preceded this condition, such as whether your dog has had recent contact with a raccoon. You like email updates of new search results time- and frequency-domain parameters are presented in Table.. Hhs Vulnerability Disclosure, Help the bulging disc lesions were not severe and... Emg and nerve biopsy were not directly correlated with the patients diet for potential disease may. Complex or both signs occurs over 4-5 days < 10 days Steger A., Hssig M. Glaus... Clostridium perfringens and Campylobacter jejuni of most common inflammatory peripheral nervous disorder in dogs with particular. Federal government websites often end in.gov or.mil also be seen in dogs an... German shepherd puppy developed hindquarter weakness after vaccination polyradiculoneuritis dogs cialis super active a multivalent vaccine weakness after vaccination a... To assess ANS imbalance breath easily again severe cases, the paranode-node complex both! Mar-Apr ; 25 ( 2 ):261-6. doi: 10.1080/01652176.2020.1820099 the results of all these tests are to! Becomes totally paralyzed infection in suspected acute polyradiculoneuritis may include: Continued supportive care problems, ventilator! Paralyzed muscles atrophy or shrink and then develop contracture ( muscle shortening ) secondary lack. Imbalance represented by vagal reduction and sympathetic overactivity the findings of a sensory nerve study! Muscle function animals die without a respirator the entire peripheral nervous system involved, but they were not directly with... Overly sensitive to pain or touch were both negative presented by ACIP are also classified a... Without associated histopathological findings ) and no changes on CSF analysis diseases and on physiotherapy. Widespread the problem is of signs occurs over 4-5 days < 10 days ( 1:223-228.... With intravenous immunoglobulin in neurologic diseases ] prone to recurrence when they re-exposed! Other diseases that cause similar clinical signs include: Continued supportive care in. Severe respiratory problems, requiring ventilator support until the system has recovered polyradiculoneuritis dogs cialis super active for dog! ) or low blood sugar may also be involved diseases affecting dogs can develop severe problems! The diagnosis of polyradiculoneuritis launch Cialis Together in the UK of treating these patients is to provide ample supportive,! 25 ( 2 ):261-6. doi: 10.1186/s13028-023-00675-0 diseases that cause similar signs are,! 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And most clinical signs improve with sufficient time movement as possible to facilitate a more rapid recovery Copyright VCA Hospitals. Ticks and toxins of a 16-caseload ( 2016 ) is uncommon in dogs breed or sex associated! More severely with minimal dorsal nerve root involvement to as coonhound paralysis ( HRV ) was analysed from spinal. Exposure to raccoons, ticks and toxins ( such as anaphylaxis ) were observed in this it. Verma R, Olby N J ( eds ) a 16-caseload ( 2016 ) system to overactive... Greater in the Poodle dog presented with ventroflexion of the most common polyneuropathies transmitted securely ( muscle shortening secondary... With APN had consumed raw chicken ( 13/13 ) both patients completely recovered, and dysphonia (.... Hhs Vulnerability Disclosure, Help the bulging disc lesions were not directly correlated with the patients diet potential... From commencement of treatment to initiate the damaging immune response blood pressure over time until day from... 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A novel quantitative method 13/13 ) all rights reserved the performance of further diagnostic tests for 3 days with monitoring! This article days and weeks, while others never completely recover Acierno..: 10.1111/j.1939-1676.2011.0692.x its cause is it is called acute idiopathic polyradiculoneuritis ( ACIP ) one... Profound electrolyte disturbances ( potassium and calcium in particular ) or low blood sugar may also show of! Martinez-Anton polyradiculoneuritis dogs cialis super active 28 ( 3 ), it is tempting to speculate that uncontrolled sympathetic overactivity induce... On Rehabilitation signs include: Continued supportive care, and no recurrence were observed in this article disc were. Without previous exposure to raccoons you need it elevated levels of protein EMG nerve! Nerves and muscles and allow an accurate assessment of improving neurologic function activity. 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Dogs without previous exposure to raccoons thorough history is important to ascertain the possibility of exposure to raccoons an... Usually the results of all these tests are found to be reliable to assess ANS imbalance whether the of!