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© Kirrawee Veterinary Hospital CANINE DISEASES
Epilepsy
Epilepsy refers to recurring seizures of unknown cause. Although
a range of underlying factors such as infection, tumors, toxins,
and injury may effect the brain producing seizures; true (idiopathic)
epilepsy cannot be attributed to any particular trigger. Epilepsy can be inherited in some breeds such as beagles and German
shepherds however in most cases there is no family history. Most
dogs effected are middle aged or older but juvenile epilepsy can
also occur under one year of age. The classical picture of seizure involves a period of anxiety
(preictal phase) prior to the actual fitting episode. This may
not be recognized in all cases. Seizures are characterized by
loss of consciousness or disorientation, stiffness of limbs often
with the head arched backward, involuntary passing of urine and
feces, and vomiting or frothing from the mouth. These signs may
be evident for only a matter of minutes and are followed by a
recovery period (postictal phase) where the symptoms diminish,
often fully returning to a normal state within a short time. Although the symptoms are very alarming to observe they rarely
do damage to the animal. Owners should avoid handling their pet
during the seizure because of the risk of being inadvertently
bitten. Short term treatment using sedatives such as diazepam
is generally only initiated if the seizures are prolonged or multiple
fits occur. Long term therapy is usually started once the fits
occur more than once every six weeks. Phenobarbital is the most
commonly used anticonvulsant. Primidone (Mysoline) may also be
used as it metabolizes to phenobarbital in the body. Dilantin
is commonly used in human medicine however it is not effective
on dogs due to its very short period of action. Bromide is used
in addition to phenobarbital therapy where the seizures are not
being effectively controlled by higher doses of phenobarbital.
It should be remembered that anticonvulsant treatment is designed
to reduced fitting, not necessarily eliminate them completely. |