Ask Dr. Doi

 

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Dr. Doi did her undergraduate studies at the UH, graduated from CSU in 1981 and has been at the Animal Clinic Waimalu since. She treats dogs, cats, rabbits and rodents.
She may be contacted professionally at:

ANIMAL CLINIC WAIMALU, INC.
(click name for map)
98-020 Kamehameha Hwy.
Aiea, HI 96701 
Phone: (808) 487-3607

This month:
What is Epilepsy?

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Epilepsy

What is a seizure?
A seizure is an abnormal electrical pattern in the brain that causes a variety of signs including loss of consciousness, collapse, muscle spasms, shaking, and loss of the ability to control urination and defecation.

What causes seizures?
Toxic materials, viral or bacterial infections, parasites, injury to the head, tumors, and changes in the level of sugar, calcium, or other substances in the blood are some of the causes, however, most of the time the cause of the seizure is unknown.

What is epilepsy?
Epilepsy is the condition of recurring seizures. In some cases, the cause is unknown. For example, epilepsy may develop in a dog that recovers from a head injury. In many cases, however, the specific cause of the seizures is not identified. This condition is called idiopathic (cause unknown) epilepsy. Inheritance plays a role in idiopathic epilepsy, and certain breeds of dogs (German shepherds, poodles, and St. Bernards, for example) are more likely to have epilepsy than other dogs. However, idiopathic epilepsy may occur in dogs of any breed. These epileptic dogs should not be used for breeding purposes.

What are the signs of a seizure?
If a seizure is observed carefully, three stages may be evident. In the aura (pre-seizure) stage, the animal is restless, paces, seeks affection, salivates, whines, hides or exhibits other behavior patterns. These signs may be seen minutes to days before the seizure begins. The ictus (seizure) usually lasts less than five minutes. Excitement, vomiting, may occur in addition to the signs mentioned in the aura stage. After the seizure, the postictal (recovery) phase can last from hours to days. Some animals may seem disoriented and uncoordinated and occasionally, may be temporarily blind. Others quickly return to normal.

How is epilepsy diagnosed?
A detailed history, physical examination, and sometimes laboratory screening are used to determine the cause of seizures. If a cause cannot be identified from the history or testing, the condition is diagnosed as idiopathic epilepsy. A single mild seizure seldom requires treatment. However, your pet may be given medication after a single, severe seizure or when a pattern of repetitive seizures has been established.

What is the treatment?
If a specific cause such as infection is identified, your pet will be treated for it. No cure exists for idiopathic epilepsy. Thus, treatment of this condition is aimed at controlling seizures. Medications are given daily to prevent or curb abnormal electrical patterns in the brain. If your
animal is started on medication, treatment must be continued as directed. Failure to do so may cause seizures.

What is status epilepticus?
Status epilepticus is a state of continual seizure activity. Without emergency care, this condition can result in coma, irreversible brain damage, or death.

What should I do if my pet has a seizure?
1. Remain calm.
2. Do not put your hands in your pet's mouth. This is not helpful and you may be bitten.
3. To prevent injury to your pet, remove nearby sharp objects.
4. Observe your pet closely. If a seizure does not end in five minutes, call for emergency help. In most cases, the seizure only lasts a short time and the animal recovers uneventfully. A single mild seizure is not an emergency and rarely indicates the need for long term treatment. However, you should call and discuss the occurrence with your veterinarian. Record and date duration of seizure for reference.


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