Chapter 21 Seizures

Question 1

A dog has a generalized seizure, by the time you have filled up medications the dog has now stopped convulsing and is now only twitching the eyelids. Should you treat?

Answer 1

Yes, this is still considered seizure activity

Question 2

A dog has a generalized seizure, by the time you have filled up medications the dog has now stopped convulsing and is now only slowly paddling. Should you treat?

Answer 2

No, the dogs is beginning to recover

Question 3

What are the three main categories of seizure ddx?

Answer 3

Metabolic, structural and idiopathic

Question 4

What type of events other than syncope can look like a seizure?

Answer 4

• Syncope
• Movement disorder
• Vestibular disease
• Severe pruritus
• Behavioural change
• Pain episode
• Idiopathic head bobbing
• REM sleep disorder
• Narcolepsy/Catalepsy
• Episodic weakness

Question 5

For how long after TBI can seizure activity be seen?

Answer 5

Years

Question 6

You are administering calcium gluconate to a patient. What should you monitor for during the injection?

Answer 6

Bradycardia, shortened Q-T interval, vomiting

Question 7

Should acepromazine be considered in patients with seizures?

Answer 7

Yes. A small study showed it being effective in stopping active seizure in 8/10dogs. However, other phenothiazines such as chlorpromazine have been shown to lower seizure threshold.

Question 8

What is the max dose and frequency of mannitol?

Answer 8

2g/kg IV Q4-5 hours with a max of 3-4 administrations over 24 hour.

Question 9

Acute kidney injury and osmotic diuresis is much more common on mannitol OR HTS?

Answer 9

Mannitol