feline neurology

Question 1

cat with sporadic episodes of flopping, otherwise normal inbetween. what is happening?

Answer 1

feline idiopathic epilepsy (seizures)

Question 2

what do you do with a patient that has feline idiopathic epilepsy

Answer 2

phenobarb is the treatment of choice BUT 40% get complete remission without drugs

Question 3

tail biting tail chasing, mutilation. what is the signallment of these cats

Answer 3

young. around one year

Question 4

treatment for feline hypersesthesia syndrome

Answer 4

gaba, then +- behavior meds, seizure meds, and pain meds

Question 5

what are birman cats predisposed to

Answer 5

autogenic reflex seizures

Question 6

what does a autogenic reflex seizure look like

Answer 6

myoclonic jerks in relation to a high pitched noise

Question 7

what is our treatment of choice for autogenic reflex seizures

Answer 7

keppra and removing the high pitched noises

Question 8

focal facial seizures, hypersalivation, hypervocalization, facial twitching, aggression

Answer 8

likely hippocampal necrosis

Question 9

what is the worst type of feline neuropathy to diagnose

Answer 9

hippocampal necrosis, because treatments dont really work

Question 10

most common infectious cause of CNS disease in cats

Answer 10

FIP- mutated coV

Question 11

how to diagnose FIP related CNS signs

Answer 11

corona titers from the CNS, perivascular cuffing on opthalmic exam

Question 12

what does FIP cause

Answer 12

immune mediated vasculitits

Question 13

sudden neuro signs in a very young or very old cat. could be post steroid treatment

Answer 13

toxo.

Question 14

treatment for toxoplasmosis

Answer 14

clindamycin for a long time

Question 15

how do we diagnose and treat crypto

Answer 15

serology (trust +)
fluconazole, short course of pred, amphoteryocin B and flucytosine for 12 weeks

Question 16

cat presents acutely blind what are your differentials

Answer 16

feline ischemic encephalopathy

global cerebral ischemia

Question 17

what is the cause of feline ischemic encephalopathy and when do we commonly diagnose

Answer 17

cuterebral migrations
august, july, september

Question 18

treamtment for feline ischemic encephalopathy

Answer 18

impirically ivermectin for three days

Question 19

cat presents unable to hold up its head. what are the top differentials

Answer 19

hypokalemia-old cat renal dz

thiamine deficiency-diet

MG- chest rads. wheel barrow test

Question 20

most common primary brain tumor? MST?

Answer 20

meningioma.
once diagnosed/clinical; 37 days
if surgical removal 37 months

Question 21

most common neoplasm to affect the spinal cord

Answer 21

lymphosarcoma

Question 22

if you think you have a neural lymphoma what should you do

Answer 22

look for primary lymphoma elsewhere 80% have another primary tumor nonCNS

Question 23

how to treat global cerebral ischemia

Answer 23

supportive care and antiseizure medications. grave prognosis