feline neurology Flashcards
cat with sporadic episodes of flopping, otherwise normal inbetween. what is happening?
feline idiopathic epilepsy (seizures)
what do you do with a patient that has feline idiopathic epilepsy
phenobarb is the treatment of choice BUT 40% get complete remission without drugs
tail biting tail chasing, mutilation. what is the signallment of these cats
young. around one year
treatment for feline hypersesthesia syndrome
gaba, then +- behavior meds, seizure meds, and pain meds
what are birman cats predisposed to
autogenic reflex seizures
what does a autogenic reflex seizure look like
myoclonic jerks in relation to a high pitched noise
what is our treatment of choice for autogenic reflex seizures
keppra and removing the high pitched noises
focal facial seizures, hypersalivation, hypervocalization, facial twitching, aggression
likely hippocampal necrosis
what is the worst type of feline neuropathy to diagnose
hippocampal necrosis, because treatments dont really work
most common infectious cause of CNS disease in cats
FIP- mutated coV
how to diagnose FIP related CNS signs
corona titers from the CNS, perivascular cuffing on opthalmic exam
what does FIP cause
immune mediated vasculitits
sudden neuro signs in a very young or very old cat. could be post steroid treatment
toxo.
treatment for toxoplasmosis
clindamycin for a long time
how do we diagnose and treat crypto
serology (trust +)
fluconazole, short course of pred, amphoteryocin B and flucytosine for 12 weeks
cat presents acutely blind what are your differentials
feline ischemic encephalopathy
global cerebral ischemia
what is the cause of feline ischemic encephalopathy and when do we commonly diagnose
cuterebral migrations
august, july, september
treamtment for feline ischemic encephalopathy
impirically ivermectin for three days
cat presents unable to hold up its head. what are the top differentials
hypokalemia-old cat renal dz
thiamine deficiency-diet
MG- chest rads. wheel barrow test
most common primary brain tumor? MST?
meningioma.
once diagnosed/clinical; 37 days
if surgical removal 37 months
most common neoplasm to affect the spinal cord
lymphosarcoma
if you think you have a neural lymphoma what should you do
look for primary lymphoma elsewhere 80% have another primary tumor nonCNS
how to treat global cerebral ischemia
supportive care and antiseizure medications. grave prognosis