Prevalence of electrographic seizure in dogs and cats undergoing electroencephalography and clinical characteristics and outcome for dogs and cats with and without electrographic seizure: 104 cases (2009–2015)
| Autor: | Mark M. Stecker, Liana K. Granum, D. Colette Williams, Christine E. Weaver, William W. Bush, Stephen R. Werre |
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| Rok vydání: | 2019 |
| Předmět: |
040301 veterinary sciences
Electrographic seizure Status epilepticus 030204 cardiovascular system & hematology Electroencephalography Cat Diseases 0403 veterinary science 03 medical and health sciences Dogs 0302 clinical medicine Seizures Prevalence Animals Medicine Ictal Dog Diseases Retrospective Studies CATS General Veterinary medicine.diagnostic_test business.industry Mortality rate Medical record 04 agricultural and veterinary sciences Young age Anesthesia Cats medicine.symptom business |
| Zdroj: | Journal of the American Veterinary Medical Association. 254:967-973 |
| ISSN: | 0003-1488 |
| Popis: | OBJECTIVE To determine the prevalence of electrographic seizure (ES) and electrographic status epilepticus (ESE) in dogs and cats that underwent electroencephalography (EEG) because of suspected seizure activity and to characterize the clinical characteristics, risk factors, and in-hospital mortality rates for dogs and cats with ES or ESE. DESIGN Retrospective case series. ANIMALS 89 dogs and 15 cats. PROCEDURES Medical records of dogs and cats that underwent EEG at a veterinary neurology service between May 2009 and April 2015 were reviewed. Electrographic seizure was defined as ictal discharges that evolved in frequency, duration, or morphology and lasted at least 10 seconds, and ESE was defined as ES that lasted ≥ 10 minutes. Patient signalment and history, physical and neurologic examination findings, diagnostic test results, and outcome were compared between patients with and without ES or ESE. RESULTS Among the 104 patients, ES and ESE were diagnosed in 21 (20%) and 12 (12%), respectively. Seventeen (81%) patients with ES had no or only subtle signs of seizure activity. The in-hospital mortality rate was 48% and 50% for patients with ES and ESE, respectively, compared with 19% for patients without ES or ESE. Risk factors for ES and ESE included young age, overt seizure activity within 8 hours before EEG, and history of cluster seizures. CONCLUSIONS AND CLINICAL REVELANCE Results indicated that ES and ESE were fairly common in dogs and cats with suspected seizure activity and affected patients often had only subtle clinical signs. Therefore, EEG is necessary to detect patients with ES and ESE. |
| Databáze: | OpenAIRE |
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