
A transitory disturbance of the electrical activity in the brain,
human or canine, gives rise to a period of abnormal muscular or
behavioural activity that is termed a ‘Seizure’ or a ‘Fit’. Such
abnormal electrical activity may be located in various parts of the
brain and may be confined to one small area of brain tissue or be
generalised throughout the cerebral cortex giving rise to differing
types and severity of the ensuing seizure. A seizure may show a loss
of consciousness, convulsive jerking of parts of the body, emotional
disturbance or periods of mental confusion.
Conditions such as hypoglycaemia, alcoholism, brain damage or even
adverse drug reactions may give rise to such seizures or fit are
recurrent and have their origin in the activity of the brain tissue
itself; it is referred to as Epilepsy. The term Epilepsy cover a
range of conditions from mild ‘absences’, where the sufferer is
merely ‘not with it’ for a brief period, to major convulsions and
total loss of muscular control.
For obvious reasons human Epilepsy has bee better studied than
canine Epilepsy and the human epileptic seizures of fits have been
classified into three major types according to the variations in
their clinical symptoms in intensity and types; these being Grand
Mal, Petit Mal and Psychomotor.
In a Grand Mal type of seizure or fit there is a loss of
consciousness by the patient and convulsions caused the muscular
contractions. Subsequent muscular relaxation's and contractions
cause violent agitation and can cause serious injuries. As the
seizure subsides, the agitation results in the patient being
exhausted and subsequently sleeps heavily, despite which still
suffering fatigue and depression on waking. It is quite common for
the patient to have no memory of experiencing the seizure.
Petit Mal is almost exclusively a childhood disorder in which, as
the name implies, the seizures may be as mild as the experience or
merely a sudden momentary loss or impairment of consciousness with
symptoms as slight as merely upward staring eyes, a staggering gait
or twitching of facial muscles. With such slight and momentary
symptoms the patient may not even be aware of having suffered a
seizure.
In Psychomotor Epilepsy, the main symptom is that of amnesia, there
may be no loss of activity during the seizure, but the behaviour is
unrelated to the environment. This type of seizure may be preceded
by dizziness and, if the abnormal electrical activity originates in
the temporal lobes of the brain, the perception of strange
sensations, illusions, strange odours etc.
It is dangerous to draw direct parallels for canine epilepsy with
these types of human epilepsy; but for those unfortunate enough to
have cared for an epileptic dog subject to severe convulsions, the
observations of the dog’s loss of consciousness, convulsive muscular
activity, involuntary urination, defecation and ensuing exhaustion
are such that it is logical to equate this type of canine seizure
with the human Grand Mal type of epilepsy. The greater number of
these canine Grand Mal type seizures are generally accepted as
idiopathic, that is to say that no discernible organic cause, no
obvious physical, haematological or biochemical abnormalities have
been found to account for the seizures; this being found to hold
true for canine and human epilepsy.
The short periods of loss of consciousness, the ‘absence’ of not
being with it, symptoms of Petit Mal do tend to strike a familiar
note with all owners of dogs; but it would be highly dubious to
claim this as resembling Petit Mal type epilepsy especially
considering the ease with which dogs can assume ‘convenient
deafness’ or be ‘not with it’ when it suits their inclinations. As
Psychomotor seizures similarly cannot be identified with any
certainty in dogs, it would seem only sensible to consider that only
the Grand Mall type of seizure can be definitely identified in the
dog.
As over a third of human patients have a history of epilepsy
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in their families, there is an obvious tendency for it to ‘run in
families’. It is generally accepted that, in epilepsy with no
identifiable organic cause, a predisposition to the disorder is
assumed to be an inherited trait rather than epilepsy itself being a
directly inheritable disorder.
The situation is claimed to be different in dogs, Turner (1990)*
states that idiopathic epilepsy has been definitely shown to have an
inherited basis in a few breeds including German Shepherds and
Keeshonds and inheritance is suspected in several others such as
Irish Setters, Beagles and Golden retrievers. Unfortunately Turner*
does not offer any information regarding the mode of inheritance in
any of his quoted breeds.
The onset of idiopathic canine epilepsy usually occurs between the
ages of one and three years of age, as with humans. The treatment of
the disorder is based on the use of anticonvulsant drugs, sedatives
and tranquillisers. These are powerful drugs and should not be given
to any dogs unless the seizures are markedly recurrent. No
anticonvulsant should ever be given to a dog following only one or
two isolated seizures and too high a dosage following even recurrent
seizures may actually cause seizures. The choice of drug is also
difficult to establish, having to balance maximum effectiveness with
the minimum of acceptable side effect and the dosing regime
necessary to maintain the effective level of drug in the circulation
requires careful monitoring.
However, it has to be said that all is not doom and gloom for the
epileptic dog or its owner, the disorder in many cases can be
adequately controlled by an appropriate anticonvulsant drug therapy.
The canine patient can live a relatively normal if regimented life;
some have even been able to have their therapy gradually withdrawn
and appeared to have been ‘cured’ as they have been able to live
without further drug therapy. E. Jones. (2000)
*Veterinary Notes for Dog Owners.
(London. Popular Dogs) T Turner