RESUMO
There are sparse published scientific data on associations between neutering and the severity and survival of dogs with idiopathic epilepsy. This study aimed to explore the timing of neutering with respect to onset of seizures in dogs with idiopathic epilepsy. Associations between neutering and both age of onset of seizures and the occurrence of cluster seizures or status epilepticus were examined. Survival analysis investigated the effects of sex-neuter categories. The median survival time of Border collies was compared with data previously reported in literature. The study included veterinary primary-care clinical data on 117 Labrador retrievers and 57 Border collies diagnosed with idiopathic epilepsy from the VetCompass project in the UK. The majority (74.2%; P≤0.001) of neutered cases were neutered before the onset of seizures. Age (years) at onset of seizures did not differ between dogs intact at time of onset and dogs neutered before onset of seizures (males 3.6 vs. 3.7; P=0.468 and females 3.4 vs. 4.1; P=0.154). Neuter status was not associated with the occurrence of cluster seizures (males P=0.947 and females P=0.844). Dogs intact at onset of seizures had longer median survival times than dogs neutered before onset of seizures (males, 1436 days vs. 1234 days; P=0.019; females, 1778.5 days vs. 1261 days; P=0.027). Median survival time of 1393 days for Border collies was longer than previously reported (P≤0.001). These results do not support recommendations to neuter dogs with idiopathic epilepsy within an evidence-based treatment plan.
Assuntos
Doenças do Cão/epidemiologia , Epilepsia/veterinária , Esterilização Reprodutiva/veterinária , Animais , Estudos de Coortes , Doenças do Cão/etiologia , Doenças do Cão/mortalidade , Cães , Epilepsia/epidemiologia , Feminino , Masculino , Linhagem , Atenção Primária à Saúde , Estudos Retrospectivos , Fatores de Risco , Esterilização Reprodutiva/efeitos adversos , Análise de Sobrevida , Reino Unido/epidemiologia , Medicina VeterináriaRESUMO
BACKGROUND: Neurodegenerative diseases are a heterogeneous group of disorders characterized by loss of neurons and are commonly associated with a genetic mutation. HYPOTHESIS/OBJECTIVES: To characterize the clinical and histopathological features of a novel degenerative neurological disease affecting the brain of young adult Nova Scotia Duck Tolling Retrievers (NSDTRs). ANIMALS: Nine, young adult, related NSDTRs were evaluated for neurological dysfunction and rapid eye movement sleep behavior disorder. METHODS: Case series review. RESULTS: Clinical signs of neurological dysfunction began between 2 months and 5 years of age and were progressive in nature. They were characterized by episodes of marked movements during sleep, increased anxiety, noise phobia, and gait abnormalities. Magnetic resonance imaging documented symmetrical, progressively increasing, T2-weighted image intensity, predominantly within the caudate nuclei, consistent with necrosis secondary to gray matter degeneration. Abnormalities were not detected on clinicopathological analysis of blood and cerebrospinal fluid, infectious disease screening or urine metabolite screening in most cases. Postmortem examination of brain tissue identified symmetrical malacia of the caudate nuclei and axonal dystrophy within the brainstem and spinal cord. Genealogical analysis supports an autosomal recessive mode of inheritance. CONCLUSIONS AND CLINICAL IMPORTANCE: A degenerative encephalopathy was identified in young adult NSDTRs consistent with a hereditary disease. The prognosis is guarded due to the progressive nature of the disease, which is minimally responsive to empirical treatment.
Assuntos
Encefalopatias/veterinária , Doenças do Cão/diagnóstico , Transtornos Heredodegenerativos do Sistema Nervoso/veterinária , Transtorno do Comportamento do Sono REM/veterinária , Animais , Encefalopatias/genética , Encefalopatias/patologia , Doenças do Cão/genética , Doenças do Cão/patologia , Cães , Feminino , Predisposição Genética para Doença , Transtornos Heredodegenerativos do Sistema Nervoso/diagnóstico , Transtornos Heredodegenerativos do Sistema Nervoso/patologia , Masculino , Linhagem , Transtorno do Comportamento do Sono REM/genética , Transtorno do Comportamento do Sono REM/patologiaRESUMO
BACKGROUND: Catamenial epilepsy in humans is defined as changes in seizure frequency over the course of the menstrual cycle. Three hormonally based patterns of seizure exacerbation have been determined. OBJECTIVES: The aim of this study was to evaluate whether there is an association between onset of seizures and the estrous cycle in intact bitches with presumptive idiopathic epilepsy and whether a pattern to the onset of seizures could be recognized. ANIMALS: Forty-five intact female dogs from a hospital population with a presumptive diagnosis of idiopathic epilepsy. METHODS: In a retrospective study, the database of a small animal hospital in Sweden was searched for medical records of intact female dogs diagnosed with epilepsy or seizures. The stage of the estrous cycle as reported either by the owner or the veterinarian at the time of the first seizure was noted. RESULTS: Of the 45 dogs with idiopathic epilepsy, 17 (38%) had their first seizure when in heat and six dogs (13%) had their first seizure 1-3 months after heat. Nine dogs (20%) had seizures reoccurring in relation to their estrous cycle. CONCLUSIONS AND CLINICAL IMPORTANCE: These findings suggest an association between estrus and onset of seizures in intact bitches with presumptive idiopathic epilepsy. Two hormonally based patterns could be recognized: one during heat and one during a specific time point at the end of diestrus. This could be explained by the proconvulsive effects of estrogen or loss of protective effect against seizures of progesterone, respectively.
Assuntos
Doenças do Cão/patologia , Epilepsia/veterinária , Estro/fisiologia , Animais , Cães , Epilepsia/patologia , Feminino , Estudos RetrospectivosRESUMO
Brain neoplasia is diagnosed in an increasing number of dogs. Consequently, there is a higher need for an effective treatment. Chemotherapy is considered in cases where surgery or radiation is not optional. The objective of this retrospective study was to evaluate the difference in median survival time (MST) of dogs with intracranial masses, treated symptomatically with corticosteroids and anti-epileptic drugs, compared with the same symptomatic treatment supplemented with lomustine. The records of 71 dogs with intracranial masses were retrospectively evaluated. Fifteen dogs were treated symptomatically with corticosteroids and anti-epileptics, and 56 dogs received additional therapy with lomustine. There was no statistically significant difference in MST between both groups, being 60 and 93 days, respectively. Age, duration of symptoms, intracranial localization of the mass and intra- or extra-axial localization had no influence on survival time. However, female dogs survived significantly longer than male dogs.
Assuntos
Antineoplásicos Alquilantes/uso terapêutico , Neoplasias Encefálicas/veterinária , Doenças do Cão/tratamento farmacológico , Lomustina/uso terapêutico , Animais , Neoplasias Encefálicas/tratamento farmacológico , Cães , Feminino , Masculino , Estudos RetrospectivosRESUMO
OBJECTIVES: To evaluate the clinical evolution and potential risk factors of 51 dogs treated conservatively for disc-associated wobbler syndrome. METHODS: Medical records of dogs treated conservatively for disc-associated wobbler syndrome were reviewed, and owners were contacted regarding clinical evolution and survival of their animals. Relationships between age, treatment before diagnosis, type of neurological signs, results of medical imaging and outcome were determined. RESULTS: Fifty-one dogs underwent conservative treatment for disc-associated wobbler syndrome. A successful outcome was achieved in 45 per cent (23 of 51) of the patients. Median follow-up period was 18.5 months, and median survival time was 47 months. In 85 per cent of the dogs in which euthanasia was performed because of disc-associated wobbler syndrome, this was carried out in the first year after diagnosis. Outcome score was influenced by type of neurological signs and additional radiographic and/or myelographic abnormalities. Outcome score was not significantly associated with age, number of protruded intervertebral discs, occurrence, type and results of treatment before diagnosis. CLINICAL SIGNIFICANCE: Conservative treatment of disc-associated wobbler syndrome is associated with a guarded prognosis. It can be considered in cases where all four limbs are not affected and no additional radiographic and/or myelographic abnormalities are detected.
Assuntos
Ataxia/veterinária , Vértebras Cervicais , Doenças do Cão/diagnóstico por imagem , Deslocamento do Disco Intervertebral/veterinária , Compressão da Medula Espinal/veterinária , Animais , Anti-Inflamatórios/administração & dosagem , Ataxia/diagnóstico por imagem , Ataxia/tratamento farmacológico , Bélgica , Vértebras Cervicais/diagnóstico por imagem , Doenças do Cão/tratamento farmacológico , Cães , Feminino , Seguimentos , Deslocamento do Disco Intervertebral/diagnóstico por imagem , Deslocamento do Disco Intervertebral/tratamento farmacológico , Masculino , Prednisolona/administração & dosagem , Radiografia , Estudos Retrospectivos , Fatores de Risco , Compressão da Medula Espinal/diagnóstico por imagem , Compressão da Medula Espinal/tratamento farmacológico , Inquéritos e Questionários , Resultado do TratamentoRESUMO
Two dogs were presented with hemifacial spasm. Computed tomography images of both the dogs revealed an intracranial mass. In the first dog, a lesion at the level of the medulla oblongata was thought to cause primary irritation of the facial nucleus, with consequently permanent contraction of the ipsilateral facial muscles. In the second dog, a mass seemingly arising from the middle cranial fossa presumably isolated the facial motor neurons from upper motor neuron control, which resulted in hemifacial spasm as a result of loss of inhibitory interneuronal activity.