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J Vet Intern Med ; 26(1): 116-25, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22182230

RESUMO

BACKGROUND: Idiopathic epilepsy (IE) in Australian Shepherds (ASs) occurs worldwide but there is a lack of description of the epilepsy syndrome in this breed. The ABCB1-1Δ mutation is more prevalent in ASs than in many other dog breeds. HYPOTHESIS: Australian Shepherds suffer from a poorly controlled IE syndrome with prevailing severe courses. Seizure control and ABCB1-1Δ mutation might be related in this breed. ANIMALS: Fifty ASs diagnosed with IE and 50 unaffected ASs. METHODS: Predominant study design is a longitudinal cohort study. Pedigrees, medical records, seizure, and treatment data of ASs with IE were analyzed descriptively. Sex, color, and the ABCB1-1Δ genotype were compared between case and control groups and ASs with poorly or well-controlled seizures. Differences in survival times were assessed by logrank tests and Cox regression analysis. RESULTS: Idiopathic epilepsy in ASs is dominated by moderate and severe clinical courses with the occurrence of cluster seizures and status epilepticus and a high seizure frequency. Poor seizure control and a high initial seizure frequency (≥10 seizure days/first 6 months) are associated with shorter survival times (P < .05). Poor seizure control, unrelated to the ABCB1(MDR1) genotype, is evident in 56% of epileptic ASs. Pedigree analysis suggests a genetic basis. CONCLUSION AND CLINICAL IMPORTANCE: Frequent severe clinical courses, poor seizure control unrelated to the ABCB1(MDR1) genotype, and a young age at death compromise animal welfare and warrant further genetic studies to unravel the underlaying molecular mechanisms of IE and seizure control in the breed.


Assuntos
Anticonvulsivantes/uso terapêutico , Doenças do Cão/tratamento farmacológico , Doenças do Cão/patologia , Epilepsia/veterinária , Fenobarbital/uso terapêutico , Convulsões/veterinária , Membro 1 da Subfamília B de Cassetes de Ligação de ATP/genética , Animais , Estudos de Coortes , DNA/química , DNA/genética , Doenças do Cão/genética , Cães , Epilepsia/tratamento farmacológico , Epilepsia/genética , Epilepsia/patologia , Feminino , Genótipo , Estimativa de Kaplan-Meier , Estudos Longitudinais , Masculino , Linhagem , Reação em Cadeia da Polimerase/veterinária , Modelos de Riscos Proporcionais , Convulsões/tratamento farmacológico , Convulsões/genética , Convulsões/patologia
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