Status epilepticus in dogs and cats, part 1: etiopathogenesis, epidemiology, and diagnosis

Abstract ObjectiveTo review current knowledge of the etiopathogenesis, diagnosis, and consequences of status epilepticus (SE) in veterinary patients. Data SourcesHuman and veterinary literature, including clinical and laboratory research and reviews. EtiopathogenesisStatus epilepticus is a common emergency in dogs and cats, and may be the first manifestation of a seizure disorder. It results from the failure of termination of an isolated seizure. Multiple factors are involved in SE, including initiation and maintenance of neuronal excitability, neuronal network synchronization, and brain microenvironmental contributions to ictogenesis. Underlying etiologies of epilepsy and SE in dogs and cats are generally classified as genetic (idiopathic), structural‐metabolic, or unknown. DiagnosisDiagnosis of convulsive SE is usually made based on historical information and the nature of the seizures. Patient specific variables, such as the history, age of seizure onset, and physical and interictal neurological examination findings can help hone the rule out list, and are used to guide selection and prioritization of diagnostic tests. Electroencephalographic monitoring is routinely used in people to diagnose SE and guide patient care decisions, but is infrequently performed in veterinary medicine. Nonconvulsive status epilepticus has been recognized in veterinary patients; routine electroencephalography would aid in the diagnosis of this phenomenon in dogs and cats. Clinical SequelaeSta...
Source: Journal of Veterinary Emergency and Critical Care - Category: Veterinary Research Authors: Tags: Clinical Practice Review Source Type: research