Seizure-precipitating factors in dogs with idiopathic epilepsy

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http://hdl.handle.net/10138/301241

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Forsgård , J A , Metsähonkala , L , Kiviranta , A-M , Cizinauskas , S , Junnila , J J T , Laitinen-Vapaavuori , O & Jokinen , T S 2019 , ' Seizure-precipitating factors in dogs with idiopathic epilepsy ' , Journal of Veterinary Internal Medicine , vol. 33 , no. 2 , pp. 701-707 . https://doi.org/10.1111/jvim.15402

Title: Seizure-precipitating factors in dogs with idiopathic epilepsy
Author: Forsgård, Johanna A.; Metsähonkala, Liisa; Kiviranta, Anna-Mariam; Cizinauskas, Sigitas; Junnila, Jouni J. T.; Laitinen-Vapaavuori, Outi; Jokinen, Tarja S.
Contributor: University of Helsinki, Equine and Small Animal Medicine
University of Helsinki, Clinicum
University of Helsinki, Faculty of Veterinary Medicine
University of Helsinki, Outi Vapaavuori / Principal Investigator
University of Helsinki, Equine and Small Animal Medicine
Date: 2019
Language: eng
Number of pages: 7
Belongs to series: Journal of Veterinary Internal Medicine
ISSN: 0891-6640
URI: http://hdl.handle.net/10138/301241
Abstract: Background: Stress, sleep deprivation, and infectious diseases are important seizure-precipitating factors in human epilepsy patients. However, these factors have not been thoroughly studied in epileptic dogs. Objective: Seizure-precipitating factors are common in dogs with idiopathic epilepsy and the occurrence of these factors associate with the dogs' signalment, personality, and epilepsy-related factors. Animals: Fifty dogs with diagnosed idiopathic epilepsy from the hospital populations of University Veterinary Teaching Hospital of University of Helsinki and Referral Animal Hospital Aisti. Methods: In a retrospective cross-sectional observational study, owners were interviewed about their dogs' possible seizure-precipitating factors according to a predefined questionnaire. The dogs were identified and selected by searching the medical records of the participating animal hospitals. Results: The prevalence of seizure-precipitating factors in the study population was 74% (37/50). The most frequently reported factors included stress-related situations, sleep deprivation, weather, and hormonal factors. In dogs with focal onset seizures, the number of precipitating factors was 1.9 (95% CI 1.1-3.4) times higher compared to dogs with generalized seizures. Conclusions and Clinical Importance: Seizure-precipitating factors are common in dogs with idiopathic epilepsy, and the nature of these factors is consistent with those of human patients. Aside from antiepileptic medication, acknowledging and avoiding seizure-precipitating factors could help veterinarians achieve better treatment outcomes.
Subject: canine epilepsy
reflex seizures
seizure-precipitating factors
triggering factors
DRAVET SYNDROME
TRIGGERING FACTORS
CLINICAL-FEATURES
READING EPILEPSY
SELF-PERCEPTION
SLEEP DURATION
RISK-FACTOR
HIPPOCAMPUS
ANDROGENS
FREQUENCY
413 Veterinary science
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