Epilepsy – what can I do as an owner?

This brain disorder, which has not yet been fully researched in dogs, causes seizures that can be very frightening for dog owners. Epilepsy can be treated very effectively with medication, but its cause is still not fully understood.

INHALT
Causes and development Symptoms Diagnosis Treatment Forecast
Causes and development

An epileptic seizure is an abnormal electrical discharge in the brain caused by a disturbance in the nerve cells.

The causes of this abnormal electrical activity cannot always be clearly determined. Therefore, symptomatic epilepsy is distinguished from idiopathic epilepsy. Various brain changes or injuries, metabolic disorders, liver or kidney disease, or infectious diseases can lead to symptomatic epilepsy. If no causes can be found, the condition is referred to as idiopathic epilepsy. Based on current knowledge, dogs with idiopathic epilepsy are believed to have a lower seizure threshold. Certain dog breeds, such as Golden Retrievers, German Shepherds, Boxers, Beagles, and Poodles, are thought to have a genetic predisposition, as these breeds are particularly prone to idiopathic epilepsy.

Symptoms

Regardless of the cause, epilepsy manifests itself through seizures of varying severity. In some cases, such a seizure is preceded by a change in the dog's behavior. It becomes more anxious, restless, or very clingy. However, since most owners are unprepared for their dog's first seizure, these warning signs often go unrecognized. In any case, a dog should be taken to the vet immediately at the slightest sign of a seizure.

Seizures can vary in severity and frequency. They are therefore divided into focal (localized, partial) and generalized (spread throughout the body) seizures. Dogs usually experience generalized seizures. These involve electrical discharges in both hemispheres of the brain, leading to severe muscle spasms throughout the body. Affected dogs often fall suddenly to the ground, roll their eyes, and are unresponsive. In the first stage, the tonic phase, the entire musculature stiffens, while the clonic phase is characterized by convulsive muscle twitching. The animals often lose consciousness in the first phase, jerk their jaws, salivate excessively, and urinate and defecate. The duration of a seizure can vary from a few seconds to several minutes or even hours. The longer the seizure lasts, the more dangerous it is for the dog. Grand mal seizures are very severe generalized seizures that can become life-threatening. In a focal epileptic seizure, only one area of the brain is affected and only localized muscle twitching or limb cramps occur. However, focal seizures can progress to generalized seizures.

Diagnosis

Since affected animals, especially in cases of idiopathic epilepsy, usually appear healthy between seizures, it is particularly important for the veterinarian to receive a detailed preliminary report from the pet owner. This provides valuable information about the frequency, duration, and severity of the seizures. As a dog owner, it is advisable to keep a seizure diary and record exactly when and how the seizure occurred. Video recordings of a seizure can also be very helpful.

Another important part of the diagnosis is a neurological examination of the dog, during which the veterinarian assesses the function of the nerves, spatial orientation, gait, and behavior of the dog, among other things. A blood test is also standard in most cases. The veterinarian can use this to obtain information about specific organ functions and identify or rule out any underlying diseases. In idiopathic epilepsy, blood values are usually unchanged.

In some cases, CT or MRI scans and the removal of brain and spinal fluid (cerebrospinal fluid puncture) may be necessary to make a definitive diagnosis. Idiopathic epilepsy can only be confirmed by ruling out all other causes.

Dog in MRI scanner with coil around its head
Structural changes in the brain can be diagnosed using an MRI scan
Treatment

Symptomatic epilepsy is treated according to its cause. If there is an underlying condition, this must be treated first. In most cases, seizures do not recur once the underlying condition has been treated.

If no causes are found, it can be assumed that the epilepsy originates from a disorder of the nerve cells in the brain, i.e., it is idiopathic epilepsy. In such cases, the veterinarian will prescribe certain epilepsy medications that inhibit the excessive activity of the nerve cells and thus reduce the risk of a seizure. Although this cannot cure the disease, it can significantly reduce the number and severity of seizures. Your veterinarian will develop an individual treatment plan for your pet.

However, the disease and its often lifelong treatment also require a high degree of understanding, cooperation, and consistency on your part. Consistent adherence to the treatment plan and regular check-ups with the veterinarian are essential for the success of the treatment. Discontinuing the medication or changing the dose on your own can trigger new seizures. Please always discuss any changes with your veterinarian.

As seizures may continue despite treatment, you as the owner should be well prepared for such a situation. If your dog starts to convulse, it is advisable to remove any objects from its surroundings that could cause injury. To help your dog quickly in such a situation, your veterinarian can prescribe anticonvulsant suppositories for your dog.

Forecast

Idiopathic epilepsy is incurable, but in many cases the seizures can be well controlled with appropriate treatment, allowing the dog to live a largely normal life.

In the case of symptomatic epilepsy, the prognosis depends on the cause or underlying disease. If this can be treated, the seizures usually disappear.