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Hello this is Dr. Holloway but you can call me Dr. H for short. I am sorry to hear about your pets current health status. Here is my viewpoint: Typically with brain trauma that results in seizure activity, as the condition is treated medical (with steroids typically to get the swelling to subside) the seizures will eventually subside as the swelling goes down over the course of a week or two depending on the extent of the injuries. With a fractured skull however, pieces of skull can cause chronic swelling and herniation of the brain resulting in prolonged clinical signs (seizures, ataxia, nerve injury leading to the eye on that affected side and visible swelling). Skull fractures should be stabilized surgically to reduce the risk of continued herniation because skull bones in an older dog will either not heal properly or take 4-6 weeks to heal themselves, plus a constant state of brain swelling is a serious life threatening condition.
If the seizures occurred at the exact same time as the injury then I have no reason to suspect a tumor is involved here; however, the outlook is still poor because of the extent of the injuries, especially if Max is not responding to medical treatment very well.
Is he still have uncontrolled seizure activity?
How is his quality of life?
- Dr. H
I do not expect a brain injury to take this long to show symptoms typically it is immediately after the injury so brain injury would not be at the top of my list. Steroids are only given for about 2 weeks or until the symptoms subside. If he was doing better on steroids then yes this is an indication to perhaps stay on them as this can help reduce the progression of swelling if brain tumor is the cause. Which based on this description and the additional information you gave, brain tumor is at the top of list as cause of all of this unfortunately. - Dr. H
Steroids are indicated in both cases of brain injury swelling and to potentially slow growth of a brain tumor.
Is there anything else I can help you with today concerning Max? Or any questions about the information given so far?
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