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1.5 yr female pitt mix. Diagnosed with lyme 6 months ago, on…

1.5 yr female pitt...

1.5 yr female pitt mix. Diagnosed with lyme 6 months ago, on doxy for 4 weeks. About a week after finishing treatment, she started having crazy-hyper spells followed by these dizzy, disoriented spells where she would just lay lethargically. Began losing bladder control during dizzy spells. Brought to different vet, diagnosed with bladder infection and received 2 weeks of antibiotics. About a week after finishing treatment (yesterday), dizzy spells began occurring again.

Veterinarian's Assistant: I'll do all I can to help. Could be a lot of things that cause lethargy. The Expert will know how to help the dog. What is the dog's name?

Juno

Veterinarian's Assistant: Is there anything else the Veterinarian should be aware of about Juno?

I don't think so...

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Answered in 13 hours by:
6/1/2018
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 35,562
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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You're speaking to Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.

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I'm sorry that your question wasn't answered in a timely manner. Neither Lyme nor a bladder infection should be incriminated for what sounds like complex partial seizures (also called psychomotor seizures) which are described as abnormal focal or asymmetric sensory or motor activity affecting any part of the body and which may be associated with autonomic signs, (salivation, vomiting, e.g.) and are associated with a change in mentation (mental status) and/or behavioral abnormalities. (If consciousness is lost a general seizure (previously called gran mal) is diagnosed.) Sleep is the most common post-ictal (post-seizure) symptom. Mark your calendar for these event and for just what you witnessed. Juno's vet will need all the information you can gather when deciding if she should be prescribed an anticonvulsive drug. Most of us will accept one mild (lasting less than 5 minutes, no thrashing about, no loss of consciousness) event monthly before prescribing such a drug. Should Juno suffer another event within 24 hours of a prior one clustering is diagnosed and that may presage status epilepticus - the state in which seizure activity doesn't abate unless I heavily sedate or anesthetize my patient. Juno would then need the attention of a vet at your earliest convenience.

Seizures first arising between the ages of 1-5 years are usually considered idiopathic (unknown cause) epilepsy. Seizures arising after 6 years of age are often caused by brain tumor or, less commonly, adult onset epilepsy. Please respond with further questions or concerns if you wish.

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Customer reply replied 2 months ago
Thank you for the reply. She had her “episode” last evening at about 7:30pm. As of this morning (9:40am) she is still not herself - lethargic, wincing slightly when you try to touch her head, and just not her regular puppy-self. If what she is having are seizures, how long should this post-seizure lethargy last?

Thank you for the update. The post-ictal (post-seizure) period can last a few minutes to a few days. It sounds as if she has had too many seizures for her not be given anticonvulsant drugs such as phenobarbital, levetiracetam, or zonisamide. Please respond with further questions or concerns if you wish.

Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 35,562
Experience: University of California at Davis graduate veterinarian with 45 years of experience
Verified
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