Veterinarian's Assistant: I'll do all I can to help. Do the dog's eyes move from side to side? Or do they stay focused straight ahead?
Veterinarian's Assistant: When did the dog last see a vet? Is she taking any medications?
She was discharged on tuesday. She is taking cephalexin and prednisone
Veterinarian's Assistant: And what's the dog's name and age?
Mirage age 9
Veterinarian's Assistant: Is there anything else the Vet should know?
Expert: Dr. Michael Salkin is typing. Please be patient.
Expert: I'm sorry that your question wasn't answered in a timely manner. Please tell me how Mirage was behaving which had been described as a stroke.Has she been eating normally since Sunday? If not, she wouldn't be forming enough stool to stimulate defecation.
She was laying down on the bed, and was whimpering. She all of a sudden jumped up and off the bed. She began walking in circles to the right side. Her eyes were rolling to the back of her head and her eye lids were fluttering. She was looking right through me, as if she couldnt see or hear me. On the way to the hospital she threw up in my car, and was having trouble walking into the hospital.
She hasnt had her normal appetite, but has eaten food since sunday.
Expert: Thank you for the additional information. Circling is a hallmark for both vestibular (balance) disorders and encephalopathy (brain disorder) involving the forebrain - cerebrum and thalamus. You've described a complex partial seizure which can occur with a stroke but needn't be associated with one. A partial seizure is also called a psychomotor seizure which is described as abnormal focal or asymmetric sensory or motor activity affecting any part of the body and which may be associated with autonomic signs, (e.g., salivation, vomiting, eliminating) and is associated with a change in mentation (mental status) and/or behavioral abnormalities. (If awareness 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 this event and for just what you witnessed. Mirage's vet will need all the information you can gather when deciding if she should be prescribed an anticonvulsant 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 Mirage suffer another event within 24 hours of this 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. She 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. Her not defecating can be addressed with a pediatric enema found in your local drug store. Please respond with further questions or concerns
With her being 9 years old, your response stated that this was caused by a brain tumor. Is it possible for her to regain her normal behaviors back? If so, how long does recovery normally take? The vet prescribed prednisone. Will this medicine prevent future seizures from occurring?
What dosage should she be taking of the pediatric enema?
Expert: This might have been caused by a brain tumor. Yes, she can normalize but if a tumor is present, we expect more seizure activity in terms of severity and frequency. Most seizures come and go quickly - within minutes, but the post-ictal (post-seizure) period can last an hour to a day or more. Prednisone (a steroid) isn't a first choice drug for seizures. If we need to medicate, an anticonvulsant drug such as levetiracetam or topiramate should be considered. The pediatric enemas are "one size for all". They're appropriate for dogs up to 30 pounds of bodyweight. Please continue our conversation if you wish.
There was a small mass found on the right side if her brain.... came up very faint on a ct scan. The episode happened on sunday morning, and she hasnt had another one to my knowledge . She is still walking in circles and i believe her eye sight is damaged, or not present at all
Expert: That mass and circling would explain her behavior. Vision may be affected, yes.
Should i go back to the vet and request for her to be given an anticonvulsant instead of a steroid.
Expert: I believe that the vet will request your continuing to monitor her at this time.
Is there chance that she will be able to make a full recovery from this incident?
Expert: Yes, but recrudescence (relapse without cure in between events) is common.
So she needs to be watched carefully? What signs or symptoms should prompt me to take her in immediately? And how could i take care of the matter at home?
Expert: Yes. The same symptoms you've witnessed and if they didn't abate within 15 minutes of their onset, her vet should attend to her. There's very little that caretakers can do at home other than protecting their pets from harming themselves should they flail about or wander aimlessly. Restraining and confining such a dog as needed are prudent.
Is it normal for them to have to relearn how to eat food?
Expert: Each individual presents differently. There is no "normal" as so many factors dictate their behavior.
Okay that makes sense. In cases similar to this, does the circling subside?
Expert: It can but that's not predictable in any one patient.
Gotcha! Im just very worried, and want to do everything possible to make sure my baby is able to recover the best way she can
Expert: I understand. I wish I could be more specific for you. Only time will tell. I'll set a follow up for a week from now but please return to our conversation - even after rating - with an update at your convenience.
Thank you so much!! If i rate you now will i still be able to come back to this conversation
Expert: You're quite welcome. Yes, you'll be able to return here.
Expert: May I have an update on Mirage, please?
Still the same.
Expert: Sorry for the bother. That follow-up was supposed to post in a week. I'll try again.
No need for apologies. What are signs or symptoms of a seizure?
Expert: Quite varied...from the slightest facial tic to the wildest limbs flailing. As I posted above, "A partial seizure is also called a psychomotor seizure which is described as abnormal focal or asymmetric sensory or motor activity affecting any part of the body and which may be associated with autonomic signs, (e.g., salivation, vomiting, eliminating) and is associated with a change in mentation (mental status) and/or behavioral abnormalities. (If awareness is lost a general seizure - previously called gran mal, is diagnosed.)"I'll be away from my computer for the day but promise to reply at my nighttime if need be. I'm in the Hawaii time zone.
Thank you so much
Expert: It's my pleasure.
Expert: Thank you for your kind accept. I appreciate it.