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Idiopathic Epilepsy
  • Description
  • Signalment
  • Clinical Features
  • Neurolocalization
  • Genetics
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Epilepsy is recurrent seizures regardless of cause. This disease can be broadly divided into idiopathic (primary; genetic) and acquired (secondary to another primary disease; cryptogenic) forms. Multiple breeds have a propensity or known genetic predisposition to seizure activity. In these breeds an alteration to their neuronal excitation/inhibition balance predisposed to seizure activity.
Age of Onset: Any age of animal can be affected. Dogs typically have their first seizure between 6 months - 6 years of age.
Sex Predisposition: Any sex of animal can be affected
​Clinical Course:
Clinical signs are variable and may worsen over time. The duration of the pre-ictal, ictal, and post-ictal phases can last from a few minutes to over 24 hours. In the inter-ictal period dogs with idiopathic epilepsy should theoretically not have any neurologic deficits on examination. The duration of the inter-ictal period can vary from, in some extreme cases, a few seconds to minutes, however more commonly a few days to months. 

Seizures may be generalized, accompanied by loss of consciousness and autonomic control, or focal/partial seizures where the animal has uncontrolled activity in a body region while maintaining environmental awareness. Animals may also present as focal seizure activity that progresses to generalized episodes.
Clinical Signs:
​Behavioral/Mental Awareness

Anxious
Behavior changes 
“Gazing”
Unresponsive to environmental and or physical stimuli/Loss of consciousness (generalized)
Seizure activity (focal or generalized) manifested through apparently uncontrolled movements and/or automatisms and/or autonomic abnormalities.

Posture and Appearance
“Shaking”
Muscle “shivering”
With grand mal seizures often will assume a lateral recumbent position

Movement
Circling
Falling
“Stiffness” in neck and legs
Turning head to one side
Vigorous peddling/paddling of limbs as though gaiting however in a recumbent position

Cranial Nerves
Blindness
Contracting facial muscles
Dilated pupils
Nystagmus

Special Functions (e.g. respiration; urination)
Salivation
Defecating
Urinating
Vomiting

Other
Chewing
Status epilepticus (continual seizure activity)
Intracranial
Unknown
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References
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