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Old 08-24-2005, 03:54 PM   #1
Boggie
Senior Yorkie Talker
 
Join Date: Jul 2005
Location: Kansas City Missouri
Posts: 78
Default Seizures, Microvascular dysplasia, shunt....full report

Below is for people who are searching for similiar symptons:
** microvascular dysplasia , liver shunt , shunts , seizures , mouth twitching , twitch , epilepsy , tremors , shaking , hypoglycemia , hydrocephalus shunt , portosystemic shunt , inflammation , brain swelling , ventricle in brain , fluid pocket **


Im gonna start from the beginning and list everything in detail.

The following is the full medical detail of our little baby yorkie, and her medical experience.

Icee Blue is her name. She was born on June 9th, 2005. She was the second smallest baby of a little of 6 pups. She was hand fed along with all of the babies. At 6 weeks old, she weighed 8 oz. There were no problems, nor any history of problems in her blood line. We met the momma, daddy, sister, and the breeder’s sister, had another sister. They were/are all fine.

Not a single thing was wrong with her until 10 weeks old. She was eating great. Having regular bowel movements and no diarrhea. She didn’t require the nutrical, but we gave it to her anyways, especially for a treat when she used the pee pad.

August 19th, 2005 5:30am
Icee woke up at 5:30am and startled my wife with shaking and foaming of her mouth. Immediately, she grabbed the nutrical suspecting a hypoglycemia attack. After about 30 to 40 seconds of seizing, she stopped and went back to completely normal and ate some food.

7:30am
Icee had another seizure. She started with her mouth twitching, and she kinda jerked to one side. She also did a lot of “chopping” with her mouth. She almost looked like she was eating something, biting at the air. Again , it was very short lived, about 15 seconds. Then she continued as normal.

8:30am
Another seizure , the exact same as the above. They seemed to be shorter length seizures.

9:50am
Another seizure, similar to the 7:30am one, but it was the shortest of them so far. It almost seemed like they were decreasing in time.

After that we took her to the vets office. He did a poop sample and said that she had some weird fibers in her poop, but nothing bad. (probably from her chew doll). He gave her some reglan for nausea by mouth, but she vomited it up. So he gave it to her introveneously. He said it was probably a hypoglycemia attack. We took her home.

*this whole time, she is eating regularly and having normal bowel movements.



4:00pm
She had a final seizure for that day, it was very short, no longer than 10 seconds. She had no more until the next day.


Saturday August 20, 2005

11:00am
Icee had another seizure. It was the same as all the others, but again, very short.

1:15pm
another short 10 second seizure.

3:30pm
This was the worst seizure we had seen yet. She started twitching, chopping, squirming. She lost control of her bowels and urinated on my wife while she was being held. She was squirming so bad, and she was so anxious we put her down. She then looked lost. She had both ears back and was running around, not knowing where she was going. Her heart was racing and her respirations were through the roof. That seizure lasted about 1 minute. After we picked her back up, she kinda settled down. We tried to feed her, but she only ate a little bit. After that, she seemed very exhausted, and tired.

We called the Emergency Vet Clinic and brought her immediately. On the way there, she started panting. She had her tongue out, curled up at the end. She kept licking her lips, and yawning. We waited to be seen. After we got into the examination room, she seemed fine.

After about 3 minutes of waiting, she started to have another seizure (it was about 3:50pm). We ran and got the doctor and we put her on the table. She laid down on her side. She started running in place. She had her whole body arched with her head and rear pointing up. There was a lot of fluid coming out of her mouth. She also lost control of her bowels.

That went on for about 2 or 3 minutes. They gave her some valume and put her on seizure watch for the night.

She continued to have seizures every 1 and a half hour that whole night. They started an IV and put her on fluids for food, and a Dextrose drip.

Sunday August 21, 2005

She continued to have seizures every hour. They continued with the valume for every seizure that lasted over a minute.
Late Sunday night, they gave her a HEFTY dose of Phenobarbital. She did fine, until Monday morning.

Monday August 22, 2005

We were scheduled to pick her up at 7:00am. When we got there, they reported that she had a couple of seizures earlier that morning. But they were very short.

7:15am
We picked Icee up from the EVC and brought her to our vet. From then on, she had NO MORE SEIZURES.

8:30am
When we arrived at our vets office, they wanted to begin with the blood tests. Because she was so small, they were worried about how much blood she could stand to loose. Our vet called around and immediately referred us to LSU Small Animal Clinic in Baton Rouge , Louisiana. They sent us on our way with some warm water bottles, to regulate her temperature, and some nutrical. Icee was still very knocked out because of the valume/Phenobarbital.

It took us about 2 hours to drive to Baton Rouge. Icee did very well, not having any seizures.


11:15am
We arrived at the LSU clinic and were seen by the doc and his student. The were expecting her and immediately took her back to ICU.

*** The following is the discharge report from LSU***

Icee presented to the hospital quiet, alert, and responsive although in a stuporous state, probably due to the Phenobarbital. A full neurological examination was therefore impossible. Blood was drawn for CBC, serum chemistry, and pre-prandial serum bile acid. The CBC and chemistry were unremarkable with minor changes in some electrolyte values and a normal glucose level. The pre-prandial bile acid level was normal. Abdominal ultrasound showed no evidence of a portosystemic shunt. The following day, she was brighter and a neurological examination was possible, which revealed mild trunkal *ataxia (she was off balance). A CT scan of her brain revealed of inflammation. A CSF analysis showed no marked abnormalities. Icee was not offered food until the afternoon of 8/23/2005 when she ate eagerly. She therefore had blood drawn for a post-prandial bile acid level. The rest of the CSF collected was sent to the diagnostic lab for distemper antibody titers and PCR, as well as a parvo antibody titer. The results of the post-prandial bile acid level, titers, and PCR are pending.

At this time, no other diagnostics are indicated. The owners were advised of the poor prognosis due to the history of our findings. She was discharged with Phenobarbital at a dose of 2mg/kg.

***************************************

So there ya go. I might add that she did awesome on the way home, and is now gaining her strength back. She still hasn’t had a seizure. She is very sleepy and looks tired. She will get up and play a bit, then go to sleep, eat, etc.

During our experience, we have gained an incredible amount of knowledge and will share it with all of you.


Chad
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