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-   -   HELP! Just found put Lex is epileptic! (https://www.yorkietalk.com/forums/sick-injured-emergencies-talk/239814-help-just-found-put-lex-epileptic.html)

Magneticgal 01-07-2012 08:58 PM

HELP! Just found put Lex is epileptic!
 
I would love some input as to the meds you are using for epilepsy. My vet is suggesting Keppra but I am greatly concerned about the every 8 hrs dosing. This is in no way possible with my work schedule. I can do twice a day no problem. My sister uses phenobarbital on her beagle mix but I worry about possible liver damage. I am worried sick. My vet suggested an automatic feeder but Lexie is kind of finicky and I am not sure the doseage would be accurate at the times.
Please help- I would greatly appreciate any advice!! Thank you all in advance for your input!

MorkieMomma 01-07-2012 09:02 PM

Unfortunately I have no advice, as I have no knowledge about epilepsy in doggies.

However, I'm sorry about Lexie's diagnosis and will be praying that whatever treatment/medicine you decide on, will help your little furkid.

Magneticgal 01-07-2012 09:26 PM

Thank you :-) they were checking her out for a liver shunt ( even though she is 6) I am just grateful all tests checked out negative for that. She is my life- I can't imagine being without her. This has been so stressful. Luckily I work in medicine so I knew it was a seizure almost right away.

107barney 01-07-2012 09:52 PM

I'm using Zonisamide for Teddy who is epileptic. It is dosed every 12 hours. You might want to ask your vet about it as the dosing may work out for you. Zonisamide has been great for Teddy and his blood work is perfect. You might want to ask your vet about this drug and if you need more info, feel free to PM me.

lillymae 01-07-2012 09:53 PM

What tests were done to diagnose Lexi ?

Magneticgal 01-07-2012 10:33 PM

I have neve heard of zonisamide. I will definitely check it out!! Thank you so much- I appreciate it!

Magneticgal 01-07-2012 10:45 PM

Quote:

Originally Posted by lillymae (Post 3781772)
What tests were done to diagnose Lexi ?

They did an X-ray which showed a slightly small liver- then a bile acid test. She also had a complete blood panal- all totally normsl.She has had 4 seizures in 3 .5 months. It is a rule out game. There isn't a tester se for epilepsy so you just have to rule everything else out.

lillymae 01-08-2012 12:09 AM

Quote:

Originally Posted by Magneticgal (Post 3781798)
They did an X-ray which showed a slightly small liver- then a bile acid test. She also had a complete blood panal- all totally normsl.She has had 4 seizures in 3 .5 months. It is a rule out game. There isn't a tester se for epilepsy so you just have to rule everything else out.

I know that lots of vets will diagnose epilepsy with diff diagnostics but I will always insist on an MRI & Spinal as there are things that yorkies are prone to that can cause seizures & can only be found with these diagnostics. Without these things being done I don't believe diagnostics can be complete & your dog could have something that if put on the appropriate meds can live seizure free.

Magneticgal 01-08-2012 12:19 AM

Quote:

Originally Posted by lillymae (Post 3781822)
I know that lots of vets will diagnose epilepsy with diff diagnostics but I will always insist on an MRI & Spinal as there are things that yorkies are prone to that can cause seizures & can only be found with these diagnostics. Without these things being done I don't believe diagnostics can be complete & your dog could have something that if put on the appropriate meds can live seizure free.

Funny - I am a MRI tech. MRIs cannot diagnose epilepsy, but rather rule out other possible causes of seizures such as brain tumors, ect
I am nearly 100% convinced it is not a tumor, as she is exhibiting no other symptoms and her labs were stone cold normal. Yes I suppose I could go with the MRI to rule out the one in a million chance of it being a tumor, but at some point you have to be practical as well. And let's face it- MRi requires anesthesia and that in and of itself has risks - trust me I know. I love my baby very very much but I would never subject her to a craniotomy ( brain surgery) if I were to find a tumor. I see people suffer every day and I will not do that to my girl. I am researching the meds to see the least toxic and the one that has the least side effects before I put her on something. It's so hard when they are sick- ugh!!!

lillymae 01-08-2012 12:24 AM

Quote:

Originally Posted by Magneticgal (Post 3781823)
Funny - I am a MRI tech. MRIs cannot diagnose epilepsy, but rather rule out other possible causes of seizures such as brain tumors, ect
I am nearly 100% convinced it is not a tumor, as she is exhibiting no other symptoms and her labs were stone cold normal. Yes I suppose I could go with the MRI to rule out the one in a million chance of it being a tumor, but at some point you have to be practical as well. And let's face it- MRi requires anesthesia and that in and of itself has risks - trust me I know. I love my baby very very much but I would never subject her to a craniotomy ( brain surgery) if I were to find a tumor. I see people suffer every day and I will not do that to my girl. I am researching the meds to see the least toxic and the one that has the least side effects before I put her on something. It's so hard when they are sick- ugh!!!

You have don x-ray so that would rule out AAI but only MRI can rule out Chiari witch yorkies are prone to. Depending on the severity of a Chiari your baby may or may not show other symptoms. I had a Chiari pup who showed no real symptoms till the age of 6 yrs. Seizure meds will not work alone with a Chiari.

lillymae 01-08-2012 12:39 AM

If your pup has a Chiari then seizure meds will not work. Most often with Chiari pups if properly diagnosed & put on the proper meds they do not need seizure meds at all. I would be seeking out a neurologist ASAP.

Magneticgal 01-08-2012 12:47 AM

Quote:

Originally Posted by lillymae (Post 3781827)
If your pup has a Chiari then seizure meds will not work. Most often with Chiari pups if properly diagnosed & put on the proper meds they do not need seizure meds at all. I would be seeking out a neurologist ASAP.

I did take her to a neuro vet. He said we could do the MRI but did not think it was necessary. I may at some point consider it if she were to have other symptoms. Thanks:-)

Magneticgal 01-08-2012 12:49 AM

We are going to try the meds and see how well controlled the seizures are- at this point they aren't severe or the cluster or prolonged type. ( thank God)

lillymae 01-08-2012 01:06 AM

Keep in mind that with Chiari they can have several symptoms or no symptoms, they can have just 1 symptom with no other symptoms. Basically it all depends on the severity of the deformity so each dog is diff. There are Chiari pups that have such a mild deformity that there owners never see any symptoms. The other thing with Chiari is that once they start seizures, it means that the build up of spinal fluid is becoming more severe & dangerous.
Not a risk I will ever take.

Magneticgal 01-08-2012 01:22 AM

So you feel every dog that has a seizure needs a brain and complete spine MRI( a $10,000 work up?) I respectfully disagree. I understand your situation is unique but by far not common. I do a ton of human MRIs and I can tell you 99%+ of seizing patients do not have a chiari malformation. I think the anesthesia risk personally is worse- not taking that chance unless I feel it's truly warranted. By the way, I am starting a part time job working at a vet MRI center- you need to market for us :-)


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