Bless your heart for responding, thank you...I don't want to hijack Murphy's thread...Winston has plenty of his own. But when I saw this...the videos, I thought maybe this is the answer I have been searching for. My husband and I watched them together, over and over again...I think the idea of videoing the episodes was brilliant!!! Thank you for sharing your experience with us.
With Winston...I took him immediately to his local vet, during an episode...the only thing she was able to determine was the dangerously low blood sugar. So of course that is what she treated. Gave me Nutrical to have at home. But the episodes continued, yes Nutrical brings him around, but my question has always been...what causes these. After going through some testing, nothing was actually proved as the cause. Other possibilities were discussed...but I was determined to not only treat the episodes, but try to prevent them from occurring. So I asked around, found another vet about an hour away. She saw him, said she did not think it was an insulinoma, which put my mind at ease...she said he was the wrong breed and the wrong age. She checked his blood sugar, it was low, but not low enough to cause a seizure, he was acting totally fine during this visit. She suggested putting him back on puppy food, 4 times a day feedings. Instructed me to poke his little ear to check his sugar at home at the very first sign of an episode, which I have not had to do as he has been seizure free since then. In hopes that we can prove the sugar is low to begin with, and not the seizure activity causing it to be low. If his sugar is ALWAYS low at the start of an episode, then she would suggest a liver biopsy for glycogen storage. Then she would do just as your vet is doing and put him on Prednisone, but her theory is, that this will naturally raise his sugar levels...which is a side effect of cortisone. If his sugar is NOT ALWAYS low at the start of a seizure, then she would recommend a neurologist to treat the seizures. But the syndrome that you were describing was never suggested to me...and I thought maybe I would bring it up to his new vet. Just to see if this could be a possibility.
Winston does not have a tremor normally...only during thunderstorms, at which times he knows before I know that there is going to be a storm. He starts shaking uncontrollably, panting and constant pacing...he will not relax. I thought maybe there was a connection with that, the vet said the change in barometric pressure before a storm could bring on seizures, but this has proven to fail, because it does not always bring on a seizure with Winston.
I do hope your baby is alright, we hurt when they hurt...And I will be asking my vet about this disorder, and that maybe this will solve the unexplained question...which comes first the Hypoglycemia or the seizure? Thanks again for all the information, it is priceless!!!

did you have bile acid test pre and post run just to rule out liver shunt? I would definitely do this if not done. Liver shunt is common in yorkies and you need to rule that out and it causes seizures

Glad to hear you found a vet you and Murphy like...sending thoughts and prayers.

I am so glad that you have a vet that is taking Murphy's condition serious and striving to find a diagnosis. I still can't believe your other vet treated you and Murphy as if this was nothing...shame on him/her! I will keep praying for Murphy and be checking for updates. I tried to respond on this thread a day or two ago and was having problems and couldn't get anything to work. Maddie and Libby send lots of kisses to Murphy! He's such a little dollbaby!

PLEASE do not feel as if you are hijacking the thread. If I can help you get to the bottom of Winston’s problems I would be so HONORED!! I know you must be so sad to see your baby hurting or confused because that is exactly how I felt.

Have you done a search on the White Dog shaker syndrome? If not do that and print it out and take it in to the Vet. I think that it sounds like something that little Winston may have.

Also how old is Winston? The WDSS(white dog shaker syndrome) seems to come to them after 6/9 months of age up to about 3 years old. I think the hypoglycemia comes first at least with Murphy it did and than his episodes just started getting worse and worse. He has been on the meds for 4 days now and has not had another episode but his body tremors are still apparent a little. I am supposed to hear back from the vet today on the blood work and also will be asking him about the liver acid bile test someone else mentioned on here. Also did you vet ever mention anything about water on the brain also know as hydrocephalus? My vet mentioned that to me but he did not think it was something Murphy had but said if he found nothing else we would be scanning for that next.

I am trying to help so I hope I am and not worrying you or throwing too many things out at you.

I will be praying for you and Winston, believe me I know how much it must hurt you too!! Hugs and kisses!!

NO...he did not mention this test. I am supposed to hear form him today about the blood work so I will ask him. Thank you!

Sadly, I have a lot of experience with hydrocephalus. I have two little ones with it. Let me know if you have any questions about it. They need to do an MRI or a cranial ultrasound to diagnose it. Does he have an open font or ever had any head trauma? If not, then I don't know why your vet would even by concerned about hydrocephalus unless he is having other neurological symptoms.

As for his tremors, I wouldn't worry if they are still continuing. It could take 1-2 weeks for his medication to have the full effect.

Hello again, I just got off the phone with the Vet. I did ask about the Bile Acid test. He said he was not concerned with running that unless of course I wanted to because the blood work he ran all came back okay with noting indicating the liver issues for that test. Also he said none of the symptoms I described indicated we needed this test either. Of course he is so great and offered to do it any ways to make me feel better but I trust he knows what he is doing so I declined and decided I would continue to ask questions but in this case agree with him. Thank you though for making me aware of it. It was very helpful.

Also as far as the hydrocephalus, he was dropped once when he was a baby and had an episode but seemed to come out of it after about 1 minute. Than at about 7 months old he jumped from the couch and hit his head on the tile and had another attack right afterwards but came out if it after about 1 minute.

I am not sure why he mentioned the Hydrocephalus but I spoke to him about that first and he advised me to let this medication run its course for about 2 weeks and than we will meet again and reevaluate. Although just out of curiosity what can be done about hydrocephalus f in fact a dog does have this?

I feel very confident in this vet.

Thanks again for your advice and help. My heart goes out to you and your little ones it sounds like they have a wonderful and smart mommy though. Hugs to you all!

Corticosteroids (which you are already using) and diuretics are used in order to lower the amount of fluid in the brain. In severe cases, a shunt is used to drain the fluid. If the hydrocephalus is causing seizures, then phenobarbital is given.

A dog can have mild hydrocephalus with no symptoms or problems at all. Lily has moderate hydrocephalus and has a multitude of symptoms whereas Dixie has it very mild and is just fine.

If the shaking seems to bother him, then ask about the valium. It should help with the tremors regardless of the cause. It has made a huge difference for Lily. When she shakes, it seems to really upset her and causes a lot of stress (in both of us) which just makes the shaking worse. The valium gives her instant relief so that she can continue to terrorize the entire household. It doesn't make her drowsy at all (although sometimes I wish it would at least slow her down some) LOL

WOW....you have really given me a TON of useful information. I truly appreciate it all. Thank you so much! :thumbup:

First and most importantly I want to send well wishes to Murphy, I sure hope he beats this thing...
Winston started these episodes at the age of 2, he is now 3. It's strange, because he never, not once, had hypoglycemia as a puppy...so why now?
He hasn't had a seizure since June 23rd...and he's been eating puppy food 4 times a day. He has never had a head injury that I am aware of, yes both vets asked me this also. Many possible diagnosis' were discussed, but she, the 2nd vet, insist that we be certain that his glucose is in fact low at the very first signs of a seizure, before she actually treats him with medication of any kind. I am keeping my fingers crossed that this never happens again, but if it does...I am prepared to check his glucose at home, keep a seizure diary, and update my vet. I did a lot of research on WDSS, after reading your posts here...and I printed a lot of it out, and will ask her about it in the future. Again I want to thank you for sharing your information and little Murphy's story, it has been so informative. Hugs to you and kisses to Murphy!!!

Well you know I am wishing you and Winston many blessings. I hope you can get to the bottom of it for your little love. Thank you so much for all your concerns for Murphy. I really appreciate all the loving YT friends we have on here. You are all so great!

Hugs to you and Winston!!

I hope your little guy is seizure free on the new meds and wish you the best with him!!!! Sounds like you found the best possible vet for him.

How's Murphy doing today? I hope and pray that he is okay...Winston sends his love!!!

I'm glad you liked the vet and that he has given you some answers. I don't know how Prednisone affects dogs, but don't be surprised if it makes him hyper. I took it on and off for years for Crohn's Disease, and the side effects can be pretty rough. Of course, his dosage is going to be so small and dogs react differently. I hope he continues to do well and that the Prednisone helps!