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Well...we took tulip (our 10.5 month old basset) to the Neurologist on Saturday to try to find out the cause of her seizures. She is still on 100mg 2x a day of Pheno and seizures are not under control.
Unfortunately, I can't really say we received good news.
Her clinical exam showed so deficit in response on her right side, which was different from left side - indicative, neurologist says, of something being 'off' neurologically. As physical neuro exams with dogs are failry crude he cautioned not to read too much into it, though.
He did not recommend an MRI, as he said more often that not (~85% of the time) what he finds, he cannot fix and he doesn't think she is presenting like she has a brain tumor.
The 4 options he gave us for diagnosis were:
1. Really bad idiopathic epilepsy, but he thinks she is rather young to have it this bad, and have it not responding to drugs. Also, her neuro exam points to other problems.
2. Encepahlitis
3. Hydrocephalus
4. Liver Shunt
We tested for the liver shunt Saturday and should get results soon. If that is all clear (which they think it will be) then we are going to treat with a new anti-convulsant and hope it really is idiopathic epilepsy and she can be controlled with the drugs.
If for soem reason the test comes back differently thatn expected, depending on the severity of the shunt, that could be managed (but not necessarily cured) with surgery and other interventions.
The vet indicated there is SOME treatment for Encepahlitis & Hydrocephalus, but neither is a cure and if we get to the point of steroids and antibiotics for those conditions we are going to need to weigh quality of life vs. treatment choices.
A lot to digest this weekend...although it is nice to at least have SOME IDEA of what could be wrong. Keeping our fingers crossed that the new anti-convulsant works...
Sarah
Unfortunately, I can't really say we received good news.
Her clinical exam showed so deficit in response on her right side, which was different from left side - indicative, neurologist says, of something being 'off' neurologically. As physical neuro exams with dogs are failry crude he cautioned not to read too much into it, though.
He did not recommend an MRI, as he said more often that not (~85% of the time) what he finds, he cannot fix and he doesn't think she is presenting like she has a brain tumor.
The 4 options he gave us for diagnosis were:
1. Really bad idiopathic epilepsy, but he thinks she is rather young to have it this bad, and have it not responding to drugs. Also, her neuro exam points to other problems.
2. Encepahlitis
3. Hydrocephalus
4. Liver Shunt
We tested for the liver shunt Saturday and should get results soon. If that is all clear (which they think it will be) then we are going to treat with a new anti-convulsant and hope it really is idiopathic epilepsy and she can be controlled with the drugs.
If for soem reason the test comes back differently thatn expected, depending on the severity of the shunt, that could be managed (but not necessarily cured) with surgery and other interventions.
The vet indicated there is SOME treatment for Encepahlitis & Hydrocephalus, but neither is a cure and if we get to the point of steroids and antibiotics for those conditions we are going to need to weigh quality of life vs. treatment choices.
A lot to digest this weekend...although it is nice to at least have SOME IDEA of what could be wrong. Keeping our fingers crossed that the new anti-convulsant works...
Sarah