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Luisa De Risio
Canine and Feline Epilepsy
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Canine and Feline Epilepsy
Diagnosis and Management
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Canine and Feline Epilepsy
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Contents
Preface
1 Pathophysiology of Seizure Activity
The Electrical Basis of Nerve Cell Function
Synaptic Transmission
Synchronization
Kindling and Epileptogenesis
Ictogenesis
Excitability arising from individual neurons
Excitability arising from neuronal microenvironment
The epileptic cell population
Mechanisms of Interictal–Ictal Transition
Nonsynaptic mechanisms
Alterations in ionic microenvironment
Active ion transport
Presynaptic terminal bursting
Ephaptic interaction
Synaptic mechanisms
Neurochemical Mechanisms Underlying Epilepsy
GABA
Glutamate
Glutamate receptors
AMPA
NMDA
Metabotropic receptors
Glutamate transporters
Targets for treatment
The Veterinary Perspective
Catecholamines
Opioid peptides
Inflammatory Mechanisms Underlying Epilepsy
Do seizures cause inflammation?
Does inflammation cause seizures?
Does inflammation cause cell loss?
Mechanistic insights
Immune and anti-inflammatory therapies
Disorders of Neuronal Migration and Seizures
How Do Seizures Stop?
Mechanisms acting at the level of single neurons
Intracellular ion-activated potassium currents
Transmembrane ion gradients
Energy failure
Mechanisms acting on a local network of neurons
Glutamate depletion
The intra- and extracellular environments
Glial buffering of glutamate
Increased GABA-ergic inhibition
References
2 Pathophysiology of Pharmacoresistant Epilepsy
Introduction
Definition
Risk Factors for Pharmacoresistant Epilepsy
Genetic risk factors
Clinical risk factors
Pseudoresistance
Mechanisms of Pharmacoresistant Epilepsy
Drug-target hypothesis
Multidrug transporter hypothesis
Conclusion
References
3
Classification of Seizures and Epilepsies
Classification of Seizures and Epilepsies in Human Medicine
Classification of Seizures and Epilepsies in Veterinary Medicine
Veterinary classification of seizures based on clinical manifestations
Generalized-onset seizures
Focal-onset seizures
Veterinary classification of seizures and epilepsies based on underlying aetiology
Reactive seizures
Structural (symptomatic or secondary) epilepsy
Probable symptomatic or cryptogenic epilepsy
Idiopathic or primary epilepsy
Precipitated seizures
Reflex seizures
References
4
Reactive Seizures
Systemic Metabolic Disorders Causing Seizures
Hypoglycaemia
Overview
Clinical presentation
Diagnosis
Management
Insulinoma
Overview
Clinical presentation
Diagnosis
Management
Hepatic encephalopathy
Overview
Clinical presentation
Diagnosis
Management
Renal-associated encephalopathy
Overview
Clinical presentation
Diagnosis
Management
Hyponatraemia
Overview
Clinical presentation
Diagnostic investigation
Management
Hypernatraemia
Overview
Clinical presentation
Diagnosis
Management
Hypocalcaemia
Overview
Clinical presentation
Diagnosis
Management
Nutritional Disorders Causing Seizures
Thiamine (vitamin B1) deficiency
Overview
Clinical presentation
Diagnosis
Management
Exogenous Toxic Disorders Causing Seizures
Overview
Clinical presentation
Diagnosis
Management
Decontamination
Cutaneous absorbed toxins
Gastrointestinal absorbed toxins
Urinary excreted toxins
Intravenous lipid emulsion infusion
Insecticides
Pyrethrin and pyrethroid (permethrin)
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Organophosphates and carbamates
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Chlorinated hydrocarbons
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Molluscicides
Metaldehyde
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Rodenticides
Strychnine
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Bromethalin
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Zinc phosphide
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Sodium monofluoroacetate (Compound 1080)
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Automotive Products
Ethylene glycol
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Detergents and Disinfectants
Hexachlorophene
Overview
Clinical presentation
Management
Prognosis
Heavy Metals
Lead
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Poisonous Plants
Blue-green algae (cyanobacteria)
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Mycotoxins
Penitrem A and roquefortine
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Animal-related Poisoning
Toad
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Therapeutic Agents and Supplements
Metronidazole
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Ivermectin and other macrocyclic lactones
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Levamisole
Overview
Mechanism of action
Clinical presentation
Management
Methylxanthines
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Amphetamine and amphetamine-like compounds
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Selective serotonin reuptake inhibitors
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
5-Hydroxytryptophan
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
Guarana (
Paullinia cupana
) and ma huang (
Ephedra sinica
)
Overview
Mechanism of action
Clinical presentation
Diagnosis
Management
Prognosis
References
5
Structural Epilepsy
Vascular
Cerebrovascular accidents (ischaemic, haemorrhagic)
Clinical signs
Post-stroke seizures and epilepsy
Diagnostic investigations
Treatment
Prognosis
Inflammatory/infectious
Clinical signs
Encephalitis-related seizures and post-encephalitic epilepsy
Diagnostic investigations
Treatment
Prognosis
Canine distemper
Clinical signs
Diagnostic investigations
Treatment
Prognosis
Feline infectious peritonitis
Clinical signs
Diagnostic investigations
Treatment
Prognosis
Bacterial diseases of the CNS in dogs and cats
Clinical signs
Diagnostic investigations
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