PMID- 38006289 OWN - NLM STAT- MEDLINE DCOM- 20240123 LR - 20240202 IS - 1939-1676 (Electronic) IS - 0891-6640 (Print) IS - 0891-6640 (Linking) VI - 38 IP - 1 DP - 2024 Jan-Feb TI - Prevalence of nonconvulsive seizures and nonconvulsive status epilepticus in dogs and cats with a history of cluster seizures: A retrospective study. PG - 238-246 LID - 10.1111/jvim.16953 [doi] AB - BACKGROUND: Nonconvulsive seizures (NCS) and nonconvulsive status epilepticus (NCSE) are frequently observed in human patients. Diagnosis of NCS and NCSE only can be achieved by the use of electroencephalography (EEG). Electroencephalographic monitoring is rare in veterinary medicine and consequently there is limited data on frequency of NCS and NCSE. OBJECTIVES: Determine the prevalence of NCS and NCSE in dogs and cats with a history of cluster seizures. ANIMALS: Twenty-six dogs and 12 cats. METHODS: Retrospective study. Medical records of dogs and cats with cluster seizures were reviewed. Electroencephalography was performed in order to identify electrographic seizure activity after the apparent cessation of convulsive seizure activity. RESULTS: Nonconvulsive seizures were detected in 9 dogs and 2 cats out of the 38 patients (29%). Nonconvulsive status epilepticus was detected in 4 dogs and 2 cats (16%). Five patients had both NCS and NCSE. A decreased level of consciousness was evident in 6/11 patients with NCS, 3/6 also had NCSE. Mortality rate for patients with NCS (73%) and NCSE (67%) was much higher than that for patients with no seizure activity on EEG (27%). CONCLUSION AND CLINICAL IMPORTANCE: Prevalence of NCS and NCSE is high in dogs and cats with a history of cluster seizures. Nonconvulsive seizures and NCSE are difficult to detect clinically and are associated with higher in hospital mortality rates. Results indicate that prompt EEG monitoring should be performed in dogs and cats with cluster seizures. CI - (c) 2023 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine. FAU - Tastensen, Carina AU - Tastensen C AUID- ORCID: 0009-0004-6289-8343 AD - Department for Small Animals, Leipzig University, Leipzig, Germany. FAU - Gutmann, Sarah AU - Gutmann S AUID- ORCID: 0000-0002-8909-8205 AD - Department for Small Animals, Leipzig University, Leipzig, Germany. FAU - Loderstedt, Shenja AU - Loderstedt S AUID- ORCID: 0000-0001-9987-5349 AD - Department for Small Animals, Leipzig University, Leipzig, Germany. FAU - Flegel, Thomas AU - Flegel T AUID- ORCID: 0000-0001-9892-0224 AD - Department for Small Animals, Leipzig University, Leipzig, Germany. FAU - Demeny, Helga AU - Demeny H AUID- ORCID: 0000-0002-8620-1721 AD - Demed-Veterinary Neurology, Cluj-Napoca, Romania. FAU - Baum, Petra AU - Baum P AD - Department of Neurology, Leipzig University, Leipzig, Germany. LA - eng GR - Open Access Publishing Fund of Leipzig University/ PT - Journal Article DEP - 20231125 PL - United States TA - J Vet Intern Med JT - Journal of veterinary internal medicine JID - 8708660 SB - IM MH - Humans MH - Cats MH - Dogs MH - Animals MH - Retrospective Studies MH - Prevalence MH - *Cat Diseases/epidemiology MH - *Dog Diseases/epidemiology MH - Seizures/epidemiology/veterinary MH - *Status Epilepticus/epidemiology/veterinary MH - Electroencephalography/veterinary/methods PMC - PMC10800195 OTO - NOTNLM OT - burst-suppression pattern (BSP) OT - electroencephalography (EEG) OT - electrographic seizure OT - wireless video-EEG COIS- Authors declare no conflict of interest. EDAT- 2023/11/26 07:42 MHDA- 2024/01/23 06:44 PMCR- 2023/11/25 CRDT- 2023/11/25 06:34 PHST- 2023/06/30 00:00 [received] PHST- 2023/11/13 00:00 [accepted] PHST- 2024/01/23 06:44 [medline] PHST- 2023/11/26 07:42 [pubmed] PHST- 2023/11/25 06:34 [entrez] PHST- 2023/11/25 00:00 [pmc-release] AID - JVIM16953 [pii] AID - 10.1111/jvim.16953 [doi] PST - ppublish SO - J Vet Intern Med. 2024 Jan-Feb;38(1):238-246. doi: 10.1111/jvim.16953. Epub 2023 Nov 25.