학술논문

Levetiracetam‐responsive paroxysmal exertional dyskinesia in a Welsh Terrier.
Document Type
Article
Source
Journal of Veterinary Internal Medicine. Mar2021, Vol. 35 Issue 2, p1093-1097. 5p.
Subject
*DYSKINESIAS
*MUSCLE tone
*SYMPTOMS
*ANTICONVULSANTS
*MOVEMENT disorders
*HEAT stroke
*CARBIDOPA
*MYOCARDIAL depressants
*LEVETIRACETAM
Language
ISSN
0891-6640
Abstract
A 5‐and‐a‐half‐year old, 9‐kg, spayed, female Welsh Terrier presented with a 12 month history of paroxysmal exertion‐induced dyskinesia (PED) characterized by recurrent episodes of involuntary hyperkinetic movements, abnormal muscle tone, and contractions triggered by exercise. A single episode occurred within 2 hours after exercise, lasted from 7 to 10 minutes, and resolved without treatment. The owner sought treatment for the dog when the episodes began to last longer (20‐30 minutes), and occurred as long as 2.5 to 8 hours after exercise. Diazepam administered intranasally at the start of an episode promptly alleviated the symptoms. Maintenance therapy with levetiracetam proved effective, such that the dog was gradually returned to exercise. However, attempts to wean the dog off the drug resulted in reoccurrence. Although the pathophysiology of PED is not fully understood, the clinical presentation and the positive response to antiepileptic therapy highlight the overlap between disease pathways in epilepsy and PED in dogs. [ABSTRACT FROM AUTHOR]