Owner perception of focal seizures in canine epilepsy

• Autores: Rowena M. A. Packer, R. Lucas, Holger A. Volk
• Localización: Veterinary Record, ISSN-e 2042-7670, Vol. 180, Nº. 6, 2017
• Idioma: inglés
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• Resumen

  • VETS rely upon owner (carer) reports of seizures to initially diagnose epilepsy in their patients and ongoing seizure diaries to assess changes in seizure frequency (and thus treatment outcomes).

    In addition, clinical trials of antiepileptic therapies often heavily rely upon owner-reported seizure diaries to assess treatment efficacy. As such, accurate reports of seizure frequency are of high importance, with underestimations potentially jeopardising patient quality of life (QoL) due to undertreatment. In human medicine, patient seizure counts have been found to be unreliable, with some seizures going unreported (Hoppe and others 2007). Seizure type is a risk factor for unreported seizures, with focal epileptic seizures recognised and reported significantly less than secondary generalised tonic-clonic epileptic seizures (GS) (Hoppe and others 2007). In people with epilepsy, previous studies have reported that patients failed to document up to 73.2 per cent of focal seizures (Tatum and others 2001, Kerling and others 2006, Hoppe and others 2007).