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Host: Jos Bongers - Specialist in Veterinary Neurology
Co-host: Adriana Kaczmarska - Specialist in Veterinary Neurology
Advancements in Veterinary Epilepsy Treatment
A speaker discussed recent advancements in veterinary epilepsy diagnosis and treatment, highlighting the importance of specialised services like seizure clinics. Topics included the basics of epilepsy, new treatment options, and future research areas. The presentation also addressed common misconceptions about epilepsy in dogs and emphasised the role of diet, supplements and other strategies in managing the condition.
Seizure Detection Methods in Veterinary Medicine
Seizure detection and monitoring methods in veterinary medicine were explored, including the use of video recordings, seizure diaries, wearable devices, and EEGs to diagnose and track seizures in pets. The importance of improving video quality for better diagnosis was emphasised, along with the introduction of a new system for securely uploading and analysing videos offered by the University Glasgow. Ongoing research into wearable technology and EEGs for seizure detection was also highlighted, although these methods are not yet fully reliable or widely available in veterinary practice.
Canine Epilepsy Treatment Options
Various anti-seizure medications were discussed, highlighting the four most commonly used drugs as well as newer options with less supporting evidence. It was emphasized that conventional drugs should be thoroughly explored before considering alternatives. Experiences with specific medications like zonisamide were shared, noting positive results for some cases. The principles and limitations of the ketogenic diet in treating canine epilepsy were explained, with MCT oil noted as a promising supplement. The emerging field of microbiome modulation was also mentioned. Participants shared their experiences with dietary approaches, with some reporting negative effects from ketogenic diets and others finding success with alternatives like Neurocare. Caution was advised when using fatty supplements like MCT oil and CBD, particularly in dogs taking certain medications.
Epilepsy Treatment Options for Dogs
Various treatment options for epilepsy in dogs were discussed, including vagal nerve stimulators, repetitive transcranial magnetic stimulation, and epilepsy surgery. The benefits and limitations of each method were explained, with neurostimulation described as a promising long-term option that may have fewer side effects compared to medication. A surgical procedure called corpus callosotomy was presented as a high-risk but potentially effective treatment for severe, drug-resistant epilepsy. Electromagnetic stimulation options generated significant interest, along with concerns about combining different therapies.
Canine Epilepsy Treatment Research Update
The meeting also covered updates on canine epilepsy treatments and research. A new treatment trial involving an antisense oligonucleotide injected into the spinal fluid was presented, showing promising results for some dogs with severe epilepsy. While some dogs have responded well, others did not improve, suggesting the treatment may be more effective for specific types of epilepsy. The discussion also included ongoing research into AI-based seizure detection and the role of genetics in epilepsy, as well as the challenges in treating idiopathic epilepsy. The session concluded with a preview of upcoming events, including a workshop on emergency epilepsy care scheduled for late September.