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Estimation of the prevalence of idiopathic epilepsy and structural epilepsy in a general population of 900 dogs undergoing MRI for epileptic seizures
  1. Rachel Hall1,
  2. Julien Labruyere2,
  3. Holger Volk1,3 and
  4. Thomas James Cardy1,4
  1. 1Clinical Services Division, Royal Veterinary College, Hatfield, Hertfordshire, UK
  2. 2VetCT, Cambridge, UK
  3. 3Small Animal Clinic, University of Veterinary Medicine Hannover, Hannover, Niedersachsen, Germany
  4. 4Neurology & Neurosurgery, Cave Veterinary Specialists, Wellington, Somerset, UK
  1. Correspondence to Dr Thomas James Cardy; Thomas.Cardy{at}Cave-Vet-Specialists.co.uk

Abstract

Due to variation in study designs the prevalence of idiopathic epilepsy (IE) and structural epilepsy (SE) in dogs is largely unknown. The objective was to provide estimates of the prevalence of IE and SE in a large population of dogs undergoing MRI for epileptic seizures. A retrospective study on 900 dogs undergoing MRI for seizures was performed. MRI scans, summary clinical history and neurological examination from the VetCT database were reviewed and a diagnosis assigned by board-certified radiologists. Structural lesions were identified as a cause of seizures in 45.1 per cent (n=406) of cases. No structural lesions were identified in 54.9 per cent (n=494) of cases with presumed IE diagnosed in 53.8 per cent (n=484) of dogs. Dogs between six months and six years were more often associated with IE (P<0.001), small breeds were overrepresented with suspected inflammatory brain disease (P=0.001) and large entire dogs more often diagnosed with extra-axial neoplasms (P=0.001). Over 31.0 per cent of dogs with suspected IE were six years or older. This study is the largest of its kind in dogs and provides accurate estimates of underlying causes of epilepsy. MRI findings should be considered in the context of a detailed clinical history and neurological examination.

  • dogs
  • epilepsy
  • magnetic resonance imaging (MRI)
  • neoplasia
  • seizures
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Footnotes

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Ethics approval This retrospective study has been approved by the Social Sciences Research Ethical Review Board at the Royal Veterinary College (ref. SR2017-1530).

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement All data relevant to the study are included in the article or uploaded as supplementary information.

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