Parent J M, Quesnel A D
Department of Veterinary Clinical Studies, Ontario Veterinary College, Guelph, Canada.
Vet Clin North Am Small Anim Pract. 1996 Jul;26(4):811-25.
Seizures in cats are caused by active structural disease or secondary epilepsy. The most common structural causes are inflammatory diseases, many of which are probably viral (non-FIP) in origin. Toxoplasmosis, FIP, FeLV, and FIV are rare causes of recurrent seizures in cats. The incidence of primary epilepsy is unknown; it is unlikely to occur in domestic cats. The pattern (type and frequency) of the seizures and the age at onset of the seizures are important factors in establishing a differential diagnosis. More than 50% of cats with seizures experience nonconvulsive (mild generalized or partial complex) seizures. Though many cats experience severe cluster seizures and status epilepticus, severity of seizures is not a good predictor of outcome. Many cats stop having seizures or are controlled well with AEDs regardless of the severity of their seizure activity.
猫的癫痫发作是由活动性结构性疾病或继发性癫痫引起的。最常见的结构性病因是炎症性疾病,其中许多可能起源于病毒(非猫传染性腹膜炎)。弓形虫病、猫传染性腹膜炎、猫白血病病毒和猫免疫缺陷病毒是猫反复癫痫发作的罕见病因。原发性癫痫的发病率尚不清楚;在家猫中不太可能发生。癫痫发作的模式(类型和频率)以及癫痫发作开始的年龄是建立鉴别诊断的重要因素。超过50%的癫痫发作猫经历非惊厥性(轻度全身性或部分复杂性)癫痫发作。尽管许多猫会经历严重的丛集性癫痫发作和癫痫持续状态,但癫痫发作的严重程度并不是预后的良好预测指标。许多猫不再癫痫发作,或无论其癫痫活动的严重程度如何,都能通过抗癫痫药物得到很好的控制。