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Peer-reviewed veterinary case report

Seizures triggered by sounds in older cats with hearing loss

By Lowrie, Mark et al.·Published in Journal of feline medicine and surgery·2016·Davies Veterinary Specialists, United Kingdom·View original on PubMed

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Original publication title: Audiogenic reflex seizures in cats.

Species:
cat
Brain & nervesCats

Plain-English summary

A 15-year-old Birman cat was experiencing myoclonic seizures, which are sudden muscle jerks, often triggered by loud noises. Owners reported that these seizures sometimes progressed to more severe convulsions. The cat was treated with levetiracetam, which helped control the seizures effectively. While the seizures themselves didn't seem to greatly affect the cat's quality of life, many owners noticed a gradual decline in their pet's overall health after two years, including weight loss and decreased activity.

People also search for: cat seizures treatment · myoclonic seizures in cats · why is my cat losing weight · feline epilepsy symptoms · Birman cat health issues

Abstract

OBJECTIVES: This study aimed to characterise feline audiogenic reflex seizures (FARS). METHODS: An online questionnaire was developed to capture information from owners with cats suffering from FARS. This was collated with the medical records from the primary veterinarian. Ninety-six cats were included. RESULTS: Myoclonic seizures were one of the cardinal signs of this syndrome (90/96), frequently occurring prior to generalised tonic-clonic seizures (GTCSs) in this population. Other features include a late onset (median 15 years) and absence seizures (6/96), with most seizures triggered by high-frequency sounds amid occasional spontaneous seizures (up to 20%). Half the population (48/96) had hearing impairment or were deaf. One-third of cats (35/96) had concurrent diseases, most likely reflecting the age distribution. Birmans were strongly represented (30/96). Levetiracetam gave good seizure control. The course of the epilepsy was non-progressive in the majority (68/96), with an improvement over time in some (23/96). Only 33/96 and 11/90 owners, respectively, felt the GTCSs and myoclonic seizures affected their cat's quality of life (QoL). Despite this, many owners (50/96) reported a slow decline in their cat's health, becoming less responsive (43/50), not jumping (41/50), becoming uncoordinated or weak in the pelvic limbs (24/50) and exhibiting dramatic weight loss (39/50). These signs were exclusively reported in cats experiencing seizures for >2 years, with 42/50 owners stating these signs affected their cat's QoL. CONCLUSIONS AND RELEVANCE: In gathering data on audiogenic seizures in cats, we have identified a new epilepsy syndrome named FARS with a geriatric onset. Further studies are warranted to investigate potential genetic predispositions to this condition.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/25916687/