Status epilepticus after ligation of portosystemic shunts.
Status epilepticus developed in four dogs, 2 to 3 days after ligation of an extrahepatic portosystemic shunt. Pentobarbital or phenobarbital intravenously was required to control seizure activity. Two dogs treated with phenobarbital recovered. Exacerbation of hepatic encephalopathy secondary to metabolic changes after surgery may be a cause of this syndrome. A treatment protocol for status epilepticus after ligation of a portosystemic shunt is proposed.
Hardie
E M
EM
Departments of Companion Animal and Special Species Medicine, College of Veterinary Medicine, North Carolina State University, Raleigh.
Kornegay
J N
JN
Cullen
J M
JM
D000818:Animals; D004283:Dog Diseases / Q000151:congenital / Q000209:etiology* / Q000601:surgery; D004285:Dogs; D005260:Female; D008026:Ligation / Q000009:adverse effects / Q000662:veterinary; D008297:Male; D010424:Pentobarbital / Q000627:therapeutic use; D010634:Phenobarbital / Q000627:therapeutic use; D011168:Portal System / Q000002:abnormalities* / Q000601:surgery; D011183:Postoperative Complications / Q000188:drug therapy / Q000662:veterinary*; D013226:Status Epilepticus / Q000188:drug therapy / Q000209:etiology / Q000662:veterinary*; D013577:Syndrome
D010424:Pentobarbital; D010634:Phenobarbital