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Case report: Naturally occurring neurogenic stunned myocardium in a dog secondary to status epilepticus

Authors :
Jacob Dunham
Mallory Horridge
Ji-Hey Lim
Bridget M. Lyons
Kelly Wiggen
Source :
Frontiers in Veterinary Science, Vol 11 (2024)
Publication Year :
2024
Publisher :
Frontiers Media S.A., 2024.

Abstract

A 4-year-old male neutered Boston Terrier was presented with status epilepticus. He was diagnosed with idiopathic epilepsy and hospitalized with supportive care. During hospitalization, the patient developed both supraventricular and ventricular arrhythmias as well as focal left ventricular dyskinesis. Cardiac troponin I was significantly increased, which was supportive of myocardial damage. Neurogenic stunned myocardium was suspected, and the patient was treated and responded to esmolol. Follow-up echocardiography demonstrated the resolution of the ventricular dyskinesia. This report describes the clinical presentation, diagnostic findings, treatment, management, and outcome of the first reported case of naturally occurring neurogenic stunned myocardium in a dog. Electrocardiogram monitoring, cardiac troponin I, and echocardiography should be considered in patients presenting with seizure activity, especially when exhibiting cluster seizures or in status epilepticus.

Details

Language :
English
ISSN :
22971769
Volume :
11
Database :
Directory of Open Access Journals
Journal :
Frontiers in Veterinary Science
Publication Type :
Academic Journal
Accession number :
edsdoj.1acfb6b6d14c528a797064d907e1d9
Document Type :
article
Full Text :
https://doi.org/10.3389/fvets.2024.1376107