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The Focus on Neurology webinar series features two of the worlds most respected veterinary neurologists – dedicated to making veterinary neurology both exciting and accessible, who will interact with you LIVE over 2 days, on practical, and relevant topics to your practice!
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Speaker: Dr. Simon Platt
Topic Description: Diseases affecting the feline spinal cord, both cervical and thoracolumbar, or the surrounding vertebrae may or may not be painful. They can progress to cause ataxia and weakness through to paralysis similar to is seen in dogs. However, the causes of these signs are slightly different to the causes in dogs, as disc disease and ischaemic myelopathy are not as common in cats. Trauma, infectious disease and neoplasia are the most common causes. CT or MRI investigation is often necessary if spinal radiographs are unable to identify an obvious lesion. CSF analysis is also essential in ruling out infectious diseases of the spinal cord although it is often normal if there are infections of the surrounding vertebrae. This session will use a cased based approach to review these causes in terms of their presentation, investigation, management and prognosis.
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Speaker: Dr. Laurent Garosi
Topic Description: Although seizures occur less commonly in cats compared with dogs, they are one of the most common forms of neurological disease in the feline patient. Cats may experience both focal (partial) and generalized seizures and causes are divided into symptomatic epilepsy in which there is no underlying cause (i.e. idiopathic epilepsy) and secondary epilepsy. The latter implies an underlying structural brain lesion or metabolic disease. Differentiating between symptomatic and secondary epilepsy is critical for determining a prognosis as well as devising an appropriate treatment plan. Recognising conditions which could mimic an epileptic seizure such as paroxysmal dyskinesia, orofacial pain syndrome, feline hyperesthesia syndrome and cardiac syncope is also essential from the start of the diagnostic process. Once diagnosed with an epileptic seizure disorder, antiepileptics are needed to treat the seizure activity; additional therapies may be necessary for treating secondary seizure disorders. Phenobarbital is the primary drug of choice for treating feline seizures. In situations where sole phenobarbital therapy is ineffective, or is contradicted, additional antiepileptics are needed. Use of oral diazepam and bromide is not recommended in cats and they have the potential to cause a fatal idiosyncratic hepatotoxicosis and an allergic pneumonitis, respectively. Levetiracetam has been shown to be a promising add-on antiepileptic drug in cats as it is safe and effective. Other potential antiepileptic drugs for use in cats include zonisamide, gabapentin and pregabalin.
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Speaker: Dr. Simon Platt
Topic Description: Diseases affecting the feline brain will frequently cause seizures, behaviour changes, circling, visual loss and sometimes thirst and appetite changes. The asymmetry of the disease, the focal or multifocal nature of the disease, the onset and progression of the disease as well as the signalment of the cat will help determine what is the most likely cause. Definitive diagnosis will require advanced imaging and CSF analysis if a thorough systemic investigation including blood work, liver function tests and cavity imaging is considered normal. The causes of feline brain disease include infections (such as FIP, Cryptococcus and Toxoplasmosis), neoplasia (most commonly meningioma), trauma, metabolic disease and toxicity, and less frequently vascular disease. This session will use a video case based approach to highlight the most common presenting characteristics of each of these diseases as well as how they are investigated and managed.
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Speaker: Dr. Laurent Garosi
Topic Description: Disorder of peripheral nerve, neuromuscular junction and skeletal muscles are collectively referred as neuromuscular disorder. They most often produce so-called lower motor neuron signs with varying degree of paresis, hypotonia, hyporeflexia and muscle atrophy. Many cats will present a plantigrade stance or a crouched pelvic limb gait and cervical ventro-flexion. As other signs of neuromuscular disorder, these signs are not pathognomonic of an underlying cause but only reflect neuromuscular weakness associated with lower motor neuron involvement. Neuromuscular disorders are without a doubt underdiagnosed and often confused for spinal disorder. In this presentation, we will illustrate with videos the key signs to recognised neuromuscular disorder in cats, present a step-wise logical diagnostic approach and will discuss common conditions such as acquired myasthenia gravis, polymyositis, polyneuritis and hypokalemic myopathy.terinary hospital/clinic.
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BVM&S, Diplomate ACVIM (Neurology), Diplomate ECVN, FRCVS – RCVS Recognized Specialist of Veterinary Neurology
Dr. Simon Platt received his veterinary degree from the University of Edinburgh, Scotland, in 1992, following which he undertook an internship in Small Animal Medicine and Surgery at the Ontario Veterinary College, University of Guelph and a 2 year period in private practice in the England. Dr. Platt completed a residency in neurology and neurosurgery in 1998 at the University of Florida and afterwards spent 2 years as an assistant professor of Neurology at the University of Georgia. In 2000, Dr. Platt returned to the UK where he was Head of the Neurology/Neurosurgery service at the Animal Health Trust until 2006, from which time he has been at the Dept. of Small Animal Medicine and Surgery at the University of Georgia where is currently a Professor.
Dr. Platt received the AAVC National resident of the year award in 1998, the BSAVA Blaine award for outstanding contributions to small animal medicine and surgery in 2005, the UGA Clinical Research Award in 2010 and the David Tyler Award for Innovative Teaching in 2012. Dr. Platt has authored or co-authored over 180 journal articles and 50 book chapters and is the co-editor of the BSAVA Manual of Canine and Feline Neurology and the Manual of Small Animal Neurological Emergencies. Dr. Platt is Past-President of the ACVIM Neurology Specialty and Founder member of the South Eastern Veterinary Neurology (SEVEN) group in the USA. Currently, Simon serves as Editor in Chief of the NAVC journal Today’s Veterinary Practice.
Laurent is a Diplomate of the European College of Veterinary Neurology (ECVN), RCVS/European Specialist in Veterinary Neurology and Fellow of the Royal College of Veterinary Surgeon by meritorious contribution to clinical practice.
