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Misery of insufficient treatment guidelines in post-traumatic epilepsy
  1. Franziska Riese,
  2. Nina Meyerhoff,
  3. Jasmin Nessler and
  4. Andrea Tipold
  1. Department of Small Animal Medicine and Surgery, Klinik fuer Kleine Haustiere, Stiftung Tierarztliche Hochschule Hannover, Hannover, Germany
  1. Correspondence to Dr Franziska Riese; franziska.riese{at}


Two dogs were presented after traumatic brain injury (TBI): a Jack Russell Terrier (JRT) kicked by a horse and a Magyar Vizsla (MV) hit by train. Both dogs developed seizures immediately after trauma and were treated successfully with antiepileptic drugs (AEDs) for 1 month (JRT) with imepitoin and for half a year (MV) with phenobarbital. After discontinuing the antiepileptic therapy, both dogs developed seizures again resulting in death of the JRT in status epilepticus. The MV was treated again with AEDs and continued to have cluster seizures every 2 weeks. In conclusion, it can be recommended to treat dogs with immediate seizures continuously after TBI with AEDs, if no life-threatening adverse events occur.

  • trauma
  • brain diseases
  • seizures
  • treatment
  • posttraumatic epilepsy
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  • Contributors The corresponding author attests that all listed authors meet authorship criteria and that no others meeting the criteria have been omitted. The idea for the article originates from AT and FR. Literature search, writing of the article and the guarantor is FR. Cases were identified and managed by JN, NM, FR and AT.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement No additional data are available.

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