Vet Blog

11/05/08

What Causes Trembling in Dogs?
Dr. Eric Barchas, DVM

400px-shihtzugeschoren.jpgMy Shih Tzu is one year old. At times for no reason
she shakes as if she is either cold or scared. As
warm as it is I know she can’t be cold and there
has been nothing that has happened at the time for
her to be scared. I sit and hold her close and
then in just a few minutes she seems to be ok. Is
there anything I should be concerned about?

Gail
Huntsville, AL

Probably not. Trembling is a very common–and very nonspecific–behavior in dogs.

You are correct that cold and fear are two of the most frequent causes of trembling. Other causes include but by no means are limited to excitement, hunger, muscle fatigue, nausea and transient harmless nerve impulses.

However, there are some more serious causes of trembling. Low blood sugar, liver shunts, certain forms of epilepsy and electrolyte imbalances are on the list.

If your dog is eating, drinking, and eliminating normally the odds that something serious is going on are slim. Nonetheless, I think a vet visit is in order to confirm this.

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08/05/08

What are Seizures and What Causes Them?
Dr. Eric Barchas, DVM

My dog Ozzie has been having what the
vet called “grand mal seizures”. Blood tests
ruled out liver, kidney, etc as the cause. He
does have a heart murmur. The vet thinks he
either has epilepsy or a brain tumor. He has
prescribed phenobarbital daily. Ozzie
has been taking the medicine for just over a week
and there does seem to be some improvement. He
has not had another seizure and has started to act
more normally. In recent weeks his behavior had
changed. He was not as friendly, more withdrawn,
and would not jump up on the furniture or the bed.
A few weeks ago, I could not keep him off the
furniture. Now he seems to be back to his old
self. Do you think this sounds like epilepsy or
do I need to worry about brain tumors? Ozzie is
almost 7 yrs old and weighs 23 lbs.

Rebecca
Ogden, Utah

Gran mal seizures are very frightening to behold. Pets that suffer these types of seizures lose consciousness and collapse. Their limbs flail wildly. They may urinate or defecate during the event, which usually lasts less than a minute.

A period of irregular behavior may occur before and after seizures. These periods may last just a few minutes, or up to several days. This phenomenon may, or may not, explain Ozzie’s irregular behavior leading up to his seizures.

Seizures occur when an area of the brain develops abnormal electrical activity. This activity spreads to and takes over other areas of the brain. When large portions of the brain are engulfed in abnormal activity, a seizure occurs.

Seizures have many causes. In very young animals, epilepsy is a leading cause.

In animals of any age, metabolic problems such as low blood sugar and liver problems can lead to seizures. As well, animals of any age can suffer from infections or abscesses in the nervous system, or trauma to the head–any of these can cause seizures.

In older animals, brain tumors frequently trigger seizures as well as behavior changes (which, once again, may or may not explain the changes in Ozzie’s behavior leading up to the seizures).

fmri.jpgBased upon your description, I cannot tell what is causing Ozzie’s seizures. Your vet took the correct first step by running blood tests to look for metabolic conditions. If you want to know more, the next step is diagnostic imaging: X-rays and ultrasound of the chest (this will also help to assess Ozzie’s heart) and abdomen, followed by MRI scanning of the brain. In many (but not all) cases, these tests lead to a definitive diagnosis.

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