Indian Journal of Animal Research

  • Chief EditorK.M.L. Pathak

  • Print ISSN 0367-6722

  • Online ISSN 0976-0555

  • NAAS Rating 6.50

  • SJR 0.263

  • Impact Factor 0.4 (2024)

Frequency :
Monthly (January, February, March, April, May, June, July, August, September, October, November and December)
Indexing Services :
Science Citation Index Expanded, BIOSIS Preview, ISI Citation Index, Biological Abstracts, Scopus, AGRICOLA, Google Scholar, CrossRef, CAB Abstracting Journals, Chemical Abstracts, Indian Science Abstracts, EBSCO Indexing Services, Index Copernicus

Is Hypocalcemia Responsible for Epilepsy in Canines? A Case Study of Twelve Dogs from Veterinary Clinical Complex, Anand, Gujarat, India

Ankit S. Prajapati1,*, Aditya I. Shah1, Jignesh J. Parmar1, Bhavika R. Patel1, Joice P. Joseph1
1Veterinary Clinical Complex, College of Veterinary Science and Animal Husbandry, Kamdhenu University, Anand-388 001, Gujarat, India.

Background: Dogs with epilepsy are among the most frequently seen neurological patients in veterinary practice. Phenobarbital is commonly used for therapeutic management. Calcium is one of the factors responsible for epileptic signs in canines. The current study was conducted to establish the correlation of calcium with epileptic signs in dogs.

Methods: A total of twelve dogs that failed to respond to traditional management of epilepsy were included in the study. Hemato-biochemical estimation was carried out on the day of presentation from twelve dogs showing epilepsy signs. Calcium and nervine supplements were advised to the owner for a month. A re-examination was done after thirty days of treatment. Statistical analysis was done using the t-test method.

Result: A significant difference was observed in serum calcium levels after treatment in all canines. No significant difference was detected in other parameters, which indicates nervous signs were due to low levels of calcium only. The study concluded that calcium can be considered for the treatment of epilepsy in canines.

The canine population is increasing day by day and is preferred more as a companion animal (Smith et al., 2019). Since epilepsy is a neurological condition that affects both people and domestic dogs, dogs are a perfect translational model for epilepsy. Epilepsy is a complicated brain disorder that affects both species and is defined by a persistent propensity to experience recurrent, spontaneous epileptic seizures (Loscher, 2022). Epilepsy is not one single disease process but can be provoked by multiple causes and can be classified as genetic, structural and of unknown origin (Thomas, 2000). The true prevalence of epilepsy in canines is unknown but has been estimated to be 0.6-0.75% in the general dog population (Heske et al., 2014). Several causes have been documented for epilepsy. However, calcium as one of the causative agents has not been demonstrated yet in the veterinary field in this region. In dogs, hypocalcemia may cause muscle tremors, facial rubbing, muscle cramping, stiff gait, seizures, restlessness, aggression, hypersensitivity and disorientation (Coady et al., 2019). This study was undertaken to check whether or not the low level of calcium is responsible for epilepsy. This is the first study which shows that hypocalcemia can be accountable for the induction of epilepsy in dogs.
The present study was conducted from November 2023 to March 2024 at the Veterinary Clinical Complex, College of Veterinary Science and Animal Husbandry, Kamdhenu University, Anand, Gujarat, India. No ethical approval is necessary as the owner came to veterinary clinic for diagnosis. A total of twelve dogs were included in the study, having epilepsy as a major complaint. Dogs with epilepsy were evaluated, which were already treated with phenobarbital and still having epilepsy. The details of the canines are shown in the Table 1. Four ml of blood was collected and divided into EDTA vials and clot activator vials for hemato-biochemical parameters. Red blood cells (106/µL), white blood cells (103/µL), hemoglobin (g/dl), packed cell volume (%) and platelets (103/µL) were estimated from blood. Calcium (mg/dl), creatinine (mg/dl) and albumin (g/dl) were measured from serum. All parameters were recorded at the time of the case presented at the referral hospital and after 30 days. The statistical analysis was achieved using a t-test in GraphPad Prism software (9.0) and tabulated in a Table 2.
 

Table 1: Details of canines included in the study (n=12).


 

Table 2: Hemato-biochemical alteration in canines with epileptic signs (Mean±SE).

Breeds like Saint Bernard, Labrador, German Shepherd, Siberian Husky, Great Dane and Pomeranian were included in the study. Six male and six female dogs were targeted for unbiased result outcomes. Two dogs were aged under one year, six dogs were under five years of ageand four dogs aged more than five years. The duration of epilepsy was nearly one month in six dogs, one month to 1 year in four dogs and more than a year in two dogs. All the dogs received phenobarbitaland still, epilepsy was present.
       
Haematological examination revealed non-significant (p>0.05) alterations in the level of hemoglobin, red blood cells, white blood cells and packed cell volume. A non-significant (p>0.05) difference was also observed in albumin and creatinine levels in all twelve dogs. Albumin and creatinine values remained within range on the day of treatment and after 30 days. The serum calcium level was under the normal range (4.76±0.14) at the time of presentation. A significant (p<0.001) increase in the level of calcium (7.41±0.17) was observed after 30 days of treatment. Improvement in epilepsy was observed after one month of treatment, with a decrease in episodes and severity.
       
Epilepsy is a complicated brain disease where sudden and irregular activity in neuronal networks causes the projecting clinical sign of seizures characterised by motor, autonomic and behavioural features (Berendt et al., 2015). All dog breeds are prone to epilepsyand Hulsmeyer et al., (2015) documented breed predisposition for different disease conditions. 
       
Breeds like Beagles, British Alsatians, Keeshonds, Labrador retrievers, Golden retrievers, Boxers, Shetland sheepdogs, Vizslas, English Springer Spaniels, Irish wolfhoundsand Standard Poodles are supposed to develop epilepsy (Bielfelt et al., 1971; Jaggy et al., 1998; Patterson et al., 2003; Plonek et al., 2022). Heynold et al., (1997) reported different aspects of epilepsy in labrador retrievers, which supports the findings of the present study, in which 33.33% (4/12) of dogs were Labrador retrievers. Siberian husky and German shepherd breeds of dogs are more prone to epilepsy, as per reports of Hulsmeyer et al., (2015) and Czerwik et al., (2018). In contrast to these studies, Monteiro et al., (2012) documented that German shepherds and boxers were significantly (P=0·04 and 0·01, respectively) more likely to suffer from epilepsy compared to Labrador retrievers.
       
In a study of 99 client-owned dogs, Ghormley et al., (2015) discovered that 2 out of 7 dogs older than 14 years old and 7 out of 30 dogs (23%) and 8 out of 29 (45%) and 10 out of 33 dogs (39%) had primary epilepsy. The findings are contrary to the results of the present study, which showed the highest occurrence of epilepsy in dogs aged between 1 and 5 years. According to De Risio et al., (2015), the chances of epilepsy are 2.65 times higher in dogs aged between 6 months and six years. The findings are in accordance with the results of the present study. Epilepsy can occur in male and female dogs. Sex predisposition has been reported in male dogs, but no explanation for this alteration in prevalence between sexes has been provided (Van Meervenne et al., 2014).
       
Calcium is an essential element required for various physiological activities. Low levels of calcium result in muscle fasciculation, tremors, epilepsy and behavioural changes (Holowaychuk, 2013). Brauer et al., (2011) reported that calcium is the second-highest cause of epilepsy in canines after intoxication. Ionized calcium is commonly used to diagnose and establish a correlation with the disease condition (Whitehead et al., 2015). Ionized calcium was not estimated due to the unavailability of facilities for the same. Results clearly agree on the role of calcium in epilepsy development in dogs.
The result presented here allows us to conclude that calcium has a good correlation with epilepsy development and can be considered and estimated to rule out the causes of epilepsy. The evaluation of ionized calcium’s role can be studied further to understand and manage the condition better.
The authors acknowledge the dog owners for their co-operation during the study. The authors also acknowledge the Dean and Principal of Veterinary College, Anand, for providing the necessary facilities for the study.
The authors declare that there is no conflict of interest.

  1. Berendt, M., Farquhar, R.G., Mandigers, P.J., Pakozdy, A., Bhatti, S.F., De Risio, L., Fischer, A., Long, S., Matiasek, K., Muñana, K., Patterson, E.E., Penderis, J., Platt, S., Podell, M., Potschka, H., Pumarola, M.B., Rusbridge, C., Stein, V.M., Tipold, A., Volk, H.A. (2015). International veterinary epilepsy task force consensus report on epilepsy definition, classification and terminology in companion animals. BMC Veterinary Research. 11: 182. doi: 10.1186/s12917-015-0461-2 

  2. Bielfelt, S.W., Redman, H.C., McClellan, R.O. (1971). Sire- and sex-related differences in rates of epileptiform seizures in a purebred beagle dog colony. American Journal of Veterinary Research. 32(12): 2039-2048. 

  3. Brauer, C., Jambroszyk, M., Tipold, A. (2011). Metabolic and toxic causes of canine seizure disorders: A retrospective study of 96 cases. Veterinary Journal. 187(2): 272-275.

  4. Coady, M., Fletcher, D.J., Goggs, R. (2019). Severity of Ionized Hypercalcemia and Hypocalcemia Is Associated with Etiology in Dogs and Cats. Frontiers in Veterinary Science. 6: 276. doi: 10.3389/fvets.2019.00276 

  5. Czerwik, A., P³onek, M., Podgorski, P. and Wrzosek, M. (2018). Comparison of electroencephalographic findings with hippocampal magnetic resonance imaging volumetry in dogs with idiopathic epilepsy. Journal of Veterinary Internal Medicine. 32(6): 2037-2044. doi: 10.1111/ jvim.15323  

  6. De Risio, L., Bhatti, S., Munana, K., Penderis, J., Stein, V., Tipold, A., Berendt, M., Farqhuar, R., Fischer, A., Long, S., Mandigers, P.J., Matiasek, K., Packer, R.M., Pakozdy, A., Patterson, N., Platt, S., Podell, M., Potschka, H., Batlle, M.P., Rusbridge, C., Volk, H.A. (2015).International veterinary epilepsy task force consensus proposal: diagnostic approach to epilepsy in dogs. BMC Veterinary Research. 11: 148. doi: 10.1186/s12917-015-0462-1.

  7. Ghormley, T.M., Feldman, D.G., Cook, J.R., Jr (2015). Epilepsy in dogs five years of age and older: 99 cases (2006-2011).

  8. Journal of American Veterinary Medical Association. 246(4): 447-450. doi: 10.2460/javma.246.4.447.

  9. Heske, L., Nodtvedt, A., Jaderlund, K.H., Berendt, M., Egenvall, A. (2014). A cohort study of epilepsy among 665,000 insured dogs: incidence, mortality and survival after diagnosis.

  10. Veterinary Journal. 202(3): 471-476. doi: 10.1016/ j.tvjl.2014.09.023. 

  11. Heynold, Y., Faissler, D., Steffen, F., Jaggy, A. (1997). Clinical, epidemiological and treatment results of idiopathic epilepsy in 54 labrador retrievers: A long-term study. The Journal of Small Animal Practtice. 38(1): 7-14. doi: 10.1111/j.1748-5827.1997.tb02977.x. 

  12. Holowaychuk M.K. (2013). Hypocalcemia of critical illness in dogs and cats. The Veterinary clinics of North America. Small animal practice. 43(6): 1299-vii. doi: 10.1016/j.cvsm.2013.07.008. 

  13. Hulsmeyer, V.I., Fischer, A., Mandigers, P.J., DeRisio, L., Berendt, M., Rusbridge, C., Bhatti, S.F., Pakozdy, A., Patterson, E.E., Platt, S., Packer, R.M., Volk, H.A. (2015). International Veterinary Epilepsy Task Force’s current understanding of idiopathic epilepsy of genetic or suspected genetic origin in purebred dogs. BMC Veterinary Research. 11: 175. DOI: 10.1186/s12917-015-0463-0.

  14. Jaggy, A., Faissler, D., Gaillard, C., Srenk, P., Graber, H. (1998). Genetic aspects of idiopathic epilepsy in Labrador retrievers. The Journal of Small Animal Practice. 39(6): 275-280. doi: 10.1111/j.1748-5827.1998.tb03650.x. 

  15. Loscher, W. (2022). Dogs as a Natural Animal Model of Epilepsy. Frontiers in Veterinary Science. 9: 928009. 

  16. Monteiro, R., Adams, V., Keys, D., Platt, S.R. (2012). Canine idiopathic epilepsy: Prevalence, risk factors and outcome associated with cluster seizures and status epilepticus. The Journal of Small Animal Practice. 53(9): 526-530. doi: 10.1111/j.1748-5827.2012.01251.x.

  17. Patterson, E.E., Mickelson, J.R., Da, Y., Roberts, M.C., McVey,  A.S., O’Brien, D.P., Johnson, G.S., Armstrong, P.J. (2003). Clinical characteristics and inheritance of idiopathic epilepsy in Vizslas. Journal of Veterinary Internal Medicine. 17(3): 319-325. doi: 10.1111/j.1939-1676.2003.tb02455.x. 

  18. Plonek, M., Diaz-Espineira, M.M., Stassen, Q.E.M., Santifort, K.M., Leegwater, P.A.J., Mandigers, P.J.J. (2022). Phenotypic characterization of idiopathic epilepsy and epilepsy of unknown cause in Irish Setters. Frontiers in Veterinary Science. 9: 1066094. doi: 10.3389/fvets.2022.1066094. 

  19. Smith, L.M., Hartmann, S., Munteanu, A.M., Dalla Villa, P., Quinnell, R.J., Collins, L.M. (2019). The Effectiveness of Dog Population Management: A Systematic Review. Animals. 9(12): 1020. 

  20. Thomas W.B. (2000). Idiopathic epilepsy in dogs. The Veterinary clinics of North America. Small animal practice. 30(1): 183-vii. doi: 10.1016/s0195-5616(00)50009-6. 

  21. Van Meervenne, S.A., Volk, H.A., Matiasek, K., Van Ham, L.M. (2014). The influence of sex hormones on seizures in dogs and humans. Veterinary Journal. 201(1): 15-20. doi: 10.1016/j.tvjl.2014.05.008. 

  22. Whitehead, J., Quimby, J. and Bayliss, D. (2015). Seizures Associated with Hypocalcemia in a Yorkshire Terrier with Protein-Losing Enteropathy.  Journal of the American Animal Hospital Association. 51(6): 380–384. doi: 10.5326/JAAHA-MS-6205.

Editorial Board

View all (0)