Epilepsia em pequenos animais: relato de 5 casos clínicos
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2019
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O presente relatório de estágio tem como objetivo descrever as atividades realizadas durante o período de estágio curricular, no âmbito do Mestrado Integrado em Medicina Veterinária, bem como aprofundar os conhecimentos relativamente à abordagem diagnóstica e terapêutica de um paciente epiléptico.
A Epilepsia é uma das doenças neurológicas mais diagnosticada hoje em dia, e corresponde a um distúrbio do sistema nervoso central caracterizado pela persistência da actividade hiperssincrónica dos neurónios. Pode ser classificada como idiopática, secundária e reactiva, e o seu diagnóstico passa pela exclusão de várias doenças subjacentes, seja de origem vascular, inflamatória, infecciosa, traumática, tóxica, anomalias congénitas, neoplasias ou doenças degenerativas, através dos meios complementares de diagnóstico mais apropriados.
Os cinco casos clínicos foram obtidos na Clínica Veterinária onde estagiei, com idades compreendidas entre os dois anos de idade e os doze anos. Os principais meios de diagnóstico realizados foram o hemograma, perfil bioquímico, medição da tiroxina livre e total, bem como hemogasometria com ionograma. A abordagem terapêutica consistiu no fenobarbital, brometo de potássio, imepitoína e levetiracetam, em todos os casos não foi possível obter um diagnóstico final.
The purpose of this internship report is to describe the activities carried out during the internship period, within the scope of the Integrated Masters in Veterinary Medicine, as well as to deepen the knowledge regarding the diagnostic and therapeutic approach of an epileptic patient. Epilepsy is one of the most diagnosed neurological diseases nowadays, and corresponds to a central nervous system disorder characterized by the persistence of the hypersynchronous activity of neurons. It can be classified as idiopathic, secondary and reactive, and its diagnosis involves the exclusion of several underlying diseases, whether vascular, inflammatory, infectious, traumatic, toxic, congenital anomalies, neoplasms or degenerative diseases, through the most complementary diagnostic means appropriate. The five clinical cases were obtained at the Veterinary Clinic where I staged, aged between two years of age and twelve years. The main means of diagnosis were the hemogram, biochemical profile, measurement of free and total thyroxine, as well as hemogasometry with ionogram. The therapeutic approach consisted of phenobarbital, potassium bromide, imepitoin and levetiracetam, in all cases it was not possible to obtain a final diagnosis.
The purpose of this internship report is to describe the activities carried out during the internship period, within the scope of the Integrated Masters in Veterinary Medicine, as well as to deepen the knowledge regarding the diagnostic and therapeutic approach of an epileptic patient. Epilepsy is one of the most diagnosed neurological diseases nowadays, and corresponds to a central nervous system disorder characterized by the persistence of the hypersynchronous activity of neurons. It can be classified as idiopathic, secondary and reactive, and its diagnosis involves the exclusion of several underlying diseases, whether vascular, inflammatory, infectious, traumatic, toxic, congenital anomalies, neoplasms or degenerative diseases, through the most complementary diagnostic means appropriate. The five clinical cases were obtained at the Veterinary Clinic where I staged, aged between two years of age and twelve years. The main means of diagnosis were the hemogram, biochemical profile, measurement of free and total thyroxine, as well as hemogasometry with ionogram. The therapeutic approach consisted of phenobarbital, potassium bromide, imepitoin and levetiracetam, in all cases it was not possible to obtain a final diagnosis.
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Orientação: Sónia Campos
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MESTRADO INTEGRADO EM MEDICINA VETERINÁRIA, VETERINÁRIA, MEDICINA VETERINÁRIA, EPILEPSIA, CASOS CLÍNICOS, ANIMAIS DE PEQUENO PORTE, VETERINARY MEDICINE, EPILEPSY, CASE REPORTS, SMALL ANIMALS