Dr Jeff and Dr Christina and anyone who may be able to help me find the right rubric for Teddy’s behavior that occurs 5 nights out of the 7, and starts like clockwork anywhere from 3:30 to 4 am and lasts for about 2 hrs. Other than this time period Teddy’s mood is 95%.His BEA is 100%. Briefly, Teddy on 4/15 had cluster forbrain seizures that landed him in the hospital, blinding him for 2 days. Since then no breakthrough despite the tampering of Phenobarbital.
He and his brother always played about 1 or 2 am, and I closed my door, but after the seizure and slowly tapering him down because he was very sleeping on 22 mg a day, he is now at 3 mg in am and 4 mg at 9 pm. He is also on CBD, by rx vitamins 4 mg in am and 4 mg at 6pm. I tried to change the time of cbd dosing from 11 pm to 6pm but he still gets up, like clock work. As you know he is on phosphorus a quip daily of diluted solution, Ubiquinol 10 mg a day, cucurmin and feline cardiac support, half tab full tab constipates him.
SYMPTOM. Since May, which is when I did lower the dose to what it is today of phenobarbital, Teddy wakes up like clockwork every morning between 3:30 and 4 am. This episode of energy lasts almost 2 hrs, then he goes back to sleep.
It’s like something startles him and he becomes highly energetic. He starts this high soft voice cat call calling out to his brother like he wants to play. Then when he does wake Timmy up, he lays down like the victim, and when Timmy wrestles him, that is when he gets aggressive with him. They don’t hurt each other yet, but I do hear some yelps. If I get up to massage him, his muscles are relaxed, but he will only let me deep massage for about 4 minutes then jumps off like something is calling him, and has small bursts of energy runs, then stops suddenly, , like when he was a kitten, then claws at cat tree like he has a lot of energy built up inside him? He is slightly highly excitable, but so is his brother after he is roused up. His pupils are dilated with very little green left. Sometimes he does not want to be held but chooses to meow and pace back and forth but again, if I get up he will interact with me and when I call him he comes, so he knows what going on.
I cannot find the right rubric for this behavior and would love some input so when I talk with Dr Judy I can describe it better. He did have an echocardiogram on 8/1. The results are:
Echo results. Fair to good prognosis.
The patient has mild changes to the heart which may indicate early hypertrophic cardiomyopathy. Juvenile HCM is rare (and typically occurs in very young kittens), but possible. An infectious or inflammatory cause of disease cannot be ruled out. Systemic hypertension seems unlikely, as the patient had normal blood pressure at VSES and on recheck at VMC today.
It is recommended that further testing for infectious disease (specifically Bartonella) be considered if this fits in with the rest of the clinical profile. Otherwise, continue to monitor the patient and recheck an echocardiogram in 12 months if there are no other concerns. If the disease state is the same or worsened at that time, then idiopathic HCM is the most likely cause of the thickened left ventricle.
Last question for Dr Jeff and Dr Christina, when Teddy was a kitten he did come from a flea infested home, did have trace for round worms, of course treated and now negative, but could this Bartonella bacteria be the cause of his seizure to begin with, although when hospitalized blood work did not match the infection type? I wonder also if there is a genetic disposition in cats that renders them susceptible to this disease. Lastly would adding Di Tan Tang, like neurologist suggested in April help this behavior.
Thank you, I know this is a lot but I am beginning to be sleep deprived and can not find an answer to this behavior. Could the massive seizure done some damage and this is permanent?
He and his brother always played about 1 or 2 am, and I closed my door, but after the seizure and slowly tapering him down because he was very sleeping on 22 mg a day, he is now at 3 mg in am and 4 mg at 9 pm. He is also on CBD, by rx vitamins 4 mg in am and 4 mg at 6pm. I tried to change the time of cbd dosing from 11 pm to 6pm but he still gets up, like clock work. As you know he is on phosphorus a quip daily of diluted solution, Ubiquinol 10 mg a day, cucurmin and feline cardiac support, half tab full tab constipates him.
SYMPTOM. Since May, which is when I did lower the dose to what it is today of phenobarbital, Teddy wakes up like clockwork every morning between 3:30 and 4 am. This episode of energy lasts almost 2 hrs, then he goes back to sleep.
It’s like something startles him and he becomes highly energetic. He starts this high soft voice cat call calling out to his brother like he wants to play. Then when he does wake Timmy up, he lays down like the victim, and when Timmy wrestles him, that is when he gets aggressive with him. They don’t hurt each other yet, but I do hear some yelps. If I get up to massage him, his muscles are relaxed, but he will only let me deep massage for about 4 minutes then jumps off like something is calling him, and has small bursts of energy runs, then stops suddenly, , like when he was a kitten, then claws at cat tree like he has a lot of energy built up inside him? He is slightly highly excitable, but so is his brother after he is roused up. His pupils are dilated with very little green left. Sometimes he does not want to be held but chooses to meow and pace back and forth but again, if I get up he will interact with me and when I call him he comes, so he knows what going on.
I cannot find the right rubric for this behavior and would love some input so when I talk with Dr Judy I can describe it better. He did have an echocardiogram on 8/1. The results are:
Echo results. Fair to good prognosis.
The patient has mild changes to the heart which may indicate early hypertrophic cardiomyopathy. Juvenile HCM is rare (and typically occurs in very young kittens), but possible. An infectious or inflammatory cause of disease cannot be ruled out. Systemic hypertension seems unlikely, as the patient had normal blood pressure at VSES and on recheck at VMC today.
It is recommended that further testing for infectious disease (specifically Bartonella) be considered if this fits in with the rest of the clinical profile. Otherwise, continue to monitor the patient and recheck an echocardiogram in 12 months if there are no other concerns. If the disease state is the same or worsened at that time, then idiopathic HCM is the most likely cause of the thickened left ventricle.
Last question for Dr Jeff and Dr Christina, when Teddy was a kitten he did come from a flea infested home, did have trace for round worms, of course treated and now negative, but could this Bartonella bacteria be the cause of his seizure to begin with, although when hospitalized blood work did not match the infection type? I wonder also if there is a genetic disposition in cats that renders them susceptible to this disease. Lastly would adding Di Tan Tang, like neurologist suggested in April help this behavior.
Thank you, I know this is a lot but I am beginning to be sleep deprived and can not find an answer to this behavior. Could the massive seizure done some damage and this is permanent?
