Text book of veterinary medicine, Volume 3 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 3 (of 5)
Law, James
Veterinary medicine
_Treatment of Central Epilepsy._ Bearing in mind that peripheral
irritation is a frequent exciting cause of a seizure, too much care
cannot be given to the conservation of the general health and especially
to make the diet wholesome in quantity, quality and time of feeding and
watering, and to guard against constipation and indigestion. In dogs a
too stimulating meat diet is to be avoided.
The medicinal agents employed have been mainly such as are sedative, or
tonic to the nervous system. Valerian was long extolled as a valuable
remedy (Gohier, Delafond, Delwart), and this has been improved upon more
lately by substituting valerianate of zinc. Belladonna and its alkaloid
atropia have been strongly advocated (Tisserant, Bernard, Williams,
Friedberger) and it has the recommendation that it causes vaso-motor
contraction and tends to lessen cerebral congestion. Hyoscine or
duboisine may be used as a substitute. Cyanide of iron has been lauded
by Jourdier and Tabourin, as far superior to valerian. Of late years the
nerve tonics, zinc compounds (oxide, sulphate, chloride) and silver
salts (nitrate) and arsenic have been used, often with excellent
results. Borax strongly recommended for man (1 to 1¾ drachm daily) by
Pastena is worthy of a trial for dogs. It is given largely diluted in
syrup to avoid gastric irritation.
Of all agents employed up to the present the bromides still claim a
foremost place. They should be given in a large dose, on an empty
stomach and at such a time as to occupy the system at the hour when the
seizure is expected to recur. Thus for morning attacks the dose may be
given at night, while for night attacks it may be given in the
afternoon. Müller uses sodium bromide in the dog as least liable to
disturb the stomach, while Peterson, for man, advises the potassium salt
for the same reason. For man, McLane Hamilton advocates a combination of
the sodium and ammonium salts, Eulenberg adds the potassium compound,
while Berkley uses strontium bromide, and Bourneville camphor
monobromide.
Given at night in full dose (30 grs. for dog) the bromides tend to
secure a quiet sleep, with brain rest and recuperation. If beneficial
they should be repeated daily until a cure or other sign of bromism
appears. This may be somewhat checked by arsenic or chloral hydrate.
Wesley Mills finds potassium iodide useful in some dogs when bromides
fail. Bromohydrate is advocated by Müller. Flechsig and others have had
excellent results in man from the opium bromide treatment. Full doses of
opium are given three times a day for six weeks, when they are replaced
by full doses of bromides four times a day.
Improvement should be shown in the shortening of the convulsions and the
lengthening of the intervals between them. Should the bromides fail in
this, resort may be had to other treatment.
Public-domain text, read in full here on John Shaqi.
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