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Neurology Specialists Mark Lowrie and Laurent Garosi from Davies Veterinary Specialists and Robert Harvey from the UCL School of Pharmacy have discovered a new syndrome which causes noise-triggered seizures in old cats, dubbed FARS (feline audiogenic reflex seizures).
The discovery came about after the charity International Cat Care contacted Davies Veterinary Specialists for help with several enquiries it had received regarding cats having seizures, seemingly in response to certain high-pitched sounds. The problem was not documented and little, if anything, was known about it.
Mark, Laurent and Robert decided to investigate, and compiled a questionnaire for owners to complete. The research generated worldwide media interest (dubbed 'Tom and Jerry syndrome' after the cartoon character Tom who has a strong startle reflex and often reacts with involuntary jerks to sound stimuli), and they received hundreds of replies from across the globe from people who had noticed the same problem in their cats in response to certain types of sound. These owners had also found that their local vets had no information at all about it, and often did not believe that a sound had triggered the seizure.
The research has resulted in a paper, Audiogenic reflex seizures in cats, which is published in the Journal of Feline Medicine and Surgery.
The paper pulls together information from 96 of reported cases, looking at the type and duration of seizure and the triggering sound. The authors say it reveals that some cats do indeed suffer from audiogenic reflex seizures - those which are consistently caused by sounds (this is also recognised in people). Certain sounds induced 'absences' (non-convulsive seizures), myoclonic seizures (brief, shock-like jerks of a muscle or a group of muscles), or generalised tonic-clonic seizures. This last category is what most people think of as a 'seizure', with the cat losing consciousness and its body stiffening and jerking, often for several minutes. The new syndrome has been termed feline audiogenic reflex seizures (FARS).The investigation found that FARS occurred in pedigree and non-pedigree cats, but that among the pedigrees, the Birman breed was over-represented. This is also a problem of older cats - the average age of seizure onset was 15 years, with cats ranging in age from 10 to 19 years.
The most commonly reported triggers for FARS were:
Other, less common triggers were the sound of breaking the tin foil from packaging, mobile phone texting and ringing, digital alarms, Velcro, stove igniting ticks, running water, a dog jangling its collar as it scratched, computer printer, firewood splitting, wooden blocks being knocked together, walking across a wooden floor with bare feet or squeaky shoes and, in one case, the short, sharp scream of a young child.
Avoiding the sounds could reduce the seizures, although owners reported that it was sometimes difficult to avoid certain sounds, and the loudness of the sound also seemed to increase the severity of seizures.
The geriatric nature of this condition is such that it may be overlooked in older cats, which may potentially suffer from other concurrent conditions. The hope is that publication of the paper will raise awareness among vets in practice about this syndrome. Meanwhile, work is ongoing to identify the genetic basis of this disorder and the team is now also working on a paper about treatment of these cases.
Lead author, Mark Lowrie, said: 'We have been overwhelmed by the response to our work. A second study is soon to be published suggesting that levetiracetam is an excellent choice of medication in managing this condition. Our experience is that it can completely rid a cat of these sound-induced seizures, including the myoclonic twitches - one owner reported that levetiracetam had 'truly been a miracle drug for my cat''.
Claire Bessant, Chief Executive of International Cat Care, summed up: 'How wonderful to be able to go back to those worried owners who came to us for help with a problem previously unrecognised by the veterinary profession with not only an explanation for their cats' behaviours, but a way to help them as well.'
The study can be read for free here: http://jfm.sagepub.com/content/early/2015/04/27/1098612X15582080.full.pdf+html Reference
Lowrie M, Bessant C, Harvey RJ, Sparkes A and Garosi L. Audiogenic reflex seizures in cats. J Feline Med Surg. Epub ahead of print 27 April 2015. DOI: 10.1177/1098612X15582080.
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