期刊论文详细信息
Irish Veterinary Journal
Transient neuromyopathy after bromide intoxication in a dog with idiopathic epilepsy
Henning Christian Schenk1  Thomas Bilzer2  Andrea Tipold1  Sonja Steinmetz1 
[1] Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Bünteweg 9, Hannover, 30559, Germany;Institute of Neuropathology, University of Düsseldorf, Moorenstrasse 5, Duesseldorf, 40225, Germany
关键词: Potassium bromide;    Myopathy;    Lower motor neuron signs;    Intoxication;    Epilepsy;   
Others  :  810871
DOI  :  10.1186/2046-0481-65-19
 received in 2011-11-30, accepted in 2012-11-19,  发布年份 2012
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【 摘 要 】

A seven-year old Australian Shepherd, suffering from idiopathic epilepsy under treatment with phenobarbitone and potassium bromide, was presented with generalised lower motor neuron signs. Electrophysiology and muscle-nerve biopsies revealed a neuromyopathy.

The serum bromide concentration was increased more than two-fold above the upper reference value.

Clinical signs disappeared after applying diuretics and reducing the potassium bromide dose rate. This is the first case report describing electrophysiological and histopathological findings associated with bromide induced lower motor neuron dysfunction in a dog.

【 授权许可】

   
2012 Steinmetz et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Berendt M: Epilepsy. In Braund, K. G.: Clinical Neurology in Small Animals: Localization, Diagnosis and Treatment. Edited by Vite CH. Ithaca, New York: International Veterinary Information Service; 2004. http://www.ivis.org webcite
  • [2]Sisson A: Current experiences with anticonvulsants in dogs and cats. In proceedings of the annual meeting of the American college of veterinary internal medicine. 1997, 596-598.
  • [3]Trepanier LA: Use of bromide as an anticonvulsant for dogs with epilepsy. J Am Vet Med Assoc 1995, 207:163-166.
  • [4]Podell M: Antiepileptic drug therapy. Clin Tech in Small Anim Pract 1998, 13:185-192.
  • [5]Frey HH, Löscher W: Antiepileptika. In Lehrbuch der Pharmakologie und Toxikologie für die Veterinärmedizin. 2nd edition. Edited by Frey HH, Löscher W. Hannover: Enke Verlag; 2002:132-135.
  • [6]Dewey CW: Anticounvulsant therapy in dogs and cats. Vet Clin N Am Small Anim Pract 2006, 36(5):1107-1127. Philadelphia
  • [7]Podell M, Fenner WR: Bromide therapy in refractory canine idiopathic epilepsy. J of the Vet Intern Med 1993, 7:318-327.
  • [8]Trepanier LA, Babish JG: Pharmacokinetic properties of bromide in dogs after single dose intravenous and oral administration. Res Vet Sci 1995, 58(3):248-251.
  • [9]Diener W, Sorni M, Ruile S, Rude P, Kruse R, Becker E, Bork K, Berg PA: Panniculitis due to potassium bromide. Brain Dev 1998, 20:83-87.
  • [10]James LP, Farrar HC, Griebel ML, Bates SR: Bromism: intoxication from a rare anticonvulsant therapy. Pediatr Emerg Care 1997, 13:268-270.
  • [11]Lugassy D, Nelson L: Case files of the medical toxicology fellowship at the New York City poison control: bromism: forgotten, but not gone. J Med Toxicol 2009, 5:151-157.
  • [12]Moles KW, Henry M: Three cases of bromide poisoning. Ulst Med J 1981, 50:126-128.
  • [13]Nuki G, Richardson P, Goggin MJ, Bayliss RI: Four cases of bromism. Br Med J 1966, 2:390-391.
  • [14]Steinhoff BJ, Paulus W: Chronic bromide intoxication caused by bromide-containing combination drugs. Deutsche Medizinische Wochenschrift 1992, 117:1061-1064.
  • [15]Gaskill CL, Cribb AE: Pancreatitis associated with potassium bromide/phenobarbital combination therapy in epileptic dogs. Can Vet J 2000, 41:555-558.
  • [16]March PA, Podell M, Sams RA: Pharmacokinetics and toxicity of bromide following high-dose oral potassium bromide administration in healthy beagles. J Vet Pharmacol Ther 2002, 25:425-432.
  • [17]Braund KG: Neurological Syndromes. In Clinical Neurology in Small Animals: Localization, Diagnosis and Treatment. Edited by Vite CH. Ithaca, New York: International Veterinary Information Service; 2003. http://www.ivis.org webcite
  • [18]Thieman KL, Krahwinkel DJ, Sims MH, Shelton DG: Histopathological confirmation of polyneuropathy in 11 dogs with laryngeal paralysis. J Am Anim Hosp Assoc 2010, 46:161-167.
  • [19]Schenk HC: Electrophysiological studies of the motor unit in the bovine and canine species. Dissertation. Department of small animal medicine and surgery. Hannover: Tierärztliche Hochschule; 2007.
  • [20]Wagner H: Untersuchungen zur paraneoplastischen polyneuropathie des hundes. Dissertation. Department of small animal medicine and surgery. Hannover: Tierärztliche Hochschule; 2002.
  • [21]Walker TL, Redding RW, Braund KG: Motor nerve conduction velocity and latency in the dog. Am J Vet Res 1979, 40(10):1433-1439.
  • [22]Long SN, Anderson TJ: Diagnostic procedures, tissue biopsy. In BSAVA manual of canine and feline neurology. 3rd edition. Edited by Platt SR, Olby N. Quesgeley: British Small Animal Veterinary Association; 2004:84-96.
  • [23]Arezzo JC, Litwak MS, Zotova EG: Correlation and dissociation of electrophysiology and histopathology in the assessment of toxic neuropathy. J Toxicol Pathol 2011, 39:46-51.
  • [24]Steiss JE: Electrodiagnostic evaluation. In Clinical neurology in small animals: localization, diagnosis and treatment. Edited by Braund KG. Ithaca, New York: International Veterinary Information Service; 2003. http://www.ivis.org webcite
  • [25]Haley AC, Platt SR, Kent M, Schatzberg SJ, Durham R, Cochrane S, Westworth D, Shelton GD: Breed specific polymyositis in Hungarian Viszla dogs. J Vet Intern Med 2011, 25(2):393-397.
  • [26]Cuddon PA: Electrophysiology in neuromuscular diseases. Vet Clin N Am Small Anim Pract 2002, 32(1):31-62.
  • [27]Ben Slamia L, Harzallah S, Lamouchi T, Sakli G, Dogui M, Ben Amou S: Peripheral neuropathy induced by acute methyl bromide skin exposure: a case report. Revue neurologique Société de neurologie de Paris 2006, 162:1257-1259.
  • [28]De Haro L, Gastaut JL, Jouglard J, Renacco E: Central and peripheral neurotoxic effects of chronic methyl bromide intoxication. J Toxicol Clin Toxicol 1997, 35:29-34.
  • [29]Braund KG: Neurotoxic disorders. In Clinical neurology in small animals: localization, diagnosis and treatment. Edited by Vite CH. Ithaca, New York: International Veterinary Information Service; 2003. http://www.ivis.org webcite
  • [30]Plumb DC: Bromides. In Plumb's veterinary drug handbook. Blackwell Publishing; 2008:136-138.
  • [31]Rossmeisl JH, Inzana KD: Clinical signs, risk factors, and outcomes associated with bromide toxicosis (bromism) in dogs with idiopathic epilepsy. J Am Vet Med Assoc 2009, 234:1425-1431.
  • [32]Schwartz-Porsche D, Jürgens U: Effectiveness of bromide in therapy resistant epilepsy of dogs. Tierärztliche Praxis 1991, 19:395-401.
  • [33]Rosenblum I: Bromide intoxication. I. Production of experimental intoxication in dogs. J Pharmacol Exp Ther 1958, 122:379-385.
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