Nelson is having seizures and other problems - please help!

brookesphynx

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This is long and complicated - thanks in advance for those that read all the way through. I'll try to include everything...

Nelson is 3.5 years old, male neutered Sphynx. I adopted him from the SPCA in August, FIV and Felv negative, utd on vaccinations. I had him scanned for HCM in November and the result was equivocal, he needs a recheck in May. He is on a raw diet, supplemented with Alnutrin and additional taurine. On no other meds. Had CBC and chem-6 in December for eye surgery and all blood work was normal. Other than possible FHV, he has been a very healthy boy. He gets 500mg of Lysine daily and no other medication.

He had a seizure on Monday. I wasn't even sure if it was a seizure - he climbed onto the ottoman in front of me, slowly rolled over on his side and glazed over for about 30 seconds and his whole body tensed up. He seemed dazed but snapped out of the trance when I offered him treats. I figured it was an isolated incident.

Skip ahead to Thursday evening, he was coughing, gagging and having difficulty breathing. I had a dog that passed away from bloat, and it was similar to that - he seemed to be trying to vomit and nothing was coming up. When he hid from me, I knew something was terribly wrong because he does not hide, ever. So, off to ER we went. The ER vet heard slight wheezing in his lungs and x-ray showed enlarged pulmonary vessels and slightly enlarged heart. Everything else looked normal, color was good, he was alert, though still not acting like himself. He stayed overnight for observation and nebulizer treatment.

When I picked him up this morning, he was back to himself again. ER vet recommended 1 week follow up with regular vet.About 2 hours later - he had another seizure. I immediately took him to my regular vet who did another x-ray. This time his lungs are clear, so the nebulizer treatment fixed that problem, but he does have the "valentine heart", a tell-tale sign of HCM, especially when combined with the breathing problems (which we originally attributed to some scented litter I just bought in a pinch).

Vet can't find a correlation between the seizure and the lung problems. (The first seizure happened before I switched litter) Doing tons of blood work, thyroid, glucose, heartworm, liver, etc.

About an hour ago, he had a 3rd seizure while he was in the middle of eating dinner. When it was over, he went straight back to his food dish. Then he had what I would describe as a "half-seizure" like just the back half of his body was seizing while he was walking around. When that was over, he climbed up on the couch and started "making biscuits".

I'm terrified! I know I need to wait for the blood results, but if anyone has any insight... I called the vet after the 3rd seizure and now he's thinking epilepsy, but that wouldn't explain the breathing problems. Could the stress of the breathing issue be setting off these episodes? He's not a stressful cat. He purrs and headbutts everyone in the vet's office. And what of the HCM? As far as I know, seizures are not related to heart problems...or can they be?
 

mews2much

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I was hoping this was not your Nelson.
Sometimes they can be related to heart problems.
I do know of HCM cats having seizures.
I hope he will be ok.

 

okie89

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I wrote this out, and hit the wrong button... so I'm writing it again.


Are you sure that they are actual seizures? Is there any paw paddling, urination, BM, or twitching? If so, how severe?

With the enlarged heart, it's possible that you may be experiencing syncopal episodes, which are caused from the heart not being able to supply enough oxygen to the brain.. the brain basically says "shut down" so it can regain composure. Alot of times they look like fainting episodes, except the pet's eyes are glazed over. If the answer to the above questions are "no", you may want to consider discussing syncopal episodes with your veterinarian. He may need to be put on vasodialtors (like Enalipril or Enacard or Vetmedin) and/or diuretics (like furosemide or lasix). Maybe an ECG?

If the answers to the above are yes, you definitely need to keep a log for every time you witness a seizure. You need to record the date, time, length of the seizure, severity, and outcome. Bring this log to your veterinarian, and it may help aid in the diagnosis if he has epilepsy. Most epilepsy is idiopathic (meaning we have no idea what causes it), but comprehensive bloodwork should be done to rule out any underlying conditions that may be causing the seizures. If he has more than 2 seizures in one day or more than 3 seizures a month, he may be put on anticonvulsants.

If he is having seizures, and they last longer than 3 minutes, I would start your way to the emergency vet. If a seizure reaching 5 minutes, it's considered status epilepticus (status), and life threatening. If it last 20 minutes or more, brain damage can likely occur. If he has a seizure, and has another seizure before he comes completely back to reality after the first, this is also considered status, to ER vet asap.

Either way, I'd ask for comprehensive bloodwork.

Hope this info helps! And I hope Nelson feels better soon! Good luck!

Okie
 

blueyedgirl5946

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I have no experience with what you are describing. I did want to say I hope you and your vet can find the problem and that your cat will be okay.
 

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I don't have any helpful insight into what might be going on, partly because I don't know enough about cat illnesses and partly because I don't understand some of your post. What are HCM and FHV?

Sending get well for Nelson.
 

kai bengals

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Originally Posted by GoldyCat

What are HCM and FHV?
HCM is hypertrophic cardiomyopathy. It a disease of the heart that is eventually fatal but can often be managed with drug therapy to prolong life.

FHV is feline herpes virus (rhinotracheitis)
 

farleyv

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I also don't have any experience (at least not yet) with this, but want you to know I am sending vibes and prayers for you and Nelson.
 
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brookesphynx

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Okie,
After hours of researching last night - I came to the same conclusion. I found some articles and video on the VIN that describe exactly what Nelson is doing and they point more to syncope than seizures. No paddling, no urinating or defecating, no twitching, and the episodes last for less than a minute each time. One of them (that I referred to in my OP as a "mini-seizure" was actually described on an article as pre-syncope, where "it's not severe enough to cause unconsciousness, but the rear limbs become wobbly" - that's exactly what happened to him!

And, you're right, it fits with the big picture - his likely HCM. This also explains the breathing problems he was having on Thursday...mild pulmonary edema? The nebulizer treatment has a diuretic effect so that would explain why it helped him.

He had an echo in November that was equivocal, and I've scheduled another one for this Friday.

Since I've already lost one cat to HCM, this isn't the happiest news, but it's better to have answers and treatment options. Yesterday the vet and I were at a complete loss.

Thanks everyone for your vibes & support. We need it!!!
 

mews2much

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Prayers for Nelson.
Darth Vader has HCM now also.
He just turned 1 in Oct and the problems started happening then.
Is Nelson related to Harold in any way?
It sounds like HCM to me.
Sorry Brooke.
I know how much you loved Harold and how much you love Nelson.

 
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brookesphynx

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Originally Posted by mews2much

Prayers for Nelson.
Darth Vader has HCM now also.
He just turned 1 in Oct and the problems started happening then.
Is Nelson related to Harold in any way?
It sounds like HCM to me.
Sorry Brooke.
I know how much you loved Harold and how much you love Nelson.

Thanks, Jacky. Nelson came from the SPCA, so I don't know his lines at all and I have no way of tracing them. It's scary that he's so young and already showing signs, and even scarier for Darth Vader at 1 year old...not promising for either of them, I'm afraid.


I can't believe I would find this out almost 1 year to the day that Harold died from HCM.


At any rate, Nelson is completely back to himself tonight, being a little bratty even. Not sure how much longer I'll be able to hold myself together, though.
 

mews2much

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I wish there was something I could do for you.
All we can do is warn others about HCM and hope they make the right choices when they get a sphynx.
I know it is so close to Harolds death.
You were just trying to save the cats from bad situations.
Monday will be 1 year since Hope from this site died.
I cried for days after she died.
She was found dead on St Pats day but they said she died March 15th.
I was trying not to cry when my friend told me Darth has 5 years at the most.
We do know his lines and this makes me very mad because his breeder tried to sell me a sphynx before Wrinkles and I backed out because she did not scan.
I will tell you who the breeder is in a pm so others do not make the mistake of getting a kitten from her.
She cares about two things winning and profit and still wants my friend to Grand him even though he is dying.
She has been reported to CFA also.
I also found out a few weeks ago she lied to me about so many other things.
Here is most post from when that happened.
http://www.thecatsite.com/forums/sho...t=disappointed
 
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brookesphynx

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Originally Posted by mews2much

I wish there was something I could do for you.
All we can do is warn others about HCM and hope they make the right choices when they get a sphynx.
I know it is so close to Harolds death.
You were just trying to save the cats from bad situations.
Monday will be 1 year since Hope from this site died.
I cried for days after she died.
She was found dead on St Pats day but they said she died March 15th.
I was trying not to cry when my friend told me Darth has 5 years at the most.
We do know his lines and this makes me very mad because his breeder tried to sell me a sphynx before Wrinkles and I backed out because she did not scan.
I will tell you who the breeder is in a pm so others do not make the mistake of getting a kitten from her.
She cares about two things winning and profit and still wants my friend to Grand him even though he is dying.
She has been reported to CFA also.
I also found out a few weeks ago she lied to me about so many other things.
Here is most post from when that happened.
http://www.thecatsite.com/forums/sho...t=disappointed
I knew I was taking a big risk adopting rescue sphynx. Most sphynx in rescue come from BYB's, and I know for a fact Nelson was from a backyard breeder...that's why I had all 4 of them scanned last year and why you hear me telling people all the time to scan their cats - especially if they don't know their pedigrees. Honestly, I thought I'd hit the lottery when they all scanned clear. I just can't believe it progressed so quickly - from November, 4 months later, HCM positive.

I'm also sad for all of the kittens that Nelson sired before his breeder gave him up to the SPCA. I think about how many of them will have HCM and how many of them are breeding now and passing it to their kittens...and how many people out there are loving these cats and are going to be faced with this heartache. It's just too much to even think about.

My vet thinks Nelson may only have a year or two.
 

okie89

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Originally Posted by BrookeSphynx

Okie,
After hours of researching last night - I came to the same conclusion. I found some articles and video on the VIN that describe exactly what Nelson is doing and they point more to syncope than seizures. No paddling, no urinating or defecating, no twitching, and the episodes last for less than a minute each time. One of them (that I referred to in my OP as a "mini-seizure" was actually described on an article as pre-syncope, where "it's not severe enough to cause unconsciousness, but the rear limbs become wobbly" - that's exactly what happened to him!

And, you're right, it fits with the big picture - his likely HCM. This also explains the breathing problems he was having on Thursday...mild pulmonary edema? The nebulizer treatment has a diuretic effect so that would explain why it helped him.

He had an echo in November that was equivocal, and I've scheduled another one for this Friday.

Since I've already lost one cat to HCM, this isn't the happiest news, but it's better to have answers and treatment options. Yesterday the vet and I were at a complete loss.

Thanks everyone for your vibes & support. We need it!!!
Yup, sounds more like syncopal episodes. Hopefully, catching it early can help, though! Talk to your vet about it... vet's need suggestions sometimes, too!


Good luck with your baby! You will both be in my prayers!


Okie
 
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brookesphynx

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Originally Posted by Okie89

Yup, sounds more like syncopal episodes. Hopefully, catching it early can help, though! Talk to your vet about it... vet's need suggestions sometimes, too!


Good luck with your baby! You will both be in my prayers!


Okie
Talked to the vet today and he's in agreement. We're waiting for the results of his BNP (should be in on Monday) and his echo on Friday to get the full picture but everything else is pointing to HCM.

Not the diagnosis I was hoping for, but at least it's a diagnosis and something to work with. And yes, caught early! Trying my best to stay positive. Thanks again!!
 
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brookesphynx

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For those that are following this thread, I got the results of Nelson's ProBNP blood test back, and - not surprisingly - it was high, "cardiomyopathy very likely".

All things point to HCM.


I'll have his echo on Friday to compare to the echo he had back in November so I'll have a really good idea of how fast this disease is progressing and then we'll know how/if we need to start medicating him for it. So far he hasn't had any more syncopal episodes (that I know of).

I'm back at work today and can't stop worrying about him...Sunday is the one year anniversary of the day my first Sphynx passed from HCM, so this is all hitting me especially hard.
 

mews2much

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Sorry about that Brooke.
There have been so many HCM pos sphynx in the last month.
I talked to the lady from the abut scanning the sphynx that come in at the last cat show.

 

otto

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NO words of advice, just sympathy and the conviction that Nelson couldn't be in better hands.

I feel your dismay that he has passed this on, and it will continue to be passed on, but won't try to turn Nelson's thread into a thread against the evils of BYB.


I know you will give him the best care possible and love him to pieces for however long he has, and let him go when he's ready. Is this a common disorder for this breed?
 
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