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Cat Seizures: Causes and Treatment

Domestic cat lying on bed
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Cat seizures occur as a result of abnormal electrical discharges in the brain and manifest in various ways, some more severe than others. Seizures are distressing for both cats and their owners, and they can get progressively worse if not treated. They can occur as a result of different brain dysfunctions, so it's important to seek veterinary help. Learn about the causes of cat seizures, how to treat them, and what to expect at the vet.

What Is a Seizure?

Cat seizures are electrical disturbances in the brain that come on suddenly and cause involuntary behaviors. Generally speaking, seizures occur when something disrupts the brain's connection with the nerves in a cat's body. Some seizures involve violent movement in one or more areas of the body while others are much more subtle and resemble a trance-like state in which the cat is unresponsive. Epilepsy is the term used to describe recurrent seizures in cats due to a chronic stimulus.

What Causes Cat Seizures?

There are several causes of seizures in cats, and sometimes the cause is unknown. Idiopathic seizures are those in which the underlying cause is undetermined. Secondary epileptic seizures occur due to a structural lesion in the brain. Reactive epileptic seizures happen when the brain reacts to systemic injury or physiological stresses.

Conditions that may cause cat seizures include:

Signs and Symptoms of Cat Seizures

Seizures have a range of symptoms, some of which are more readily noticeable than others. Cat seizures can be divided into two categories of symptomatic behavior: focal and generalized.

Focal Seizures

During a focal seizure, a cat may cry loudly as though it is in pain, behave aggressively, even if it is not normally an aggressive cat, salivate or drool excessively, and exhibit other atypical behavior like obsessive tail chasing. Sometimes a cat will lose function of a leg, will appear to be chewing and staring off, or be unable to get up. You might also see specific areas of your cat's body (eyelids, mouth, ears) flutter. Despite a potentially dazed appearance, cats remain conscious during focal seizures. It's important to note that focal seizures can turn into generalized seizures.

Generalized Seizures

A generalized (or grand-mal) seizure causes a cat to lose consciousness. The cat may fall over and start shaking uncontrollably. The legs may move in a paddling fashion, as though your cat is trying to swim, or they may become rigid and straight. Your cat's mouth may also open and close involuntarily. Its head may arch backward, and it may even urinate or defecate during a seizure. The severity and length of a generalized seizure can vary greatly.

While a few of these symptoms can indicate conditions other than seizures, their repeated occurrence should prompt a visit to the veterinarian for further investigation.

  • Drooling
  • Twitching (limbs, eyes, or whiskers)
  • Tail chasing or other obsessive behavior
  • Shaking (tremors)
  • Rigidity
  • Loud vocalizations
  • Unprompted aggression
  • Loss of consciousness
  • Thrashing or paddling of limbs
  • Abnormal mentation
seizure symptoms in cats illustration

The Spruce / Michaela Buttignol

What To Do If Your Cat Has a Seizure

If you suspect your cat is having a seizure, you can take steps to prevent injury.

  • Avoid moving your cat if possible unless they're in an unsafe place.
  • If you need to move your cat, use a towel to pick up the cat to avoid being scratched or bitten.
  • Keep other animals in the household away from your cat during a seizure
  • Make a note of the approximate length of the seizure
  • Keep your cat safely confined after a seizure if they seem disoriented and clumsy.
  • Contact a veterinarian for advice

Warning

A prolonged seizure (over five minutes) or a series of seizures that occur in rapid succession is called status epilepticus, a medical emergency. Bring your cat to the nearest open veterinary facility immediately. These types of seizures can lead to brain damage, overheating, and death.

What to Expect at the Vet

To assist your veterinarian with determining the cause of your cat's seizures, be ready to provide:

  • Age of onset of seizures
  • Frequency and length of seizures
  • Seizure behavior
  • Any events or encounters before seizure activity (i.e. eating a certain food, excessive excitement or stress, exposure to toxins, or new medications)
  • History of head trauma

Your veterinarian will perform a thorough physical exam and diagnostic blood work to rule out easily found causes of seizures. More advanced diagnostics like an MRI or cerebral spinal fluid sampling and evaluation may be necessary if the cause is not readily apparent.

How to Treat Cat Seizures

The success of seizure treatment is usually dependent on the cause of the seizure. If the cause is unknown or due to past head trauma, a cat may be treated with anticonvulsant medications to manage the frequency and severity of the seizures. Phenobarbital is a common anticonvulsant used in cats. Seizures that repeat at frequent intervals are usually treated with one or more anticonvulsant medications, usually for life.

If the seizures are caused by toxicity, that toxin will need to be removed from the body. This may involve bathing the cat if a topical pyrethrin-based flea medication has been applied. Your vet may induce vomiting if the cat has ingested a toxin or administer medications to counteract the effects of the toxin. Acute seizures due to toxic exposure will likely not require lifelong medication.

Seizures caused by brain tumors may be treated with surgery to remove the tumor. If surgery is not a viable option, then anticonvulsants may be employed to help suppress seizures and maintain your cat's quality of life as long as possible.

Prognosis for Cats with Seizures

The prognosis for a cat with seizures varies widely based on the cause and severity of the condition. If there is no acutely life-threatening condition present (like a brain tumor), then anti-convulsant medications may be effective at managing the cat's seizures. Time and patience may be required to determine the appropriate dose for your cat, and these drugs often have side effects that must be monitored regularly monitored to also maintain your cat's overall health. Seizures induced by toxic exposure carry a guarded prognosis based on your cat's resilience to the poison and the efficacy of the supportive treatment your vet provides.

How to Prevent Cat Seizures

Many seizures can not be prevented because they are caused by unknown neurological disturbances or brain tumors. However, you can prevent seizures due to toxic exposure by making sure your cat is not exposed to dangerous chemicals like pyrethrins, especially those in pesticides designed for dogs. Keep your cat indoors to help prevent toxicity, contagious diseases, and head injuries due to trauma (like car collisions). Finally, visit the vet at least once a year for a wellness exam—your vet may discover a health concern before seizures even occur.

If you suspect your pet is sick, call your vet immediately. For health-related questions, always consult your veterinarian, as they have examined your pet, know the pet's health history, and can make the best recommendations for your pet.
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  2. Moore SA. Seizures and epilepsy in cats. Vet Med (Auckl). 2014;5:41-47. Published 2014 Jul 30. doi:10.2147/VMRR.S62077

  3. Work-Up, Therapy And Complications Of Seizures In CatsVIN, 2020