Emergency Guide: Cat Seizure Lasting Over 2 Minutes

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TL;DR: Feline seizures are urgent medical events, especially if they last more than two minutes, which requires immediate emergency veterinary intervention. Recording a video of the episode can help your veterinarian quickly differentiate seizures from other conditions for a more accurate diagnosis.

What exactly is a feline seizure and what symptoms will my cat show?

  • A sudden, uncontrolled electrical disturbance in the brain.
  • Collapsing or stiffening of the body.
  • Paddling of the legs.
  • Loss of bladder or bowel control.
  • A distressing experience that requires calm observation to help your pet.

Is my cat’s seizure considered a medical emergency?

Urgency Level: High.

  • Any seizure lasting longer than two minutes is a critical medical emergency (status epilepticus).
  • Prolonged seizures prevent the brain from cooling, leading to potential organ damage or hyperthermia.
  • If a seizure persists for this duration, stop reading and contact an emergency veterinarian immediately.

How does capturing a video of my cat's seizure help with veterinary triage?

  • Priority one is keeping your cat safe from falls or sharp objects.
  • If a second person is available, recording a short video provides vital diagnostic evidence.
  • Videos help vets distinguish true seizures from fainting, heart issues, or vestibular disease.
  • Visual records allow for a faster, more accurate diagnosis once you arrive at the clinic.

Clinical Context (Merck Veterinary Manual)

For persistent status epilepticus in cats, diazepam can be administered at 0.5-1 mg/kg/hr as a constant-rate infusion. Alternatively, if the cat has a preexisting hepatic condition that precludes the use of phenobarbital, levetiracetam may be given at 40-60 mg/kg IV, SC, or rectally, resulting in a therapeutic blood level that will persist for 9 hours. Sodium pentobarbital can also be used in cats at 2-15 mg/kg, IV, to effect to stop motor activity. Propofol can be administered at 2.5-4 mg/kg, IV, to effect to stop motor activity, or via constant rate infusion at 0.1-0.3 mg/kg/min to effect.

Chapter: Neurology, Emergency, Pharmacology

Source: The Merck Veterinary Manual, 11th Edition (Page 1220)

Protocol reviewed by Dr. David Smith, BVSc

Frequently Asked Questions

Should I try to restrain my cat during a seizure?
No. Do not try to restrain your cat or put your hands near their mouth, as they may accidentally bite or scratch you. Instead, clear the area of furniture or sharp objects to prevent injury.
What happens after the seizure ends?
Your cat will likely enter a 'post-ictal' phase where they appear disoriented, blind, or wobbly. Keep them in a dark, quiet room and continue to seek veterinary advice even if they seem to be recovering.
Can a cat recover from a long seizure?
With immediate veterinary intervention to stop the seizure activity and manage brain swelling, many cats can recover, though the underlying cause will need to be identified and managed.

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