Status Epilepticus After Electrocution Injury in a Dog.

EEG monitoring and mechanical ventilation effectively managed refractory post-electrocution status epilepticus in a dog.

This case report describes a 1.5-year-old male Kangal Shepherd Dog mix presenting with status epilepticus secondary to prolonged electrocution injury from an agricultural electric fence. The dog was entrapped for 1-2 hours and presented with recumbency, inability to ambulate, severe hypersalivation, panting, and tachycardia, but no visible electrical burns. Initial physical, neurologic, ECG, and radiographic examinations were unremarkable. Generalized tonic-clonic seizures developed during stabilization, proving refractory to initial antiseizure therapy. Treatment escalation necessitated mechanical ventilation for 30 hours due to respiratory depression from intensive antiseizure medications. Twenty-four-hour EEG monitoring revealed normal background activity and guided management decisions. The dog successfully weaned from mechanical ventilation and discharged after seven days on phenobarbital with complete neurologic recovery. Seizure recurrence occurred four weeks after medication discontinuation, requiring reinitiation of therapy. This case represents the first documented successful management of canine post-electrocution status epilepticus utilizing mechanical ventilation and EEG monitoring.

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