Charlie is a 3-year-old Maltese mix. He presented to his primary care veterinarian for seizures. Blood work was performed and phenobarbital was prescribed. He did well for a month. He was normal and did not have any seizures. About five weeks after his first seizure, he started to show behavioral signs. He was lethargic, did not want to play, and seemed “lost” at times. He had four seizures in one day and was seen at the local emergency center. They examined him and sent him to Southeast Veterinary Neurology (SEVN).
On examination at SEVN, he was dull. Charlie did not respond to people or to normal stimuli. He did not respond to visual stimuli from his right eye but did respond in the left eye. He did not respond to touching the right side of the face (in both the right nostril and on the side of the face near the eyelids).
He tended to turn his head toward the left, and when testing his knowledge of where his feet are (called “postural reactions” or “CP’s”), he does not respond on the right side of his body.
