Bella, 8 years old FN JRT

Bella presents to your practice for clinical assessment following a suspected seizure.

Bella’s clinical details are as follows:

Onset of paroxysmal episodes characterised by falling on all four limbs, generally during exercise

Episode frequency at initial presentation was reported by the owner as high as one episode a month

The episodes became more frequent over time.

The episodes were characterised by:

• body muscle twitching lasting from seconds to minutes

• consciousness was preserved although Bella appeared confused

• very rarely urination and salivation were observed