ST. PAUL, Minn Reports of dogs that can predict their owners' epilepsy seizures have been anecdotal and not objectively confirmed by doctors and researchers. Some people obtain service dogs trained specifically for people with seizures. In two new studies published in the January 23, 2007, issue of Neurology, the scientific journal of the American Academy of Neurology, researchers found that in some cases these dogs are responding to seizures caused not by epilepsy, but by psychological conditions.
"People with psychogenic seizures need psychiatric evaluation and appropriate treatment, not a specially trained dog for epileptic seizures," said study author Gregory L. Krauss, MD, of Johns Hopkins University School of Medicine in Baltimore, Maryland, and a member of the American Academy of Neurology.
"This is important because the treatment is very different for a person with epilepsy and one with psychological seizures, which stem from emotional difficulties," said Krauss. "Epilepsy drugs are not effective for psychological seizures, and they often have side effects. And with proper treatment and counseling, psychological seizures can often be eliminated."
For the studies, researchers monitored seven people with seizure response dogs. Most were monitored with video electroencephalogram (EEG) tests to track seizures and electrical activity in the brain. Epileptic seizures are caused by abnormal electrical activity in the brain. For four of the people, unlike people with epilepsy, there was no abnormal electrical activity during seizures, and they were diagnosed with psychological seizures. Another person did not have the EEG test, but was also diagnosed with psychological seizures.
Krauss said it's possible that people with psychological seizures may seek out service animals for support. He noted that some people with epileptic seizures may benefit from seizure response dogs.