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Correspondence to:
BRIEF COMMUNICATIONS:
Adam Kirton, Elaine Wirrell, James Zhang, and Lorie Hamiwka
Seizure-alerting and -response behaviors in dogs living with epileptic children
Neurology 2004; 62: 2303-2305
[Abstract][Full text][PDF]
There may be considerable reporting bias in
the study on possible seizure-alerting behavior of dogs. [1] This is vindicated by the statment that there were "no false positive
behaviors reported", which statistically would be highly unusual.
It is possible that some
dogs may have directly induced the seizures. There is a long list of
physiological stimuli which can induce fits and some of the behaviors
described in the dogs could be responsible. Certainly a toddler being
"forcibly" sat on by a dog might be subject to a variety of somatosensory
and proprioceptive stimuli, including developing
hyperventilation or becoming anoxic.
Reference
1) Seizure-alerting and-response behaviors in dogs living with epileptic
children
Adam Kirton, MD, Elaine Wirrell, MD FRCPC, James Zhang, MSc and Lorie
Hamiwka, MD FRCPC
NEUROLOGY 2004;62:2303-2305
Reply to Flegg
26 July 2004
Adam Kirton, University of Calgary Alberta Children's Hospital, Dept. Pediatrics, 1820 Richmond Road SW, Calgary, AB, Canada T2T 5C7
The reporting bias is unavoidable in this type of pilot project which is acknowledged in the discussion. Our family's estimates of
"sensitivity" are also clearly placed in their appropriate context, and do not represent a true lack of false positives.
It seems highly unlikely and
physically implausible to us that dogs would perform specific behaviors
to produce seizures in their family members.