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My Puppy Is Having Seizures for the First Time — What Do I Do?

An 8-month-old Border Collie with a 2-minute generalized tonic-clonic seizure. First seizure workup: rule out toxins, metabolic, structural causes.

9 min read2026-01-27
puppy seizurefirst seizureepilepsystatus epilepticus
PetMed AI Veterinary TeamVerified

Reviewed by Licensed DVM Professionals

Evidence-BasedPeer-Reviewed SourcesLast updated: 2026-01-27
Case Presentation

Your 8-month-old Border Collie, Nova, just had a seizure. She collapsed, paddled her legs, salivated, and lost consciousness for about 2 minutes. She's now disoriented and wobbly. This is the first time. What do you do?

8 mo
Age
Border Collie
Breed
2 min
Seizure Duration
First
Episode

Warning: Seizures lasting > 5 minutes or multiple seizures without full recovery (status epilepticus) are life-threatening. Protect from injury during a seizure—don't put hands in mouth. Seek emergency care if seizure continues or recurs.

🩺 During a Seizure: Safety First

Move furniture, cushion the head, don't restrain. Never put hands in the mouth. Time the seizure. The Triage/Emergency Specialist advises: First seizure—veterinary evaluation recommended. If seizure > 5 min or clusters, emergency. The Emergency Drug Calculator provides diazepam dosing for status epilepticus.

🔬 First Seizure Workup

The Neurology Specialist outlines differentials: Reactive (toxins, hypoglycemia, hepatic encephalopathy). Structural (brain tumor, malformation). Idiopathic epilepsy (genetic, typically 6 mo–6 yr). Workup: bloodwork, bile acids, MRI/CT if indicated. Single seizure in a young dog may be idiopathic epilepsy—treatment often starts after 2+ seizures/month.

Use Triage/Emergency Specialist, Neurology Specialist, and Emergency Drug Calculator for seizure guidance.


Key Takeaways
  • Protect from injury during seizure—don't put hands in mouth.
  • Status epilepticus = seizure > 5 min—emergency.
  • First seizure workup rules out toxins, metabolic, structural causes.
  • Idiopathic epilepsy common in young dogs—Border Collies predisposed.
  • Treatment often starts after recurrent seizures.

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