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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Cognitive Dysfunction in Cats

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April 10, 2012 / (4) comments


I’ve written previously about cognitive dysfunction in dogs, and while we don’t see cats suffering from this age-associated condition to the same degree, it is still common and severe enough to be worthy of our attention. Studies have shown that 28 percent of cats between the ages of 11 and 15 and 50 percent of cats over the age of 15 show some signs of cognitive dysfunction.

 

The exact causes of declining mental function in older cats cannot always be identified. An increase in the breakdown rate of neurotransmitters and the build-up of damaging free radicals in the brain may be to blame in some cases. Whatever the cause, there are identifiable physical and physiological differences between the brains of healthy cats with those with cognitive dysfunction that go beyond the normal changes associated with aging.

Typical symptoms of cognitive decline in cats include:

 

  • Changes in behavior and activity levels
  • Problems with litter box use
  • Restlessness and wandering
  • Disorientation
  • Vocalization
  • Memory loss
  • Changes in the way a cat relates with people or other pets
  • Altered sleep patterns

 

The first thing to do if you suspect that your older cat is developing cognitive dysfunction is to get him or her in to your veterinarian for a work up. Other diseases can have symptoms that mimic cognitive decline. Your veterinarian will need to rule out conditions like arthritis, liver disease, neurologic problems (e.g., a brain tumor), hormonal disorders, kidney failure, and high blood pressure before reaching a definitive diagnosis. We are doing elderly cats a disservice if we simply assume that their behavioral changes are due to cognitive dysfunction without addressing other potential causes as well.

Yes, there are things that can be done to help cats struggling with impaired cognition. Medications and supplements like selegeline, propentofylline, antioxidants, sertraline, lorazepam, melatonin, L-theanine, alpha-casozepine, and pheromones have been studied more in dogs but do appear to be safe for use in cats. Effectiveness varies greatly depending on the patient. Finding the right combination for each individual is more of an art than a science at this point, I’m afraid.

Enrichment, mental stimulation, and stress relief can also go a long way towards improving or maintaining a cat’s mental acuity. Activities such as leash walking, time spent outside in a safe enclosure or on a perch in front of a window, and playing with toys help keep senior pets sharp. Old cats can learn new tricks, and doing so helps to keep their minds and bodies strong.

 

 

 

Dr. Jennifer Coates

 

 

Image: isabel Engelmann / via Shutterstock

 

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COMMENTS (4)
1
Cognitive Dysfunction
by DCIN on 04/10/2012 06:28am

Ennis, my cat, was 17 or 18 when he started showing cognitive dysfunction. He would get stuck in a corner or by a wall, or stand and wonder where he was going (as I gently directed him toward his target, the litter box or the water bowl).

He saw his vet 3 or 4 times/year. He had kidney disease and high blood pressure, but he refused to be pilled. Mr. Steel Jaws would not accept any meds unless they were injectible or liquid oral.

You give the multi-sylabic names of various medications for cognitive dysfunction. I really wonder about vets and caregivers who would get to the point of medicating for the cognitive dysfunction of an elderly pet.

I recently let Ennis go to the bridge as the radiologist said he had four primary cancers in his abdominal organs. Despite his cancers, could I have treated his cognitive dysfunction? You seem to suggest I could have. Would I have wanted to if I had had this information? NO. Old cats are old cats. Ennis was a large part of my life for 19 years. I am happy to know that he is now waiting for me at the bridge.

And I suspect Ennis won't have cognitive dysfunction when I next see him.

My point is, why try to mess with a cat that is actively dying? Hold him, and help him pass. Cognitive dysfunction is just part of the dying process.

2
Medications
by TheOldBroad on 04/10/2012 07:29am

It's also important to consider any medications the kitty is currently taking as I think some can cause similar symptoms.

My Emma Jean had "episodes" that baffled the vet as well as the internist. She would cry and walk around the edges of a room, acting confused. They were convinced it wasn't a stroke or seizures, but never could figure out what it was. Luckily, she would snap out of it after a few hours.

The internist told me that if I could stand to just supervise her, it would most likely pass, but she was always rushed to the doctor in case it was something different that could be treated.

3
Thank-you Doctoe Coates
by kay morris on 04/10/2012 12:47pm

I care for Senior Pet-Kids, all, but one are rescued..ages 8-24...this is a work of Love..the hard part..is letting go..Our Pet-Kids Doctor..Helps me keeps them confortable..Thank-God for him..tells me when it is time to go...our oldest is 24, he can;t see or hear..He is a happy little man..love to eat, he takes long walks...He tells me no more kisses..He is my reason for love for the old-ones. Love is Love it is a gife.

4
CAUSE of ALL dysfunctions
by Gail Gardner on 04/10/2012 05:57pm

IMHO, the cause of all physical and mental decline in any species is the same: accumulating more toxins than the body can eliminate. Some of the worst are water with added fluoride, mercury from vaccinations (and in the case of humans, silver dental fillings), "food" that is NOT digestible, and the chemical soup we violate our bodies - and the bodies of our pets - with continually.

The "cure" is to get the nutrients we need - even if the only way we can get them is from adulterated sources - because when our bodies have what they need to repair they can throw off the toxins.

Unfortunately, we are all so polluted at this point that getting healthy causes healing crisis symptoms that will send most running to chemical solutions that only treat the symptoms and add yet more toxins our bodies must throw off.

If people would just question what they've read and been taught and applied some common sense they would realize what we need to do. As some wise person said, if your mechanic used the same methods as your Vet or M.D. when the check oil light came on he would unplug it.

And for those who have the tiniest knowledge of engines - if you let them run out of oil they are destroyed so your mechanic would never just "treat the symptom" (the warning light) instead of fixing the CAUSE.

We have to stop suppressing our warning symptoms and TREAT the actual CAUSES.

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About fully vetted

Jennifer Coates, DVM

Photo of Dr Coates

Image credit: Jim Piraino

...graduated with honors from the Virginia-Maryland Regional College of Veterinary Medicine in 1999. In the years since, she has practiced veterinary medicine in Virginia, Wyoming, and Colorado. She is the author of several books about veterinary medicine and animal care, including the Dictionary of Veterinary Terms: Vet-Speak Deciphered for the Non-Veterinarian. Dr. Coates also writes short stories that focus on the strength and importance of the human-animal bond, and freelance articles relating to a variety of animal care and veterinary topics. Dr. Coates lives in Fort Collins, Colorado with her husband, daughter, and various species of pets.

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