Phenobarbital-responsive ptyalism, dysphagia, and apparent esophageal spasm in a German shepherd puppy

J Am Anim Hosp Assoc. 2004 May-Jun;40(3):230-7. doi: 10.5326/0400230.

Abstract

A 10-week-old, male German shepherd dog was presented with a primary complaint of episodic ptyalism, dysphagia, vomiting, and mandibular salivary gland enlargement. An esophagram with fluoroscopy showed normal pharyngeal and esophageal function; however, upper gastrointestinal endoscopy and cervical ultrasonography revealed a focal circumferential thickening of the midcervical esophageal muscular wall, consistent with esophageal spasm. The puppy responded dramatically and completely to phenobarbital treatment. An unusual syndrome of phenobarbital-responsive hypersialosis was consistent with this dog's clinical presentation and the finding of apparent esophageal spasm. The pathogenesis of this syndrome is unclear, but it may represent a form of limbic epilepsy or peripheral autonomic dysfunction.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Anticonvulsants / therapeutic use*
  • Deglutition Disorders / drug therapy
  • Deglutition Disorders / veterinary*
  • Dog Diseases / drug therapy*
  • Dogs
  • Esophageal Spasm, Diffuse / drug therapy
  • Esophageal Spasm, Diffuse / veterinary*
  • Male
  • Phenobarbital / therapeutic use*
  • Sialorrhea / drug therapy
  • Sialorrhea / veterinary*
  • Treatment Outcome

Substances

  • Anticonvulsants
  • Phenobarbital