{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T13:48:33Z","timestamp":1761572913644,"version":"build-2065373602"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T00:00:00Z","timestamp":1731542400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Record"],"published-print":{"date-parts":[[2025,1,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tremors have been reported as a neurological sign in cats with hepatic encephalopathy due to congenital portosystemic shunts (HE\u2010CPSS) or postattenuation neurological syndrome (PANS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The clinical records of cats diagnosed with HE\u2010CPSS and manifesting tremors between 2003 and 2023 were retrospectively reviewed to characterise the clinical features of the tremors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nineteen cats with HE\u2010CPSS were included, of which 17 manifested tremors at admission and two had PANS. Domestic shorthair was the most common breed (12\/19). Tremors were the only neurological sign in six of the 19 cats. Tremor localisation was generalised (10\/19) or focal to the head (8\/19) or a limb (1\/19). Most tremors were episodic and non\u2010intentional (15\/19), occurring usually at rest with occasional intentional features (4\/19). Of the 14 cats for which 1\u2010month follow\u2010up was available, tremors discontinued in nine after surgical or medical management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations<\/jats:title>\n                    <jats:p>The limitations of this study included its retrospective nature and the lack of video recordings, brain magnetic resonance imaging and electrophysiological evaluation of tremors in all cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A diagnosis of HE\u2010CPSS or PANS should be considered in cats with generalised or focal tremors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/vetr.4746","type":"journal-article","created":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T03:13:44Z","timestamp":1731554024000},"source":"Crossref","is-referenced-by-count":0,"title":["Tremors in cats with hepatic encephalopathy\u2010congenital portosystemic shunts or postattenuation neurological syndrome"],"prefix":"10.1002","volume":"196","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2815-2527","authenticated-orcid":false,"given":"Theofanis","family":"Liatis","sequence":"first","affiliation":[{"name":"Department of Clinical Science and Services Royal Veterinary College  Hatfield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3590-8348","authenticated-orcid":false,"given":"Sofie F. M.","family":"Bhatti","sequence":"additional","affiliation":[{"name":"Small Animal Department, Small Animal Teaching Hospital, Faculty of Veterinary Medicine Ghent University  Merelbeke Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4830-7610","authenticated-orcid":false,"given":"Barbara","family":"Glanemann","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Services Royal Veterinary College  Hatfield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2505-2152","authenticated-orcid":false,"given":"Steven","family":"De Decker","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Services Royal Veterinary College  Hatfield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.1988.tb02163.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2002.221.1287"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2005.226.2020"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfms.2011.01.010"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.247.2.176"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.13489"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X221109325"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.2009.0408.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/vec.12473"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476-4431.2011.00695.x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1292\/jvms.70.1391"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuro.2017.09.012"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tvjl.2016.05.011"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jvim.16880"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11011-015-9676-y"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.4142\/jvs.2020.21.e44"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/mdc3.13238"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/practneurol-2016-001393"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000002440"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.25618"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph120707519"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-69611-1.00020-7"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476-5381.2011.01426.x"}],"container-title":["Veterinary Record"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bvajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/vetr.4746","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T12:41:59Z","timestamp":1761568919000},"score":1,"resource":{"primary":{"URL":"https:\/\/bvajournals.onlinelibrary.wiley.com\/doi\/10.1002\/vetr.4746"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,14]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1,4]]}},"alternative-id":["10.1002\/vetr.4746"],"URL":"https:\/\/doi.org\/10.1002\/vetr.4746","archive":["Portico"],"relation":{},"ISSN":["0042-4900","2042-7670"],"issn-type":[{"type":"print","value":"0042-4900"},{"type":"electronic","value":"2042-7670"}],"subject":[],"published":{"date-parts":[[2024,11,14]]},"article-number":"e4746"}}