Koen Maurits Santifort

Dr. Koen Maurits Santifort

IVC Evidensia Small Animal Hospital, Arnhem, Gelderland, The Netherlands
orcid
Veterinary neurologist

Research Focus & Metrics

Academic Career Length

11Years (2016-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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10 September 2022 in Journal of Veterinary Internal Medicine
Verified
Journal Article
Open access
Koen Maurits SantifortKoen Maurits Santifort
Koen Maurits Santifort
Paul J. J. MandigersPaul J. J. Mandigers
Paul J. J. Mandigers
Dystonia is a clinical sign and main feature of many movement disorders in humans as well as veterinary species. It is characterized by sustained or intermittent involuntary muscle contractions causing abnormal (often repetitive) movements, postures, or both. This review discusses the terminology and definition of dystonia, its phenomenology, and its pathophysiology, and provides considerations regarding the diagnosis and treatment of dystonia in dogs and cats. In addition, currently recognized or reported disorders in dogs and cats in which dystonia is a particular or main feature are discussed and comparisons are made between disorders featuring dystonia in humans and animals. We suggest that when describing the phenomenology of dogs and cats with dystonia, if possible the following should be included: activity being performed at onset (e.g., resting or running or exercise-induced), body distribution, duration, responsiveness (subjective), severity, temporal pattern (i.e., paroxysmal or persistent, severity at onset and at later stages), presence or absence of autonomic signs (e.g., salivation), presence or absence of preceding signs (e.g., restlessness), presence or absence of signs after dystonia subsides (e.g., sleepiness), coexistence of other movement disorders, any other neurological manifestations, and possible links to administered medications, intoxications or other associated factors. We also suggest that dystonia be classified based on its etiology as either structural genetic, suspected genetic, reactive, or unknown.

12 May 2022 in Frontiers in Veterinary Science
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Journal Article
Open access
Koen Maurits SantifortKoen Maurits Santifort
Koen Maurits Santifort
EBElise Bertijn
Elise Bertijn
SBSofie F. M. Bhatti
Sofie F. M. Bhatti
PLPeter Leegwater
Peter Leegwater
AFAndrea Fischer
Andrea Fischer
Paul J. J. MandigersPaul J. J. Mandigers
Paul J. J. Mandigers
The prevalence of idiopathic epilepsy (IE) within the Border Collie (BC) dog breed is high. The aim of this retrospective study was to describe the phenotype of BCs with IE and assess correlations between phenotypic variables and owner-provided quality-of-life (QoL) scores. Data of BCs diagnosed with IE during the period of five consecutive years were retrospectively analyzed. All the dogs were presented at least once to a veterinary neurology specialist at one of three veterinary referral hospitals and most were under the continued medical care of that specialist. Owners were requested to complete a standardized online questionnaire including quality-of-life (QoL) scoring questions. Data of a total of 116 BC dogs were included for analysis. The median age at onset of the first epileptic seizure (ES) was 33.5 months (6–188). A total of 34/86 (40%) of medically treated dogs received 1 antiseizure medication (ASM) and 52/86 (60%) received ≥2 ASMs. Phenobarbital was the most commonly employed ASM, used in 70/86 of treated dogs (81%). Four or more side effects were observed in 20/86 (23%) of treated dogs. Age at onset of first ES was significantly lower for dogs having experienced cluster seizures (CSs), status epilepticus (SE), or both (median 27 months) vs. dogs that had not experienced CS or SE (median 43 months). The QoL of BC with IE was scored with a median score of 7 out of 10. Owners scored their dog's QoL to have declined by a median of 30% during the course of life with IE with 39% (37/95) of owners scoring their dog's QoL to have declined by ≥50%. This study confirms the association of age at onset of first ES with the severity of epilepsy (e.g., presence of CS and/or SE) and further characterizes the phenotype of IE in BC dogs. QoL of BC can be heavily impacted by IE.

19 December 2023 in Frontiers in Veterinary Science
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Journal Article
Open access
Koen Maurits SantifortKoen Maurits Santifort
Koen Maurits Santifort
ICInes Carrera
Ines Carrera
KBKenny Bossens
Kenny Bossens
Paul J. J. MandigersPaul J. J. Mandigers
Paul J. J. Mandigers
Introduction: Chiari-like malformation (CM) and syringomyelia (SM) are frequently diagnosed conditions in small and toy dog breeds, such as the Cavalier King Charles Spaniel and Griffon Bruxellois. CM/SM is only rarely reported in Pomeranians in literature to date. The aims of this study are to 1/describe the phenotype of Pomeranians with or without CM/SM and 2/evaluate for differences and associations between CM/SM and owner-reported clinical signs (ORCS) or signalment factors.Materials and methods: From February 2015 to June 2023, historical data and signalment (including country of origin, pedigree, sex and neuter status, age, and body weight) and ORCS of Pomeranians were recorded at multiple institutions. MRI studies of all dogs were evaluated for classification of CM/SM. Additionally, quantitative measurements were performed for SM.Results: A total of 796 dogs from 22 different countries were included. Total prevalence of CM was 54.9% (437/796) and the prevalence of SM was 23.9% (190/796). The top 5 ORCS included 1/scratching with skin contact, rubbing head or ears, or both (57.6% of dogs with ORCS), 2/air licking (30.7% of dogs with ORCS), 3/spontaneous signs of pain (26.0% of dogs with ORCS), 4/persistent licking front and/or hind paws (22.6% of dogs with ORCS), 5/phantom scratching (22.6% of dogs with ORCS). Phantom scratching, vocalization, head shaking, spontaneous signs of pain, and air licking were associated with having SM. There were no statistically significant associations between quantitative syrinx measurements and ORCS. There were statistically significant associations between CM classification and 1/country of origin, 2/having a pedigree, and 3/age. There were statistically significant associations between SM classification and 1/age and 2/body weight.Discussion: This is the first large study evaluating CM/SM in the Pomeranian dog breed. Veterinary clinicians can use these findings to increase the likelihood of correctly determining the presence or absence of CM/SM in Pomeranians. Breeders may consider using the information regarding signalment factors as well as ORCS associated with CM/SM classifications to select dogs for screening procedures. But an MRI-based diagnosis is needed to properly ascertain the exact CM/SM status of their breeding stock until a fool-proof characteristic or genetic marker is found.

15 October 2017 in Veterinary Record Case Reports
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Journal Article
Closed access
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Koen Maurits SantifortKoen Maurits Santifort
Koen Maurits Santifort
MLMark Lowrie
Mark Lowrie
A nine‐year‐old female neutered crossbred dog was presented with episodic seizures since the age of six months, which were unsatisfactorily controlled with phenobarbital administration. Upon further consultation and examination there was considerable doubt as to whether or not the seizures were epileptic in nature. One major argument against epileptic seizure activity was that the dog was (seemingly) fully conscious during these ‘attacks’. A video of an episode was made some time after forming a presumptive diagnosis of a paroxysmal movement disorder, showing dystonia and no signs of impaired consciousness. After initiation of a gluten‐free diet, the dog had recurrent episodes of dystonia following consumption of pieces of bread. No events were noticed aside from those instances. A movement disorder, specifically a paroxysmal non‐kinesigenic dyskinesia characterised by dystonia, was presumptively diagnosed. This is the first report of a crossbred dog with this type of movement disorder.

1 February 2021 in Journal of the American Veterinary Medical Association
Verified
Journal Article
Closed access
Koen Maurits SantifortKoen Maurits Santifort
Koen Maurits Santifort
Paul J. J. MandigersPaul J. J. Mandigers
Paul J. J. Mandigers

11 January 2023 in Frontiers in Veterinary Science
Verified
Journal Article
Open access
MHMaud F. N. Hamers
Maud F. N. Hamers
MPMarta Plonek
Marta Plonek
SBSofie F. M. Bhatti
Sofie F. M. Bhatti
NBNiklas Bergknut
Niklas Bergknut
MEM. Montserrat Diaz Espineira
M. Montserrat Diaz Espineira
Paul J. J. MandigersPaul J. J. Mandigers
Paul J. J. Mandigers
Epilepsy in dogs is a common chronic and serious disorder and may have an impact on the quality of life of the owners as well as the dogs themselves. The aim of this pilot study was to investigate the QoL score of dogs suffering from idiopathic epilepsy and their owners and if possible, investigate whether a breed specific difference exists. Owners, either Dutch or Belgium, were asked to participate in a web based SurveyMonkey questionnaire. A total of 402 questionnaires representing 402 dogs with epilepsy were suitable for further analysis. Of the 402 dogs, 253 were males and 149 were females. Ninety-nine different breeds were represented. Fourteen breeds (177 dogs in total) were used to calculate breed specific scores; Australian Shepherd (n = 8), Beagle (n = 7), Belgian Tervuren dog (n = 9), Belgian Groenendaeler dog (n = 8), Border Collie (n = 38), Chihuahua (n = 9), Dachshund (n = 13), Drentsche Patrijshond (a Dutch partridge dog) (n = 14), French Bulldog (n = 12), Golden Retriever (n = 17), Labrador Retriever (n = 18), and Rottweiler (n = 12). For the Border Collie, there was a statistically significant correlation between “epilepsy related death,” the severity of the seizures (p < 0.001) and cluster seizures (p < 0.001). The quality of life of the Border Collie was scored lower compared to all other dogs (p = 0.02). There were three breeds that had a minimal decrease in the overall quality of life score compared to all other dogs: the Chihuahua (p = 0.03), Dachshund (p = 0.001), and Golden retriever (p = 0.01). The score for “caring for my epileptic dog decreases my own QoL” was high for the Border Collie, Boxer, French Bulldog, and Rottweiler, but was only found to be statistically significantly higher in the Border Collie (p = 0.01). Scores for the Golden Retriever (p = 0.04) and Labrador (p = 0.006) were lower. In conclusion, this study reports breed specific quality of life scores of dogs with epilepsy and their owners, and underlines that breed by itself, is also an important factor when managing epilepsy in dogs.