Causes
An abnormal blood vessel, almost always congenital. Small breeds (Yorkshire Terrier, Miniature Schnauzer) are at higher risk of the congenital form.
Diagnosis
Blood tests (elevated bile acids), ultrasound and advanced imaging to locate the abnormal vessel.
Treatment
A hepatic diet low in protein and medication to reduce the toxins. The definitive treatment is usually surgery to close the abnormal vessel. The prognosis improves greatly with early surgery.
Prevention
Not preventable (it is congenital). Detecting it early in puppies with slow growth or neurological signs improves the outcome.

