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Tara,
How frightening for you to come home to this. I am so sorry this is happening to Diablo. Let’s look at this carefully to see what we can figure out together.
The medical terminology that applies to the signs you are seeing may include nystagmus, head tilting and ataxia. In order, this would be involuntary eye movements, tilting of the head and walking to one side and the inability to voluntarily control movement.
These symptoms fall under the category of vestibular disease. The vestibular system helps us keep our balance and keep ourselves properly adjusted to gravity (coordination.) Several structures of the brain, the cranial nerves and the middle and inner ear work together to provide us with balance.
There are many causes for this to happen and there can be a sudden onset like this. If this continues a vet visit is important to determine the cause and then the treatment.
However, let’s start with the most direct and common cause in a dog which may be linked to an ear infection and possible rupture of the ear drum. Infections can lead to an disrupted processing in the middle or inner ears. This would be called a peripheral cause of vestibular disease. Simply addressing the infection may resolve the issue. This may include antibiotics and the short term use of prednisone to reduce inflammation in the inner ear. If he responds to this then you have your diagnosis.
In some cases a dog may have contact with a foxtail seed which can bury into the body, say the nose, and travel to many places inside the body. This is a difficult diagnosis and removal of the seed may be difficult.
Some older dogs begin to develop vestibular disease and it may be related to age . If a vet can rule out other causes this may end up being the diagnosis. The treatment is management and, while it looks awful, it is not particularly troublesome to most dogs. It may begin to cause nausea and loss of appetite and those symptoms would need to be managed.
Central vestibular disease is different and is related to changes to the brain structures (for instance a tumor.) Examining the behavior of the eyes and limbs can give a vet important clues about this. This may include many different tests which could be quite expensive or an experienced vet may be able to diagnose solely based on this exam.
So for now, Diablo is probably not suffering. If he isn’t vomiting or refusing to walk then you can schedule an appt this week with the vet. Examine his eyes to see if they are moving oddly. Think back to any previous ear infections, does he have a tendency to these? Make a list of these things and take a movie of him when he is walking oddly so you can show the vet. If you see any sudden negative changes take him to emergency. This might include refusing to move, vomiting, and collapsing.
I am really hoping this is just a garden variety ear infection. Is some cases these symptoms are temporary and resolve mysteriously with no intervention. Please don’t hesitate to email me if you need to talk more.
my best, patrice
Hi Patrice, thank you for responding. I am very scared. He is not worsening today but it is not getting better. Yet, he is acting normal in all other ways. Now my husband mentioned this a.m. he thought he saw one of his eyes moving from side to side…at the time he described it as an involuntary eye twitch…..I have not really noticed it since he said this….when I looked after he mentioned it…..it did seem like his eye was moving side to side……what do the involuntary eye movements mean? As he does not seem to be suffering today and our vet is closed we will take him tomorrow (today he would have to go to emergency and a completely different vet). I am so frightened for him. He is still on prednisone….2.5 every a.m. His blood was so good last test they said I could drop to 1/4 but I have not done this yet so no recent drop in any of his meds that coincides with this….he is not prone to ear infection and he has no symptoms i.e. smell from his ears or scratching at them but I think it is worth having this checked to rule out for sure…..thanks so much Patrice.
Tara,
I would like both of you to watch Diablo’s eyes carefully as you carefully tilt his head side to side and up and down. Note what direction the eyes move as you tilt the head differently. This may be a diagnostic test to help a vet differentiate whether the cause is peripheral or central. Of course none of are vets so we can’t really properly diagnose this. However, if you gather this information and give it to the vet, they will be more forthcoming with you during the examination.
If he is acting normal and doesn’t seem confused or upset by this, then mirror that lack of concern yourself. Being upset will make him think he has done something wrong. Make the head tilting a happy game with some treats so he thinks this is just some new crazy human game.
Remember that the very inner ear is very deep from the outside ear. You won’t be able to see it from the outside. Inflammation in there could contribute.
By the way, have you ever given Diablo metrondiazole? This can be a side effect from high dosage long term use. This would be used for treating diarrhea for instance.
I had a friend in grammar school who had a nystagmus. Being a curious young child I asked her why her eyes were always moving side to side and whether it made her dizzy. She had it for a long time and said it just made her have a little trouble walking but otherwise was not a problem. Of course other children can be cruel and she was not very popular. I liked her and we were friends. Once my curiosity was satisfied, I didn’t think about it. I cannot tell you what medical problem she had, I never found out!
my best, patrice
Thanks again Patrice. I will let you know what the vet says tomorrow. I want his ears checked. After reading your first post I have been online and it does seem like he has CVD….seems like it is common in older dogs and in most clears up in 1-2 weeks….I really hope this is what it is :( They say it is similar to Vertigo in humans. He as fought IMHA for a year now and was doing so well. Patrice, thanks for always being there for Diablo and I….I can’t thank you enough.
Hi Tara
Terrifying. I’ve seen this a few times on a television show we have here – Bondi Vet – good show, gorgeous vet (but he promotes annual vaccinations still – grrrrr). It looks terrible but it’s not serious. Hopefully that is what it is. If Diablo is eating and toileting, sounds good.
Love Vally & Bingo
Hi Tara
I’ve just read about poor Diablo – this is such a worry for you. One of my previous dogs (Sprockett, an elderly border collie) had a severe CVD attack – he vomited, couldn’t eat or toilet, kept falling over, he was crashing into things, his eyes started to move rapidly from side to side & had severe head tilt. It was very upsetting & horrible to watch, so I really sympathise with what you are going through. My dog made a FULL complete recovery after a couple of weeks, despite me thinking he might not get ever better. The vet said a lot of people assume their dogs will not recover from this because it looks so distressing & the outcome is normally an excellent & full recovery. It sounds like Diablo doesn’t have such severe symptoms as that, thank goodness. Good luck getting the ears etc checked at the vets – I really hope he’s soon on the mend – keep us posted on how he’s doing. We will be thinking of you.
Loads of love from Sheena, Worzel & Ollie