Some breeds are more prone to vestibular attacks than others. Cocker Spaniels, for instance, are at higher risk due to their ear structure.
Their floppy ears can trap bacteria and moisture, leading to ear infections that may trigger vestibular attacks.
Labradors, on the other hand, are generally less susceptible due to their shorter ears.
However, any dog can still experience a vestibular attack, regardless of breed.
Dogs with chronic ear infections or allergies are more likely to experience vestibular attacks due to the underlying inflammation and irritation.
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What is Vestibular Attack in Dogs?
Vestibular attack in dogs can look like a serious condition, but it's often a type of vertigo caused by a malfunction in the vestibular system.
The average age of a dog diagnosed with vestibular disease is 12-13 years old, which is why it's often referred to as "old dog" vestibular disease.
Common symptoms of vestibular attack in dogs include a head tilt, vertigo, nausea, and difficulty walking or standing.
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Idiopathic vestibular disease is the most commonly diagnosed form of vestibular disease in pets, and the cause is typically unknown.
With idiopathic vestibular disease, treatment isn't required as it often resolves by itself with supportive care.
Other causes of vestibular disease in dogs include ear infections, hypothyroidism, tumors, other diseases, and trauma.
Causes and Risk Factors
Causes of vestibular disease in dogs can be quite varied, and it's essential to understand the potential causes to provide the best possible care for your furry friend.
BPPV, or benign paroxysmal positional vertigo, is the most common cause of vertigo and vestibular disorder, especially in older dogs. It can result from injury, high-intensity exercise, or even a misstep off the curb or on a rough trail.
Trauma from head injury or quick movement can also lead to vestibular disease, as can certain ear infections, such as chronic inner or middle ear infections. Hypothyroidism is another potential cause, and some antibiotics, like amikacen and gentamicin, can also play a role.
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Some dog breeds, like German shepherds and Doberman pinschers, are known to be more prone to developing vestibular disease. Emotional stress can also precipitate vestibular disease, making it essential to provide a calm and stable environment for your dog.
Here are some potential causes of vestibular disease in dogs:
- BPPV
- Chronic inner or middle ear infections
- Trauma from head injury or quick movement
- Hypothyroidism
- Certain antibiotics (amikacen, gentamicin, neomycin, and tobramycin)
- Emotional stress
- Tumors or polyps
- Meningoencephalitis
What Causes?
Vestibular disease in dogs can be caused by a variety of factors, including ear infections, perforated eardrums, and hypothyroidism. Some breeds, such as German shepherds and Doberman pinschers, are more prone to developing vestibular disease.
Trauma, including head injuries or quick movements, can also trigger vestibular disease. Certain antibiotics, like amikacin, gentamicin, neomycin, and tobramycin, can be a contributing factor.
Older dogs are more likely to develop vestibular disease, but younger dogs can also be affected. In fact, some puppies may be born with congenital vestibular disease, although their symptoms may improve with age.
Here are some common causes of vestibular disease in dogs:
- Ear infections
- Perforated eardrums
- Hypothyroidism
- Trauma
- Tumors or polyps
- Certain antibiotics
Emotional stress can also precipitate vestibular disease in dogs. If no specific cause is found, the condition is referred to as idiopathic vestibular disease.
Breeds at Risk
Some dog breeds are more prone to vestibular disease due to their physical characteristics.
French Bulldogs, Bulldogs, and Boxers are among the breeds with the highest odds of vestibular disease.
King Charles Spaniels, Springer Spaniels, and Cocker Spaniels are also at a higher risk of developing this condition.
Golden Retrievers, despite being a popular breed, are also susceptible to vestibular disease.
Any dog breed, including mixed breeds, can be affected by vestibular disease.
Symptoms and Diagnosis
If your dog is suffering a vestibular attack, you may notice a range of symptoms, including trouble getting up, eyes darting back and forth, and a head tilt. These symptoms can be subtle, so it's essential to keep an eye out for them.
Some common signs of vestibular disease in dogs include a pronounced head tilt, staggering or stumbling, nausea and vomiting, and a lack of coordination. If you notice any of these symptoms, it's crucial to call your vet for advice.
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Your vet may recommend waiting and watching your dog's progression to determine the best course of action, or they may suggest bringing your dog in for an examination. A thorough examination of the external ear canals and tympanic membranes should be performed, and imaging tests like radiographs, CT, and MRI may be necessary to diagnose the underlying cause.
Here are some common symptoms of vestibular disease in dogs:
- Pronounced Head Tilt
- Staggering or Stumbling
- Nausea and Vomiting
- Lack of coordination
- Continuous circling in one direction
Keep in mind that these symptoms can also be indicative of other conditions, such as a canine stroke or inner ear infection, so it's essential to consult with your vet to determine the underlying cause.
Dogs Symptoms
Dogs with vestibular disease often exhibit a range of symptoms that can be distressing to witness.
A pronounced head tilt is a common sign, with some dogs tilting their heads to one side by a significant amount. Staggering or stumbling can also occur, making it difficult for the dog to walk or stand.
Nausea and vomiting are frequent symptoms, and some dogs may experience a lack of coordination, making everyday activities challenging.
Continuous circling in one direction is another symptom that can be concerning, and it's essential to keep your dog safe to prevent injuries.
Here are some common symptoms of vestibular disease in dogs:
- Pronounced Head Tilt
- Staggering or Stumbling
- Nausea and Vomiting
- Lack of coordination
- Continuous circling in one direction
If your dog is experiencing any of these symptoms, it's crucial to consult with a veterinarian as soon as possible to rule out other potential conditions that may cause similar symptoms.
Diagnostic Plan
Diagnosing vestibular disease in dogs can be a bit of a puzzle, but veterinarians have a few tools at their disposal. For peripheral lesions, a thorough examination of the external ear canals and tympanic membranes is crucial. This may involve a myringotomy, which is a procedure where a small incision is made in the eardrum to collect a sample for culture and cytology. In young cats, inflammatory polyps may be visible through the tympanic membrane, and a spay hook can be used to move the soft palate aside for a better view.
Serum chemistry analysis and a thyroid panel can help diagnose hypothyroidism, which is a common cause of peripheral vestibular disease. Imaging tests such as radiographs of the tympanic bullae, CT, and MRI are also essential for detecting lesions in the ear.
For central vestibular lesions, MRI is the best diagnostic tool, as it can provide a clear image of the brainstem. CSF evaluation and brainstem auditory evoked response (BAER) tests can also be useful in identifying the cause of the disease.
Here are some common tests and procedures used to diagnose vestibular disease:
Your veterinarian may also recommend a thorough examination of your dog's medical history and overall health to rule out other possible causes of the disease.
Veterinary Care and Treatment
Veterinarians will recommend supportive care for vestibular disease, which may include over-the-counter Meclizine for "motion sickness" if clinical signs are mild.
If your dog is unable to walk, your vet may prescribe IV fluids and injectable anti-nausea medications. Urinary catheters may also be placed for hygienic reasons.
Most dogs show signs of improvement from an episode of vestibular disease within 72 hours, and recovery should happen within one to two weeks.
To keep your dog safe during a vestibular attack, confine him to a small room or pen, keep him away from stairs, and remove objects he can trip over.
Use a harness to help him outside when needed, and provide supportive bedding, water, and meals close by.
Monitor your dog's symptoms, food, and drink, and avoid dehydration by getting him IV fluids if necessary.
If your dog suffers from nausea and vomiting due to vestibular disease, your vet may prescribe an anti-nausea medication. If your dog is having difficulties drinking water, your vet may provide IV fluids to hydrate your dog.
Here are some tips to keep your dog comfortable during a vestibular attack:
- Confine him to a small room or pen
- Keep him away from stairs
- Remove objects he can trip over
- Use a harness to help him outside when needed
- Provide supportive bedding, water, and meals close by
- Stay close and comfort him to keep him calm
- Avoid dehydration (get him IV fluids if necessary)
Recovery and Management
If your dog has had a vestibular attack, it's essential to keep them safe and comfortable during recovery. Confine them to a small room or pen to prevent injuries.
To prevent falls and further distress, keep your dog away from stairs and remove any objects they can trip over. Use a harness to help them outside when needed.
Provide supportive bedding for your dog to rest comfortably. Make sure they have water and meals close by, and stay with them to keep them calm. Dehydration is a concern, so monitor their symptoms and food and drink intake.
You can help your dog recover by providing a comfortable place to rest, easy access to water and food, and a clear floor with no obstacles. Block off stairs to keep them safe.
The best course of treatment for vestibular disease will depend on the cause, but generally, veterinarians recommend supportive care. If clinical signs are mild, dogs can often be managed at home with over-the-counter Meclizine for motion sickness.
Here are some home remedies to ease your dog's transition back home:
- Make sure your dog’s bed is nearby and easily accessible.
- Prevent further injury by ensuring your home is easily walkable—you may want to add rugs or a non-slip mat if you have wood or tile.
- Keep their water and food bowls close, so they don’t need to walk far.
- Encourage their appetite by adding tasty food toppers like bone broth to their meals.
- Use a body harness with a handle to help hold your dog steady.
Dogs often show signs of improvement from an episode of vestibular disease within 72 hours, and recovery should happen within one to two weeks. After recovery, most dogs live a long life with vestibular disease, despite some persistent symptoms such as a head tilt and nausea.
Understanding the Condition
Vestibular disease in dogs can be a puzzling condition for pet parents, and it's not uncommon for veterinarians to review possible causes before making a diagnosis.
Veterinarians will first check for infection and may advise the use of an MRI to help determine the cause of the vestibular attack.
Pet parents are often advised to wait and watch their pet's progression to determine the best course of action, which can be frustrating but is a necessary step in understanding the condition.
Dogs' Lifespan
Dogs can live normal lives after recovering from vestibular disease.
The lifespan of a dog with vestibular disease is influenced by factors such as the cause, overall health, and age.
Idiopathic vestibular disease, in itself, doesn't typically shorten a dog's life expectancy.
In some cases, especially when the vestibular disease is caused by an underlying condition like cancer or infection, the prognosis may be more guarded.
Many dogs with vestibular disease continue to live normal lives after recovery, though some may have residual symptoms like a head tilt and nausea.
Anatomy and Physiology
The vestibular system is a complex network of structures that helps us maintain balance and equilibrium in the body. It's located in the thick petrous temporal bone of the skull, specifically within three bony canals.
The semicircular canals contain membranous ectoderm structures called semicircular ducts, which are filled with a fluid called endolymph. This fluid is what allows the vestibular system to detect movement and send signals to the brain.
The vestibular nerve, which is part of the eighth cranial nerve (CN VIII), transmits sensory information from the semicircular ducts to the brain. This nerve is closely linked with the auditory nerve, and together they form a crucial pathway for balance and hearing.
The vestibular nerve enters the brainstem at the level of the medulla oblongata, where most of its axons synapse within the vestibular nuclei. This is a critical area for processing balance information and coordinating movement.
Projections from the vestibular nuclei travel to various parts of the brain, including centers that control extensor tone, vomiting centers, and the nuclei of cranial nerves III, IV, and VI. These nerves control the extraocular muscles, which are responsible for eye movement.
The vestibular system also communicates with the cerebellum, specifically the flocculonodular lobes, to coordinate movements of the eyes and limbs with head movement. This complex network of connections is essential for maintaining balance and preventing falls.
Is Fatal?
Vestibular disease is a serious condition, but fortunately, it's not typically fatal. Most dogs with this disease will recover within two to three weeks.
Symptoms of vestibular disease are usually most severe during the first 24 to 48 hours, which can be a challenging time for both dogs and their owners.
Dogs with vestibular disease often experience dizziness and difficulty walking in a straight line due to the vestibular system's disturbance. The vestibular system is located in the inner ear and middle ear, and its control over balance is compromised in this condition.
Fortunately, most dogs show significant improvements within 72 hours, which is a promising sign for their recovery.
Frequently Asked Questions
How long do vestibular attacks last in dogs?
Most dogs recover from vestibular attacks within 3-5 days, but some may experience a permanent head tilt
Sources
- American Veterinary Chiropractic Association (animalchiropractic.org)
- Full tilt! Diagnosing and managing vestibular dysfunction in ... (dvm360.com)
- Vestibular Disease in Dogs - Symptoms & How It's Treated (vscot.com)
- Vestibular Syndrome in Dogs and Cats Fact Sheet (vetspecialists.co.uk)
- Successful Therapeutic Management of Geriatric Vestibular Syndrome in Dogsopens in a new tab (indianjournalofcaninepractice.com)
- Acute Vestibular Disease in Old Dogs opens in a new tab (mspca.org)
- Clinical reasoning in canine vestibular syndrome: Which presenting factors are important? opens in a new tab (wiley.com)
- Clinical signs, MRI findings and outcome in dogs with peripheral vestibular disease: a retrospective study opens in a new tab (biomedcentral.com)
- VCA - Vestibular Disease in Dogs opens in a new tab (vcahospitals.com)
- Vestibular Disease in Dogs and Cats opens in a new tab (vin.com)
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