Differential diagnoses at this time included otitis due to active infection or chronic inflammation, neoplasia, or idiopathic vestibular disease
. The goose was fasted overnight before anesthesia for otoscopy and cross-sectional imaging, and treatment with diazepam (0.5 mg/kg PO q12h) was begun to help with anxiety while hospitalized.
Normal function returns after vestibular disease
resolves, but weakness tends to worsen.
There are three broad types of vestibular disease
in the dog: idiopathic vestibular disease
, inner ear disease, and central vestibular disease
In the case of idiopathic vestibular disease
, no specific therapy is indicated, but measures should be taken to assure that affected cats are eating, drinking and eliminating normally.
Symptoms frequently occur as part of syndromes including past vestibular disease
and certain anxiety-related disorders, but the symptom set is not a psychiatric diagnosis or condition.
includes a loss of balance, typical ataxia, head tilt, spontaneous/ positional nystagmus and/or positional strabismus.
is caused by a bacterial infection which affects the inner ear.
It was with interest that I read the article in this most recent issue on vestibular disease
. I know that in the veterinary training there is the belief that peripheral vestibular disease
(2,5) However, there is a lack of follow-up studies on the perception of the visual vertical during clinical recovery from acute vestibular disease
. To help fill this void, we conducted a study to assess the static visual vertical in patients with acute unilateral peripheral vestibular failure during the course of their disease.
Perforation of tympanum, resulting in vestibular disease
, redness, ulceration and hemorrhage of tissue that lines the ear canal, blockage of ear canal by plugs of paste like wax, ataxia (due to rupture of the tympanic membrane and lesions to the vestibular system), anorexia, restlessness, unilateral facial paralysis, debilitation, hearing loss and head shaking have all been reported in association with ear mite infestations (Ladds et al., 1972; Duarte and Hamdan, 2004; Duarte et al., 2004; Krametter-Froetscher, 2006 and Ferry et al., 2011).
Otherwise, the earliest sign of vestibular disease
may be falling, anorexia, staggering, hypersalivation and vomiting.
Unidirectional nystagmus, where the direction of nystagmus is unchanged by change in direction of gaze, is typical of peripheral vestibular disease