Cora’s Vestibular Disease, Part 1

I haven’t had much time to post here in the past year, but last week I got a terrible reminder of one of the reasons I started this blog in the first place—to have a record of issues we go through with the dogs.

One morning at the end of January this year, Cora scared the bejeezus out of us by being, well, spaghetti-like. She was unable to stand, and whenever she tried, she just fell down, limp as could be. She had the will to walk and do everything her brothers were doing, and she still wagged her tail, but she seemingly had no control over her body. We thought she was having a stroke. It was terribly frightening!

Fortunately, the symptoms began the day that one of our vets was to come to our house to give Dusty acupuncture for a cruciate ligament tear we were treating through conservative management (another blog post I should’ve written). The vet examined Cora off the record, suggesting we get her to the clinic for a full “official” exam, and pointed out her nystagmus—the darting of her eyes. He felt fairly certain Cora had geriatric vestibular disease. The word disease in the name knifed fear into my heart—would she live out her days unable to control her body? He then told me that when his dog had it, it lasted about two weeks and resolved itself. Phew!

Vestibular disease, I learned through many Facebook friends whose dogs had gone through it, is not all that uncommon in senior dogs, and, more important, it’s not a death knell. Essentially, it’s an episode of vertigo. Cora was dizzy, as evidenced by her eye movements (nystagmus), which in her case started out as diagonal, not back and forth or up and down, and through her poor sense of balance. Most often, vestibular disease is considered idiopathic, meaning that there’s no known cause—it’s just age related.

However, because Cora has had ear infections on and off since we adopted her, the vet assumed an ear infection could be causing her symptoms, and sure enough, examination showed inflammation (despite regular ear cleanings!), so she prescribed two weeks’ worth of antibiotics.

Cora’s condition worsened a bit on the second or third day, when she started circling in the backyard. Our vet was a little worried by this because vestibular symptoms should only start improving after the first day. The circling happened on and off for a couple more days. But we waited it out because other things were normalizing—her nystagmus wasn’t noticeable to the naked eye, she was able to walk around the block, and she wasn’t vomiting or avoiding food (quite the opposite, as usual).

Cora rocking the head tilt.

Cora rocking the head tilt.

By the time she finished the antibiotics, Cora seemed mostly back to normal. She was safely jumping onto and off of furniture, going on our long walks and keeping up, and being as energetic and kooky as usual. Two main symptoms remained: her head tilt, which the vet had warned might never go away, and a bit of a lazy eye—both on the right side.

Then a day or two after she finished the antibiotics, Cora’s symptoms worsened again. I don’t remember exactly what was going on, but the vet decided to put her on antibiotics for another four or six weeks.

Once that course of antibiotics was done, Cora was back to normal (yay!), except for the head tilt and the lazy eye, both very cute qualities, we think. 🙂

And then in August …

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