Concurrent idiopathic vestibular syndrome and facial nerve paralysis in a cat

Fraser, A.R.; Long, SN; Chevoir, Matthias Le

doi:10.1111/avj.12338

Cited by 4 publications

(2 citation statements)

References 14 publications

(89 reference statements)

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“…Concurrent idiopathic vestibular syndrome and facial neuropathy is frequently identified in canine patients and previously reported in a cat; however, there was no statistically significant association between facial nerve deficits and any diagnosis identified within the study population. 60,61 Although the identification of a head tilt or pathological nystagmus can readily alert the clinician to the presence of vestibular disease, interestingly, neither clinical sign was statistically associated with a specific underlying diagnosis. 2,3,46 Thiamine deficiency was associated with bilateral vestibular signs characterised by wide bilateral excursions of the head.…”

Section: Discussionmentioning

confidence: 99%

Clinical reasoning in feline vestibular syndrome: which presenting features are the most important?

Grapes

Taylor‐Brown²,

Volk

et al. 2020

Journal of Feline Medicine and Surgery

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Objectives The aim of this study was to evaluate whether clinical variables from the history, clinical presentation, and physical and neurological examinations of cats with vestibular syndrome were statistically predictive of the underlying diagnosis. Methods In total, 174 cats presenting with vestibular syndrome between January 2010 and May 2019 were investigated. Univariate statistical analysis of clinical variables was performed and those statistically associated with a diagnosis were retained for multivariable binary logistic regression modelling. Results The seven most prevalent diagnoses represented 95% of vestibular presentations, which included: otitis media/interna (n = 48), idiopathic vestibular syndrome (n = 39), intracranial neoplasia (n = 24), middle ear polyp (n = 17), feline infectious peritonitis (n = 13), thiamine deficiency (n = 13) and intracranial empyema (n = 11). Idiopathic vestibular syndrome was commonly associated with non-purebred cats and had 17.8 times the odds of an improving clinical progression (95% confidence interval [CI] 1.3–250.0; P = 0.03). Intracranial neoplasia was associated with older age and chronic onset of clinical signs, and was significantly more likely to have a central vestibular neuroanatomical localisation (95% CI 8.5–344349142.0; P = 0.015) with postural deficits on neurological examination. Thiamine deficiency was more common in female cats, with 52.6 times the odds of a waxing and waning clinical progression (95% CI 1.2–1000; P = 0.038) and 6.8 times the odds of presenting with bilateral vestibular signs (95% CI 1.0–45.7; P = 0.047) and wide excursions of the head (95% CI 1.0–45.7; P = 0.047). Middle ear polyps were associated with 8.8 times the odds of presenting with Horner syndrome (95% CI 1.5–50.0; P = 0.015). Conclusions and relevance Although it may be difficult to identify the underlying diagnosis in cats with vestibular syndrome from the presenting features alone, there are instances in which discrete clinical features may help to guide clinical reasoning when evaluating cats with vestibular presentations.

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Section: Discussionmentioning

confidence: 99%

Clinical reasoning in feline vestibular syndrome: which presenting features are the most important?

Grapes

Taylor‐Brown²,

Volk

et al. 2020

Journal of Feline Medicine and Surgery

View full text Add to dashboard Cite

show abstract

“…A case report describes a cat that presented with right head tilt and falling to the right when jumping . A combination of clinical and cranial nerve examination and the normal results from all tests, including MRI of the brain and cerebrospinal fluid examination led to a diagnosis of idiopathic right facial nerve paralysis and right peripheral vestibular syndrome.…”

Section: Small Animalsmentioning

confidence: 99%