Secondary Vestibular syndrome to otitis media in a cat
Keywords:
Vestibular system, Ataxia, Nystagmus, Vestibular syndromeAbstract
Vestibular syndrome is a frequent disorder in feline neurology that is characterized as a set of neurological signs caused by a dysfunction of any part of the vestibular system. The vestibular system is divided into peripheral and central components, and a neurological examination is essential to locate the origin of the lesion. The peripheral vestibular syndrome can be caused by congenital anomalies, neoplasms, trauma, polyps, and inflammatory diseases, with otitis media/internal being one of the main etiologies in dogs and cats. Thus, the present work aims to present a case report of a feline, female, mixed breed, seven months old, with secondary vestibular syndrome to otitis media. The animal was admitted to the clinic with sudden neurological signs, presenting nystagmus and motor incoordination, as well as unilateral nasal secretion. Hematological and biochemical tests, abdominal ultrasound, and skull radiography were requested, and hospitalization was recommended. In the biochemical tests, the values of total bilirubin and fractions were above the reference value and the albumin/globulin ratio was decreased. The radiographic examination confirmed the suspicion of otitis media. The treatment was performed with marbofloxacin and gabapentin. After treatment, the animal showed a significant improvement in clinical condition. Therefore, it is concluded that secondary vestibular syndrome to otologic alteration is a condition present in the veterinary routine, and the association of clinical examination and complementary exams is important so that it is possible to reach the diagnosis.
References
ANTUNES, J.R. Síndrome vestibular periférica em gatos, 2016. 36p. (Trabalho de Conclusão de Especialização em Clínica Médica de Felinos Domésticos). Universidade Federal do Rio Grande do Sul, Faculdade de Veterinária, 2016.
BRUM, M.A.; PASCON, E.J.P.; CHAMPION, T.; COSTA, T.M.; Dicloridrato de Betaistina na Síndrome Vestibular Periférica Canina. Ciência animal Brasileira, v.11, n.1, p.239-244, 2010.
DEWEY, C.W.; COSTA, R.C.; THOMAS, W.B. Realizando o exame neurológico. In: ______. Neurologia canina e felina: guia prático. 1ª ed., São Paulo: Guara, p.25-26, 2017.
GASKELL, R.M.; DAWSON, S.; RADFORD, A. Doença Respiratória Felina. In: GREENE, CRAIG E. Doenças Infecciosas em Cães e Gatos. 4ª ed., Rio de Janeiro: Guanabara Koogan Ltda, cap.14, p.345-366, 2015. (Tradução de: Infectious diseases of the dog and cat)
GONÇALVES, C.N.C.B. Síndrome vestibular em animais de companhia: Estudo retrospectivo de 29 casos clínicos, 2016. 113p. (Dissertação de Mestrado em Medicina Veterinária). Curso de Medicina Veterinária, Universidade de Lisboa, 2016.
GRAPES, N.J; TAYLOR-BROWN, F.; VOLK, H.; DECKER, S. Clinical reasoning in feline vestibular syndrome: which presenting features are the most important? Journal Of Feline Medicine and Surgery, v.23, n.8, p.669-678, 2020.
KENNIS, R.A. Feline Otitis: Diagnosis and Treatment. Veterinary Clinics of North America: Small Animal Practice, v.43, n.1, p.51-56, 2013.
KENT, M.; PLATT, S.R.; SCHATZBERG, S.J. The neurology of balance: function and dysfunction of the vestibular system in dogs and cats. The Veterinary Journal, v.185, n.3, p.247– 258, 2010.
LORENZ, D.M.; COATES, R.J.; KENT, M. Ataxia of the Head and the Limbs. Handbook of Veterinary Neurology. 5ª ed., Missouri: Elsevier Saunders, p.254-287, 2011.
LOWRIE, M. Vestibular disease: diseases causing vestibular signs. Compendium Continuing Education for Veterinarians. v.34, n.7, p.1-7, 2012.
MORIELLO, K.A. Doenças cutâneas em felinos. In: LITTLE, S.E. O gato: Medicina Interna: 1ª ed., Gen-Editora Roca Ltda., p.597-604, 2015.
NELSON, R.W.; COUTO, C.G. Inclinação da cabeça. In: Medicina Interna de Pequenos Animais. 5a ed., Elsevier, p. 2971-2978, 2015.
ROSSMEISL, J.H.Jr. Vestibular disease in dogs and cats. The Veterinary Clinics of North America: Small Animal Practice, v.40, n.1, p.1–100, 2010.