Stabs in the dark - Dizzy Kitty Adventures

fenriradra

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Some of you might remember my first post on tuesday, thinking poor Kitty (yes, I think I forgot to share his name being Kitty) was constipated.  Thank you all so much for your concern.

In the old thread, I pretty well outlined what the vet's response was from the first visit - physical, check, xrays, good, bloodwork, great, echo cardiograph, no blood clots.  His only notable "tested" traits were having a heart murmur, and his temp was a just under normal.  

Meanwhile, he had what appeared to be a severely weakened leg and extreme off-balance while trying to sit up or walk around.  We aren't sure if it's really a weakened leg, he can still stretch (with great effort) the affected leg, can still tell when you're tickling his foot, and so on.  He has a definite swinging of his butt & trunk area while he's walking.  His eyes aren't twitching around, and no visible head tremor, though he does appear to favor turning his head one direction instead of the other (he still CAN turn his head either direction if something interests him enough) - it doesn't look like a head tilt, rather a reluctance to turn his head one way.

With little else they could do, they explained it could probably be a brain tumor, bleeding in the skull creating pressure against the brain and/or nerves, or something else along those lines.  His then treatment was a shot of steroids that lasts a couple days, and keep him comfortable.

Well, when we got home, his condition worsened.  His off-balance way of sitting up seemed to get worse (in that he couldn't sit up without falling over, unless he was leaning against a cushion or in my arms).  He couldn't really walk along on his own, unless I set him down next to a wall to lean toward.

Day 2 showed a bit of improvement, his attitude seemed to be a bit more confident, had a few fits of playfulness, even if he was also still dealing with the frustrating off-balance, walking, and sit-up moments.  He seemed to have a bit more confidence walking; still just as much swinging of his butt and showing what appeared to be a weak leg, but a little less falling over.

Day 3 showed still a bit more improvement, in attitude and everything.  Still not quite got the balance figured out, but not falling over nearly as much.  He started getting his butt swinging motions a little more under control, and walking more in a straight line, with a little less leaning toward the wall.  Most noticeably was how he could turn himself around, and lean toward the wall on his "weak" side, without falling over, was the big sigh of relief that he's getting better, bit by bit, day by day.

Day 4, today, still baby steps of improvement.  He's branching off from the walls while walking around more, and getting more control over swinging his butt around.  He has much less trouble (but still far from normal) sitting himself up and going from laying to standing.  He hasn't fallen anywhere near as much, and has gotten some successful climbing & very small jumps in (so far he seems to have more trouble getting down from where he gets up to).  Every spot he likes to get up to has a big pillow stair case, he's got those pretty well figured out (but he prefers trying a jump more than using pillows!).

Considering how bad he was on the first day we noticed anything, and how much better he is doing today, it's like two entirely different cats - he's made a lot of progress, even if he still has a lot of recovery to do.

Tomorrow we're going back to the vet's office, mostly so they can give him another steroid shot (one that should last closer to 3-4 weeks instead of 3-4 days), just in case it is any kind of inflammation problem.  In between the times I'm watching over him, or my roommate, I've done a ton of looking around online trying to match the symptoms up; and I feel at least modestly confident in the vet's initial "could be a brain thing" diagnosis.  But given how much he has recovered compared to when symptoms first suddenly appeared, I'm personally leaning toward a vestibular syndrome.

If anyone has information about either brain issues, or vestibular issues, Kitty and I would be eternally grateful!
 

mrsgreenjeens

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Did they rule out an inner ear infection?  Sometimes that can cause dizziness. 

Or it very well could be Feline Vestibular Syndrome, which normally doesn't last too long, as far as I know.  One of our members, @farleyv2, has had a couple of cats with this. 

that the steroid shot continues to help him improve and that it's not anything more serioud.
 

goholistic

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I saw in the other thread that someone mentioned the possibility of a stroke. This is what I was thinking, as well. Kitty is the ripe old age of 15, and senior cats are more susceptible to these kinds of things.  If it was something like a stroke, you may see gradual improvement one day at a time since they can recover from this . If it was something like a brain tumor, chances are symptoms will continue to worsen over time.

This link about strokes may be helpful (it includes a video of the "swinging" walking you describe in Kitty):

http://www.askthecatdoctor.com/feline-stroke.html

When I read about vestibular disease, it doesn't quite all fit to what you describe in Kitty, so I don't know.

http://www.vcahospitals.com/main/pe.../animal-health/feline-vestibular-disease/6509

http://www.winnfelinehealth.org/Health/VestibularDisease.html

http://www.vet.cornell.edu/FHC/health_resources/vestibularsyndrome.cfm

Also, are they giving Kitty a Depo-Medrol steroid shot? Personally, I would question the vet on the use of this versus other available options.
 
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fenriradra

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Ear infection was pretty early ruled out, there were no signs of discharge from the ear area, he wasn't scratching his ears, and when they poked that ear-inspection tool in his ear they didn't remark about anything unusual.

Feline Vestibular Disorder is still 'on the table', though from what I've seen/read about, the off-balance issues caused by it don't tend to appear as weakness in the legs (not saying they couldn't...), and more actual dizziness, to an extreme.

Strokes, the vets assured us, tend to go back toward the hind legs, but after seeing the videos you linked, GoHolistic, I would say - especially the first video - is basically how my cat has been.  Maybe a little more active (not as much as the 2nd video), but certainly a little... lazy-ish walking around.  Unless it's a mouse, Kitty just doesn't want to run after anything.

Otherwise; week and a day update:

Kitty isn't falling over at all trying to sit up & stand.  He does still have what appears to be a stiff/sore neck, and a reluctance to turn his head to one side (the same side as his apparent weak hind leg).

He still walks around like he has a limp, but he is swishing his tail around a lot more, and at least trying to hold his tail up more often - a lot less using his tail to try and balance his "weak" side.

He hasn't lost his appetite one bit, hasn't vomited at all either, and is still just as thirsty as ever (maybe a little more thirsty than typical, but not enough for alarm).

He's been more and more daring with what to jump up on - at this point he's pretty much capable to make it up to all the things he used to get up to.

However it's getting down that is usually the most trouble - if it's only a few inches or he has the pillow staircase, he's basically self sufficient, but if it's a couple of feet, he's pretty much going to roll/fall when he lands.

Last night was his first night "back to normal" (eg: bedroom doors open, and he has pretty much free roam while everyone else is sleeping), and he did fine.  He still doesn't have the entire house to roam, though, especially since I still think the stair case to the basement would probably lead to a pretty nasty fall (they are carpeted stairs, at least, but it wouldn't be fun to fall down either way).
 

cocheezie

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Feline Vestibular Disorder would cause a lot of dizziness and nausea (even more when tired) and therefore vomiting and a lack of appetite. I've had the human version.
 

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@Fenriradra, I'm glad to read that Kitty seems to be improving a little. You reminded me that Kitty having a "weaker" side is another reason why I suspected a stroke (like what happens to humans). I don't think you specified which side is "weaker", but if it was the right side, then Kitty may have had a "disruption" in the left side of her brain. Obviously, I am not a vet. I am just theorizing with you. 


Has Kitty had cardiovascular diagnostics done? Blood pressure check? Echocardiogram? I am thinking about the heart and blood in relation to it flowing to and from the brain.
 
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fenriradra

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Thanks again for your care and support everyone, it means a lot!

@GoHolistic, it is his right side that appears to be weaker (it's hard to tell - he tends to favor putting most of his weight on his right side, but then seems to have issues moving his rear right leg to it's fullest extent).  He also seems to not like turning his head toward the right, but if something is enticing enough, he will.

As far as cardiovascular, I don't recall if they did a blood pressure check - just using the stethoscope they were able to determine he had a heart murmur.  They did bloodwork/tests but that didn't turn up anything unusual.  As well as echo cardiogram, but it was focused more on seeing if he had a clot go toward his leg.  During that part of his exam, the vet noted that one side of his heart has slightly thicker walls than the other, but it wasn't a large enough difference to cause alarm.
 

goholistic

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As well as echo cardiogram, but it was focused more on seeing if he had a clot go toward his leg.
I wonder if the vet might have been looking for the possibility (or risk of) a saddle thrombus.  
This is also caused by a blood clot. It is extremely painful and causes the cat to lose the use of it's back legs. If you ever notice these symptoms, it's an emergency (like grab the cat and run out the door kind of emergency).

Continued vibes for Kitty! 
 
 
 
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fenriradra

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Eh, I think they were looking for a possible saddle thrombus, but there wasn't any evidence of it (and none of some of the other symptoms beyond weakness to suggest it; eg: his leg & paw was/is still warm, he doesn't react like it's painful, he still has feeling all along his leg, etc.)
 
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fenriradra

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Three week and a few days update:

Well Kitty is back to more or less normal.  The second (longer lasting) steroid shot should be wearing off over the next week or so, so I'll keep you all posted if anything serious happens.  We haven't taken him back to the vet (or had a need to, really) since that second shot.

He does, however, still seem to have the ever-so-slightest limp and ever-so-slightest swagger to his step - subtle enough that a couple visitors we've had didn't even notice it.  Just me and a close friend or two really know how screwed up he was a few weeks ago to watch his condition.  I don't know if he'll ever be able to get back to 100% like he was prior, or if this not-really-noticeable limp is here to stay, though.
 
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