Shih Tzu with head swaying

Re: Shih Tzu with head swaying

ilanit — Wed, 26 Mar 2014 10:50:50 GMT

Thank you Mark. That IS helpful. At least I am not missing something obvious with regards to the neurology... back to the drawing board then.

Re: Shih Tzu with head swaying

Mark Lowrie — Wed, 26 Mar 2014 10:04:02 GMT

Hi Illanit,

Not sure I can say much from the video. The first question is always ‘is it neurological’? I am not sure I can say that this is. It certainly doesn’t fit the phenotype of any known neurological conditions. I would be very general in my approach at this point and base investigations on clinical examination and pertinent history. For example, this may be secondary to pain. And I always say the absence of pain on examination does not preclude pain as a diagnosis, heartburn would be a good example of this – very difficult to pick up on examination but definitely painful.

In the absence of obvious findings I would try and ascertain more as to whether this is episodic or constant and also monitor for other clinical signs. I am afraid I can’t be more helpful but the reason I think you are struggling to give a neurolocalisation to this problem is it may not be neurological. Sorry I cannot be of more help.

Re: Shih Tzu with head swaying

ilanit — Wed, 26 Mar 2014 05:21:00 GMT

Thanks, I thought about that. But I think you would have wider head excursions (I could be wrong)? Also physiological nystagmus appeared normal (although again I could have missed some subtle chances)

Re: Shih Tzu with head swaying

ruths — Wed, 26 Mar 2014 00:49:51 GMT

Bilat vestibular diaease?