Neuro case. Ideas and suggestions sought

RE: Neuro case. Ideas and suggestions sought

Chris Milligan — Tue, 26 Jul 2022 15:50:15 GMT

weird neuro in cats falls into three immediate rule outs to my mind; Toxoplasma, FIP plaques and neoplasia, everything else is pretty uncommon unless there's been trauma. inner ear infections aren't that common so as to be causing this sort of thing, but of course are possible.

the toxo test is a good plan, hard to assess the other two without advanced imaging. consider starting clindamycin while you're waiting for results

RE: Neuro case. Ideas and suggestions sought

Beats — Mon, 25 Jul 2022 07:05:39 GMT

I'd consider e.g. 4 weeks amoxibactin tablets. (50mg twice daily)

Folks tell me that OM in a cat is rarely cured by antibiotics alone, but I know I have cured it that way on occasions in the past.

Alternative would be popping ear drum and flushing through - I don't think this is totally benign though, hence I would likely try antibiotics first.

If showing more neuro signs, I'd give some steroids too (probably starting with colvasone injection). If signs barely perceptible, then I'd just start with the antib9iotics.

RE: Neuro case. Ideas and suggestions sought

Michael Woodhouse — Sat, 23 Jul 2022 21:08:50 GMT

Do they have budget/enthusiasm for referral?

[quote userid="5083" url="~/001/veterinary-clinical/small-animal/neurology/f/discussions/30367/neuro-case-ideas-and-suggestions-sought"]Tympanum appeared intact but opaque, whereas more translucent on other side.[/quote]

If low budget could always burst ear drum and see what's in the middle ear. My best guess would me a middle ear infection. Depomedrone your other option for a trial