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  1. To review the anatomy of the vestibular system and the pathophysiology of the vestibular disease. How to distinguish between peripheral and central vestibular disease. To review differential diagnoses and diagnostic testing for both peripheral and central vestibular disease.

  2. the most common cause of peripheral vestibular disease in dogs and, despite its dramatic clinical presentation, can improve without intervention. Central vestibular diseases generally have a poorer prognosis.

  3. Vestibular disease (often known as “old dog syndrome”) more commonly afects aging dogs and results in loss of balance. Number of dogs in study. 905,544. Number of vestibular disease cases identified. 759. Average age at diagnosis. Most common signs of vestibular disease. 12.7. years. Head tilt (70%) Flickering of the eyes from side to side (68%)

  4. This article aims to present the predisposition factors, clinical features and neurological findings of the 32 dogs and 16 cats diagnosed with vestibular pathology. Key words: central vestibular syndrome, peripheral vestibular syndrome, head tilt, nystagmus, neurology.

  5. The typical presentation in dogs is an acute onset of vestibular ataxia (incoordination with loss of balance, leaning and falling to one side and occasionally rolling), head tilt (to the side where animals fall towards) and nystagmus (horizontal or rotatory, with the fast phase away from the side

  6. Information from the vestibular system also coordinates with sensory information from vision and proprioception (touch sensors in the paws and other parts of the body) to help your pet maintain balance and have clear vision while moving.

  7. Classic clinical signs of vestibular syndrome include head tilt, vestibular ataxia (characterized by leaning, falling, circling, or alligator rolling), positional ventral or ventrolateral strabismus, and pathologic nystagmus.

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