Page 108 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
P. 108

Neurology                                                                                                                                                                                                                 Neurology
       A

                                                                                                                                      Rubrik
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                                                                                                                                                                                 Abnormal head and
                                                                                                                                                                                    neck posture
                                                    Vestibular disease








                                                                                                                                               Head tilt                Torticollis            Pleurothotonus            Ventroflexion


                                     Central                             Peripheral
                                  vestibular disease                  vestibular disease


                                                                                                                                                                  – Lesion in cervical      – Intracranial lesion    – Thiamine deficiency
                                                                                                                                                                    spinal cord               (thalamus,  cerebrum)    (esp. cat)
                                                                                                                                          â Vestibular disease                                                       – Myasthenia gravis
                                                                                                                                                 p. 98                                                                 (cat)
                                                                                                                                                                                                                     – Hypokalaemia
                                                                                                                                                                                                                       (cat)
                                 Lesion in brainstem/                Lesion in inner ear/
                                 caudal cerebellum                  vestibulocochlear nerve








                           – Neoplasia                         – Otitis media/interna
                           – Meningoencephalitis (immune       – Idiopathic vestibular disease
                            or infectious, e.g. complication of   – Ototoxic medication
                            otitis media/interna)               (e.g. gentamicin)
                           – Herniation
                           – Haemorrhage/infarction




























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