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Head Tilt 1421.e1



            Head Tilt
  VetBooks.ir                                   Turned/twisted head






                              Nose pointed to one side      One ear lower than the other;
                              but ears parallel             head rotated on median plane


                           Torticollis                                        Head tilt
               (consider forebrain lesion or cervical spine)
                                                                                  Nystagmus


                                                   Absent          Horizontal or rotary   Vertical    Positional

                                                                           CN deficit other
                                                                           than VII?
                                                                           yes
                                                                      No   Postural reaction
                                                                           deficits?
                                                                           yes
                                              Acute      Chronic
                                                                      No   Mentation
                                                                           change?
                                                                           yes
                                                                      No   Cerebellar
                    Otic exam can support but not rule                     signs?
                    out peripheral vestibular disease
                                                                           yes         Central vestibular disease
                                                                      No
                                                            Peripheral vestibular disease



           AUTHOR & EDITOR: Leah A. Cohn, DVM, PhD, DACVIM









                                                                                                                      Clinical   Algorithms





















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