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Understanding Canine Stroke SyndromeSymptoms in Dogs May Be Very Different From Human Stroke Cases
Brain injury from bleeding or lack of oxygen causes frightening neurological signs but many dogs will recover. Understanding what caused the stoke may prevent recurrences
Canine strokes are also called CerebroVascular Accidents (CVAs) or Transient Ischemic Attacks (TIAs) depending on the type and severity of the event. Similar symptoms may be seen in other types of brain injury as well as canine vestibular sydrome, so a veterinary workup is necessary for accurate diagnosis. Signs of canine strokes include head tilt, a loss of balance and/or vision with circling and falling episodes. Unlike human stroke cases, facial weakness resulting in drooping of the eye or mouth is rarely seen in dogs. Head tilt and circling are generally considered to be the result of disorientation and dizziness rather than limb weakness. Causes of Strokes in DogsA ruptured blood vessel or any type of bleeding into the brain can result in hemorrhagic canine stroke. An aneurysm, a sac or outpouching created in the weakened wall of a blood vessel, is a common place for a rupture to occur. In this type of hemorrhagic stroke the blood may leak into the dog's brain causing direct damage to brain tissue. The blood may also become trapped between the brain and the skull, resulting in pressure on brain tissue, which causes necrosis (or tissue death). In ischemic canine strokes there is a sudden lack of blood to the dog's brain. This may be caused by an embolism or some type of blockage in an artery or by a thrombosis or narrowing of an artery. Dogs with kidney problems, heart disease, Cushing’s disease, diabetes or thyroid dysfunction are at higher risk for strokes. Head trauma, tumors in the brain or tumors metastasizing to the brain and some congenital clotting dysfunctions may also contribute to canine strokes. Diagnosis of Canine StrokeIn order to determine whether a dog has had a stroke, extensive tests must be done. Computed tomography (CT) scans or magnetic resonance imaging (MRI) must be done to evaluate the damage to the brain and rule out tumors. Canine vestibular syndrome also mimics stroke symptoms but there is no damage to brain, thus brain damage rules out this common canine problem. A sample of spinal fluid may be taken from the dog to ensure there is no infection or inflammation causing stroke-like symptoms. Blood tests may help evaluate whether other diseases such as diabetes or thyroid dysfunction may have contributed to the problem. Treatment and Prevention of Strokes in DogsWhile there is no specific treatment for canine strokes, good basic nursing care will help the dog recover. Attention must then be paid to the cause of the canine stroke. If one of the above diseases has been identified as a contributing factor, controlling that underlying disease will be important in preventing future strokes. Not all dogs will recover from a stroke. If a part of the brain that is critical for life functions is damaged the animal may not get better. But for many dogs, a return to normal life after suffering from a canine stroke is a strong possibility. Further information on canine neurological disorders.
The copyright of the article Understanding Canine Stroke Syndrome in Dog Care is owned by Dawn M. Smith. Permission to republish Understanding Canine Stroke Syndrome in print or online must be granted by the author in writing.
Comments
Jan 26, 2009 1:00 PM
Guest :
I found my 15 yr. old pom/yorkie sprawled out (all 4 legs) on the floor
crying. Her head was against the stereo cabinet. I picked her up, but she
could not stand. She continued to cry if I carried her, or laid her down.
She acted like she wanted down. I put her down ,but hung on to her so she
wouldn't fall over. She could walk with her back legs as long as I hung on
to her. Eventually I was able to lay her down. After about 15 min., she
got up and started running all over the house and banging her head on
everything, seemingly on purpose. I took her to the vet he checked her
blood and said she needed an antibiotic (her white blood count was up).
Her electrolites were off, calcium low, liver enzymes somewhat low, she has
a heart murmur. She will not eat, and will constantly walk in a circle.
Does this sound like a stroke, a seizure or vestibular syndrome? Will
Gaterade help?
Thank you! Jan 26, 2009 1:30 PM
Dawn M. Smith :
Given the abnormal blood results, it would be hard to say what has happened
but canine vestibular syndrome or stroke would be possibilities. It will be
very important to work closely with your vet to try to get answers.
If she is not eating a solution like Gatorade may be good for helping get the electrolytes back in balance. Also try and tempt her to eat with some of her favorite foods. You may have to hold her steady when she is trying to eat or drink as her balance is off. Good luck. Jan 27, 2009 9:00 AM
Guest :
Dear Dawn,
My dog Snuggles (the Pom/Yorkie) would not drink the Gatorade. I could not get her to eat yesterday. My guess is because the last 2 times she did eat, they were tiny bits with an antibiotic, which made her nauseated, as well as dizzy. She will drink lots of water. Do you have any suggestions as to what to give her to keep her from being nauseated? She is 6 lbs. Thanks! Jan 27, 2009 9:40 AM
Dawn M. Smith :
If she is nauseated you can speak to your vet about giving her some motion
sickness medication or the vet may have a particular product for nausea.
You can try giving her ice cubes to lick-you can freeze the gatorade or
make up some boullion so see if she will take small sips of that. Some dogs
will lick baby food from your fingers when they are unable to hold
themselves steady enough to take food or water from a bowl. Just keep
trying different things until you find out what she will accept.
Good Luck Dawn Feb 21, 2009 9:41 AM
Guest :
my dog is 13 and she is haveing trobal standing and walking do you thank
she had a stroke ? If so what can we give her thank you
Feb 24, 2009 6:27 AM
Dawn M. Smith :
Trouble walking can be caused by many different things. Your dog should be
examined by a vet to determine whether it is caused by stroke syndrome or
something else, then treatment or management can be decided.
Feb 24, 2009 9:34 PM
Guest :
8yr old miniature pinscher has symptoms of stroke. It was sudden onset and
after i fed her a treat(not sure if this would cause these symptoms). She
looked "drunk", wobbling and disoriented. When we took her to the
vet symptoms went away, but she was distracted. Overall demeanor is
lethargic and easily startled. She seems like she might not be seeing well,
and stress increases tremors. When she stands all symptoms increase. The Dr
wanted to run extensive tests that i cant afford. Do you have any advice on
prioritizing tests that will rule out only life threatening conditions so
that i can minimize the amount of money i spend. Also, does this seem like
a stroke or vestibular disease? If i choose not to have anything done are
there certain symptoms that indicate the condition has worsened or become
life threatening?
Feb 25, 2009 7:09 AM
Dawn M. Smith :
While it is difficult to say for sure, based on the symptoms you describe
canine stroke is very likely. If you tell your vet what you have written
here-that you need to prioritize testing, (s)he should be able to help you
determine what steps to take to get a better diagnosis.
If you choose not to do any testing it will just be a matter of monitoring her overall condition. She may or may not have another stroke (if that is indeed what happened). Again, talk to your vet about what to look for and how best to keep her as strong and healthy as possible. Mar 2, 2009 4:50 PM
Guest :
Six weeks ago, our 16 yr old Lasha suffered what seemed to be a stroke. I
found her laying on her right, paralized on that side. Before I could get
here to the vet she cried out and had a seizure. At the vet's they gave her
a shot of Diazipan. That stopped the seizure. It's been a long road back
for her. For the first week, she showed no feeling in her right legs. When
you picked her up, she was totally limp. Then slowly feeling came back to
her rear then front leg. It was about three weeks before she could stand on
her own, though she was trying by the second week. She's been getting
stronger every day. She can now stand and walk for several minutes at a
time. She has even climbed the staircase once. She never did show any head
tilting. Her worst problem now seems to be although she's good(but slow) at
walking, if she stands too long, she'll topple over on her right side with
no warning. She has been on medication for high blood pressure and enlarged
heart for quite a while. The heart condition was discovered several years
ago. But she's did pretty good with the meds she's on. She does seem to
have little muscle ticks or what you might call mini seizures. She's been
doing that for a couple of years. She take diazipan daily for that. But I'm
starting to wonder if they aren't related to the appearent stroke she
suffered. The vet decsibed the attack she had as a contration of a blood
vessel as apposed to a blockage. What I'm really trying to do is prevent
another attack. Any ideas?
Mar 3, 2009 1:47 PM
Guest :
I Have a 10 year old German Shepard named Max, and this past fall time Max
fell to the ground with a cry, and at that point he could not get up. After
carrying him into the house he eventualy did get up but I could tell he was
feeling week. I also noticed that when Max was walking he seemed to keep
crossing is hind leges as well as draging the knuckels of his rear paws. I
brought him to the his regular vet and he said that he believed Max had
spinal stroke and I should keep him down resting and within a few weeks I
should see improvment as I did but not much. He would seem fine and then
someone would come to the door and Max would run to the door and he would
end up limping for about 10 minutes or so from the run. It seems like
within the past couple of weeks Max is getting a little more unstable. I
have taken messures the best I can to keep him from doing any running. Is
this something that will go in time? It seems like this has been going on
for a while. What else can I do to help the Healing process?
Thank you! Mar 3, 2009 2:06 PM
Dawn M. Smith :
In Max's case, I would talk to your vet about the possibility of canine
degenerative myelopathy. While canine stroke syndrome is a possibility much
of what you describe does not fit the typical stroke pattern. Shepherds are
particularly prone to degenerative myelopathy (see the above link to
neurological disorders in dogs) and the weakness and in-coordinate walking
make it worthwhile check with your vet to see if that might be a problem
for him.
Good luck! Mar 4, 2009 5:35 PM
Guest :
My dog Poo Bear, is a mixed German Shepard that is over weight, and 12. She
seems to have aged over night. She went from a very active dog, to not so
active in 6 months. It seem that she aged in her looks too. Last Wednesday
night she lost control of her ability to stand and crumble in the floor.
She regain the control of three of her legs in a couple of days, but she
carried her frout right leg as if it was asleep. She could not place it
right and it was sort of turn in. She was still able to walk, but would not
climb stairs anymore. Yesterday she fail in the floor again, and she is
doing the same things over again. I do not know the true damage yet, being
it is early from her second (stroke).She has started to eat and drink again
but only can walk a step or two. We have taken her to a vet, and she said
only time and TLC would tell at her age. What can we do to help her recover
and keep her from having more strokes. (low-dose aspirin maybe) With her
having two strokes in a week time, is there any hope, or are we putting Poo
through this for nothing? Thank-You for any advice!!!!
Mar 5, 2009 6:10 AM
Dawn M. Smith :
It is certainly worth giving PooBear a little more time to see what
happens. Although she has had 2 possible strokes, nothing you describe
seems like she is in pain. Low dose aspirin has not be used much in dogs
because they metabolize it more slowly than humans, making it possible to
overdose them. Talk to your vet about other possible medications
If PooBear doesn't have anymore strokes and continues to improve the best thing you can do for her is cut back her food-help her lose weight so that the heart does not have to work so hard (it will also be easier on her back and legs). Apr 4, 2009 7:01 PM
Guest :
hi.
my dog is 14 and she has tumors, but the vet said if she has surgery that she may not make it through. recently she has been having trouble standing and keping her balance and shes been having urinary problems as well. the other night she got up, and fell, and tried toget up and now her head is titled to one side. we're scared we are going to have to put her down. do you have any suggestions? Apr 5, 2009 7:32 AM
Dawn M. Smith :
There are two things to think about in this case. You didn't specify what
the urinary problems were but urinary tract infections can cause problems
with balance and motor skills. While canine stroke is a possibility, canine
vestibular syndrome (see the link above) should also be considered. If
either of these has occurred it may be some time before you see significant
improvement but it is worth giving it some time (and ensuring that a simple
urinary infection is not the cause).
Apr 7, 2009 8:44 PM
Guest :
My dog, a German Shepard. Has recently been complaining, and crying. We
have noticed that his neck is stiff, like twisted to the right, and
stumbles. We don't want him to suffer, and we took him o the vet...they
said he had a stroke, and they gave him medicine...and told us to watch him
for three days, and to see if he gets better..if not he will be put to
sleep. We would hate to put him to sleep is there anything we can do to
help him recover... if he has to be put to sleep than we will because we
don't want him to suffer...but we really want to help him...
what can we do? Apr 8, 2009 3:55 AM
Dawn M. Smith :
Your vet was right to recommend waiting a few days to see how much of a
recovery your German Shepherd might make. Both canine stroke and canine
vestibular syndrome look really bad in the early stages but the dogs often
recover reasonably quickly. In the meantime, supportive care-making sure
the dog is able to eat and drink and helping him to get up when he needs to
go out will be the most important things you can do. Good luck.
Apr 12, 2009 11:40 AM
Guest :
2 days ago my 5 1/2 yr old min pin was at a friend's house when she called
me to tell me my dog had fallen off the sofa onto the tile floor and was
not moving. I had her rush the dog to emergency vet and met her there.
Upon arriving, my dog responded to my voice and tried to get up, sort of thrashed around a bit but couldn't stand up. At this point her eyes were dilated and fixed and her tongue was hanging out and she was whining. Doc almost immediately said that there was no spinal injury. I can't even recall if they have done x-rays, but I would assume they would have as I agreed to all initial recommended diagnostics. At first the doc felt that it was some sort of seizure, as he didn't think such a short fall could cause any harm. They did, however, start treating her for brain swelling and had to work to bring body temp up. A neurologist looked at her today and said that he thought it was indeed head trauma. 15 hrs after accident, when I visited her, my dog was still out of it. Her pupils were no longer dilated, she seemed to try to look at me and responded somewhat to other things, but otherwise still out to lunch. Her tongue is back in and she has her swallow reflexes. She has eaten, according to tech. No vomiting, no involuntary loss of bowels/bladder, no seizures. She has a head tilt to the right and her front legs aren't working. She seemed to be able to stand on the back, but her front legs are rigid. She will try to stand - with her back and her head curved to the right and just fall over. When I held her she just wanted to lean against me on her right side and would often twist her head back. She seemed to be shivering, though they said her temp was stable. Today at approx 40 hrs, she has made slight improvements. At this point I have declined the spinal tap and MRI and requested they continue treatment as for head trauma. I felt that she was perfectly fine up to this incident. If it were an infection or tumor wouldn't she have other symptoms? It seems to me the trauma may have triggered a stroke? I am hesitant to do the expensive testing only to be told that is what she has and to continue doing what we are doing. The vet has been snappy and short w/ me since I declined Spinal tap and MRI. I do not feel like she explained enough for me to have justified doiing that. So help!? Any additional thoughts or recommendations? thank you! Apr 12, 2009 2:25 PM
Dawn M. Smith :
I would approach your vet again and explain, as you did to me, that you are
not clear as to what the spinal tap (most likely to rule out infection or
tumor by looking at the spinal fluid for abnormal cells) and MRI (might
show areas of injury/hemorrhage or other abnormality) would tell you. Also,
if cost is a factor, be honest about that so she can work with you on
giving the best possible care that you can afford.
The symptoms you describe do not fit neatly into canine stroke syndrome and the head trauma diagnosis seems reasonable. Whatever is causing the symptoms, most neurological problems take time to resolve. Good LUck Apr 30, 2009 1:15 PM
Guest :
hey...i have an 8 year old labrador and she started having seizures about
two months ago like 1 every other day. the vet said it could be her liver
enzyme levels were high. one day she had over 15 seizures in 1 day, thats
when the vet gave me phenobarbital 60mg epilepsy pills so she stops
seizures.. seizures have stopped but she seemed to be getting worse she has
no energy and spends most of the day sleeping.my vet said she must of
banged her head during a seizure and created bleeding in her brain. its
been a almost a month it looked like she was getting better but now she
cant walk much very weak and disorientated.also walks in circles sometimes
and many times she just goes and stands in the corner and looks at the wall
and her head is always down. vet is also giving he cortisone
injections...vet told me to give her 15 days n if she doesnt get better put
her down:(
Apr 30, 2009 1:57 PM
Dawn M. Smith :
Sorry to hear about your lab. It could be a stroke and subsequent brain
damage, which can sometimes reverse. Saddly, sometimes it doesn't. Give it
a little more time and also talk to your vet about possibly reducing the
phenobarbital as that can also have effects on how the dog functions (don't
want to reduce it if that level is needed to prevent seizures). Good Luck
May 4, 2009 11:24 AM
Guest :
My dog collapsed as we went back up the stairs to my apt. As he fell he
"yelped" and rolled over like his front legs broke. He can eat,
drink, and sit up but cannot put any weight on his front legs. At first the
vet thought he had a ruptured disk in his neck but the XRay came up
negative. Now we are trying physical therapy but it's hard to see him not
able to put any weight on his front legs. Did my dog have a stroke or is
something else wrong?
May 5, 2009 11:48 PM
Dawn M. Smith :
A stroke may be a possibility in this case but other neurological problems
should be considered as well.X-rays do not find all nerve damage. It may be
worth having a talk with your vet about all the possibilities and ways to
eliminate some of the possibilities
May 15, 2009 9:56 AM
Guest :
Hi any advise would be really helpfull
My boxer benji aged 7 three weeks ago started with blood shot eyes so took him to vet and he gave him eye ointment then a week later his head tilted to the right and walked drifting to the right as well took him back to vets put him n Rilexine (antibiotics) and vivitoin (increse oxygen to brain) hes been on these for two weeks now and the vet says just keep him on vivitoin for another two weeks and see how he goes He has also started to flop his left foot when he walks hes eating and drinking fine the vet said if no better then I might have to put him to sleep any advise or alternative med I will try to keep my benji alive thanks for reading debs May 16, 2009 11:55 AM
Guest :
Our 3 year old, 7 lb Yorkie/Terrier mix has been having reoccurring
episodes (about 5 in the past 10 months), which leaves her physically
debilitated. Each time, she somewhat recovers (within a couple days) from
the immediate injuries, but is left a little worse off than before. During
the first few episodes, she would bark and defecate, while lying limp on
the floor. Both sides of her body were affected, but her left side was
worse. She eventually recovered to the point of a mere limp, but a week
ago, she suffered a more severe episode when she was barking at someone who
was at our door. This time, both sides of her body were completely
(initially) paralyzed and she seemed to be gasping for air with her tongue
hanging out of her mouth, but her eyes did't seem to be affected. Again,
she has recovered somewhat and is on an anti-inflammatory. However, she
barely walks now, as it appears that she only uses her left limbs as
"pegs". Additionally, she has about a 1/4 of the bark she used
to have. We've also switched to soft food bc she wasn't eating her regular
hard food. She is eating and drinking, though. Lastly, she is having
problems controlling her urination. We've been to three different vets
since the episodes began occurring and the last one suspected a brain
tumor. After witnessing these episodes and it's effects on my dog, my gut
tells me that these are strokes, but please tell me what you think.
May 18, 2009 6:01 AM
Dawn M. Smith :
For the boxer, your vet's recommendation of giving it some time is
important.Whether it is stroke or vestibular syndrome or something else,
the body has amazing healing powers and often dogs will recover some, if
not all, of their functions. If the flopping foot is an issue chat with
your vet about whether a bootie would help. These can function to hold the
foot in the correct position and help the dog walk comfortably.
For the yorkie- canine stroke syndrome is not so common in younger dogs, which may be why the vet suggested a brain tumor rather than strokes. If the symptoms continue to worsen the possibility of a tumor becomes more likely. But I hope I am wrong and that she begins to improve. Good Luck Jun 3, 2009 8:47 AM
Guest :
My 10 year old, 100 lb, lab mix went into a general decline - unwilling or
unable to run - wouldn't go up stairs and then 3 nights ago peed and pooped
in the house at night. then his eyes became very sunken and he appeared
super weak. Also walked with his head lowered - kind of like a bear. A vet
friend said he looked like bilateral Horners and that their was some
neurologic deficeit but she couldn't say what. Appetite is normal - urine
and feces are normal (just doesn't seem to make it outside). Took him to
Emergency Vets and they wanted to do CT, MRI and CSF - we are unable to
finance these tests. All blood work is normal - kidneys, WBC, RBC,
potassium, etc. Did not do X-rays as vet did not seem to feel that a tumor
or mass in the head/spine would show. She prescribed 20mg Pred x 2 x 7
days and then 20mg Pred x 1 per day. The Pred seemed to clear up the
Horners and his eyes are better almpst immediately. Now he wanders in
large circles - usually but not always to left. Will find him standing
facing a wall or other immovable object. Seems like his vision may be
compromised but he definitely sees movement - notices moths at night. Can't
seem to get him to lay down and relax - seems restless but weak so I worry
about him. How long should the Pred take to resolve issues or will it?
Either my husband or I now sleep on the couch to be downstairs with him.
Jun 3, 2009 8:57 AM
Dawn M. Smith :
So sorry to hear about your lab. The pred can only do so much if your dog
has had a stroke but give the full course of treatment so it has the chance
to do as much as possible. Time may also help him recover further, just as
people often improve over time after a stroke. If there is a mass/tumor,
then he will continue to decline. You might want to talk to your vet about
something to calm your dog for a few days. Often in cases of canine stroke
the dog is disoriented and that may contribute to the restlessness. He will
heal better if he can rest properly.
Jun 5, 2009 2:46 PM
Guest :
Earlier today, my 13 y.o. border collie/aussie mix suddenly had trouble
balancing, could not right herself after she fell and has a head tilt. She
walks and stands with splayed legs and continues to stumble. My dad gave
her a baby aspirin which she later vomitted up. She is also having a hard
time controlling her bladder. I Googled "canine stroke" and a
couple of articles said that strokes can look like other diseases, but none
said which ones. We called a vet and they said it might either be a stroke
or seizure. We're going to give her time to see how she does and take her
in soon if she doesn't improve. My family is very concerned as she has
always been an exceptionally healthy dog.
Thank you. Jun 6, 2009 2:42 PM
Guest :
2 days ago I came home to find my 17 year old son outside with our 7 yr old
border collie mix he said he had seen her trying to walk to him when her
legs gave out and she could no longer walk, up to this point she has been a
healthy happy dog. She is an outside dog and that's where she is right now
but she refuses to stay in her house and she keeps crawling far out in the
back yard but can't walk she loves to be under the big trees we have in our
back yard she seems alert to us and wags her tail but she just can't walk
it's been 2 days now. How long should I give her and do you think this is
something that can get better in time? She has always been a very active
dog and looks so sad right now. I have taken the next 2 days off to make a
humane decision. It there someone out here that can give me some good
advise. I am a single parent and unfortunately do not have the money for
extensive tests or vet bills. We love her and don't want to see her suffer
needlessly.
Jun 7, 2009 7:25 AM
Dawn M. Smith :
About the border collie who can't walk-it could be a stroke or a back
injury. If you're not seeing improvement in a couple of days you may need
to make the tough decision. If you can afford a trip to the vet to talk to
him about anti-inflammatories (don't give human anti-inflammatories and
dogs react badly to some of them) that would be the least expensive/most
helpful thing to try.
good luck Jun 8, 2009 3:13 PM
Guest :
My 10 year old Aussie has developed a severe lameness over the past 9
months on the right front leg. Her x-rays were normal in December but
anti-inflammatories and a steroid injection in the shoulder joint did not
provide relief. I took her to the surgeon in April and the x-rays were
normal and the surgeon felt that the issue was a neurological issue. We
declined an MRI because of the high cost and limited chance of a exact
diagnosis. The front left leg has good range of motion without pain but
the leg shows a lot of muscle tone loss and degeneration. Could this be
caused by a slight stroke? Thank You!
Jun 8, 2009 3:46 PM
Dawn M. Smith :
The aussie with the shoulder problem does not sound typical of canine
stroke syndrome. Knowing how aussies love to twist and turn herding the
world in every tinier circles it is more likely spinal column or
shoulder/foreleg pinched or damaged nerve as acute lameness is not often
associated with a stroke. Discuss the options of a canine chiropractor or
acupuncture/acupressure to help if you vet agrees that there is likely
nerve damage rather than stroke.
Jun 12, 2009 6:35 AM
Guest :
I noticed that my 5 year old American Pitbull Terrier was not acting
himself, first I thought it was because my female dog was in heat but I
don’t think that is the reason, then I thought it was the ligament in his
leg that he torn a couple of months ago, which that might be the problem
but there is more going on. His head is tilted to the right and his right
jowels is slightly hanging, he seems a little of balanced and he’s not
eating much (but he never eats much when she is in heat). His right eye is
also a little red, which I noticed a couple days before the other symptoms.
After reading up on stokes, I think it might be that. I have talked to my
vet and he said to wait it out until the female is out of heat and she if
he goes back to his normal behavior. I just wanted to get another
opinion…Thank you.
Jun 12, 2009 6:42 AM
Dawn M. Smith :
While canine stroke syndrome is a possibility for your Am Pitbull, canine
vestibular syndrome is another strong possibility in this case. Either way,
the most important thing right now is supportive care, ensuring that he has
the best recovery possible. Both canine strokes and vestibular syndrome
cases may recover significantly over time. Having a female in heat
complicates things a bit as he is less likely to rest as much as he would
otherwise.
Jun 14, 2009 11:41 AM
Guest :
Dear Dr Smith.
Yesterday morning I awoke to find my 9 year old Boston Terrier Napoleon sleeping in his kennel (which he never does). When I woke him up, he was very slow to come out of the kennel seemed to have lost his balance. He was eating and drinking normally and his stool looked normal as well. He was just very slow moving or lathargic, which is unusual for him. He was also unable to jump up on the couch or shake properly. We stayed by him all day just to observe him and he eventually came around. This morning he seems to be funcitoning at about 80% which is good. Does this sound like a stroke? He has a heart condition and is on an antibiotic for an unrelated infection in his mouth. Please help! Jun 15, 2009 12:51 AM
Dawn M. Smith :
A stroke is certainly a strong possibility, given the heart condition.
Happy to hear he is recovering quickly and hope he continues to improve.
Jun 21, 2009 8:15 AM
Guest :
My 12 1/2year old yorkie is tremendously scared when it rains. Two weeks
ago she woke up from her sleep because of the rain and started running
around the house aimlessly. She had seizures, and her eyes buldged out.
Finally she could not walk at all. She's been on medication, and is now
able to eat and drink on her own. Her head tilts to the left at times, and
she seems to have more control of her left side more than the right side.
She can at times get up and run a few steps and will fall. Do you thing
she'll be able to one day be able to walk again?
Jun 24, 2009 5:29 AM
Dawn M. Smith :
Your little yorkie may get better over time. If you can, in the meantime,
help her up and down, maybe use a towel or something to support her when
she wants to get around so it is less stressful to her, that may help. If
she gets up and moves around for a little while when she feels like it,
that may help improve her strength. It is worth giving her a bit more time
to be sure.
Jul 7, 2009 5:18 PM
Guest :
I was taking my 15 year old yorkie outside this morning and while he was
walking, his front legs collapsed and he could not get back up. He did not
whine/cry and give me any indication that he was in any pain, so I tried
lifting his body to help him stand up, but his front legs could not support
him. I did not know what to do, but I knew he really needed to go out and
relieve himself,(he is on lasix for his heart murmur)so I took him and
placed him in the grass, and he layed down on all fours but did relieve
himself. I carried him back inside and put him down, and all of a sudden he
was fine and could walk on all fours. His appetite is normal and he seems
to be himself. He was diagnosed with a heart murmur years ago and has been
taking lasix, enalapril, and most recently vetmedin. Does it sound like he
may have suffered a stroke? or is there anything else it could be?
Thank you! Jul 8, 2009 5:51 AM
Dawn M. Smith :
Such a quick recovery would be unusual for stroke but there could have
been a temporary problem with his heart resulting in the weakness. I would
check in with your vet to be sure.
Jul 10, 2009 3:38 PM
Guest :
I recently woke up to feed my 5yr. old male Boxer, one morning and his hind
legs seemed very wobbly as he walked down the stairs. Once he finished his
morning breakfast, we headed back upstairs. After ten minutes of straining
and unsuccessful of walking back upstairs I had to carry him. I took him to
the vet and they found some arthritis build-up on the two lower vertibraes
on the x-rays and said could may or may not be the reason, especially since
it came at such a rapid pace. We were then referred to a neurologist and
they recommended to do a MRI. Their possible reasons could be cancer,
ruptured disk, pintch nerve, etc. Once the MRI results came back the vet
said that there were no signs of cancer and spinal disk space looks ok. He
did see calcium build up also on is spine, but he said that his body has
his own natural way of breaking that down and also his not the problem of
his legs. He said that because there is no negative signs in the MRI that
he could of possibly had a spinal stroke that affected the nerves in his
hind legs. During the MRI they also took samples from his spine and sent
them to the radiologist.
My question is do you think this could be any signs of a stroke or spinal stroke? Thanks Jul 11, 2009 7:37 PM
Guest :
Hi, I have a 14 year old female lab, cocker spaniel, beagle mix named Opal.
Back in Feb 09 I came home and found her falling down, walking into
walls(like she was intoxicated) and her eyes were moving back and forth and
above her left it twitched and also she had thrown up a couple of times.
Took her to the vet next day, he said she had a minor stroke but did some
extra blood work to make sure it wasn't cancer. Gave her Antibiotic,
prednisone and reglan(to help with her stomach)She fully recovered in about
1 month with the help of our family who would come over and stay with her
when we could not due to work. Last wednesday, I came home and she was
walking into walls and falling down and had not eaten any of her food I had
left out for her that morning. Her eyes were fine though and no twitching.
We took care of her that night but the next morning her eyes were moving
side to side and above the left eye twitch was back and she had not eaten
anything at all. We took her to the vet and this time they said they are
not sure if she had a stroke(not sure if she had stroke back in Feb too).
Her heart and lungs and everything else is good they say. They said it
could be a brain tumor but whatever it is, it is something neurological.
At this point, I am so confused. I understand that they are unsure and I
can not afford for a catscan or mri to be done but what can I do to help
her. She is my best friend and I just want her to be comfortable while she
is with me. I am already giving her baby food and pedialyte mixed with
purified water and spending every second with her but what else can I do
for her to make her feel more comfortable. And also I am bringing her back
to my vet on Wednesday so he can check her. Thank you
Jul 13, 2009 5:57 AM
Dawn M. Smith :
For the boxer- canine stroke is certainly a possibility. You might also
discuss canine vestibular syndrome with your vet as another possibility,
although it is not as common in younger dogs. Perhaps the samples they took
will give you a more definite answer.
For Opal- she may have had a couple of episodes of vestibular syndrome (the eye twitching and instability suggest that possibility)rather than a stroke. Whichever it is, you are doing the most important things-ensuring that she eats and drinks and helping her to get around when she needs to go out so she rests and recovers. You should, like last time, see a gradual recovery. Some people have had good luck with using Rescue Remedy or a mild anti-nausea drug to help calm their dogs so you might want to discuss that with your vet. Good luck! Jul 16, 2009 1:28 AM
Guest :
I have a cross breed male dog that is 16 - 17 years of age. He suffered a
stroke 3 days ago and is cuurently staying at the vets. Before the stroke
he had increasingly limited mobiltiy because of an injury sustained in his
youth.What level of recovery can we expect and are we doing him any favours
by prolonging his life when the quality of his existance is lessening all
the time? We love him dearly but are concerned that we keep him going more
for our benefit than his.
Jul 16, 2009 7:27 AM
Dawn M. Smith :
The decision to say goodbye to a long time friend is always difficult. You
will need to look at whether there is any significant recovery happening
and how is his attitude(does he seem calm and 'serene' and does he respond
when you visit him?)? If he can come home you may be better able to judge
whether it is time or not. While your vet can help advise based on how he
is doing, you know him best and must weigh the pros and cons. It is never
easy. My sympathy and empathy to you.
Jul 17, 2009 7:14 AM
Guest :
Hi there,
3 days ago we were walking our previously healthy 5 year old, retired racing greyhound when we noticed he suddenly started to "high-step" with his front left paw. We stopped to investigate and he seemed ataxic. We managed to walk him back home but he was unstable on his front and rear left side. He tried to get up our front steps but was unable without help. He seemed distressed but in no pain. We brought him to our vet and had to lift him in and out of the car. At the vet his neck/back was supple and cranial nerves intact and there was no localized pain. He did not fall but was very reluctant to place his left paws (front in particualr) on the floor, almost as if he was not sure where the floor was. Wihin 3 hours with no intervention the episode resolved and Chopper trotted out of the clinic and jumped into the car. He has been fine since with no weakness. I think he may be stretching, yawning and shaking (as in wet dog, not trembling) a bit more but am watching his behavour very closely. Our vet has not been very helpful and it seems our 2 choices are to bring him to the vet college for an assessment and perhaps MRI etc. or do nothing. I think this may be a TIA but worry that we are missing something and I'm very anxious looking for signs that this might recur. With this history are there investigations you suggest? (he's had nothing so far) Would low dose ASA be an option in a dog? Any advice would be much appreciated. Thanks! Jul 17, 2009 7:58 AM
Dawn M. Smith :
it is possible your greyhound had a TIA but without a full neurological
workup it is impossible to say. Since the recovery was so rapid you may
decide to watch and wait until another episode occurs.If you are concerned
a workup at the vet school may be the best investment you can make as you
will have a clearer picture of what happened.
ASA should not be used except under close veterinary supervision. Dogs can only handle a very low dose and take much longer to clear this drug, resulting in toxic overdose issues. And greyhounds are notorious for being slower to clear drugs from their systems, putting your dog in a higher risk category. Good luck Jul 20, 2009 9:39 AM
Guest :
A week and 3 days ago my 2 1/2 yr old chihuahua started spinning in a
constant left circle. To date this has not stopped. She also cocks her head
to one side and has an unequal pupil. Our vet started treating her for an
ear infection and slight concussion (maybe a fall do to imbalance.) She has
been on an antibiotic and prednisone to date with no change. I took her to
an ER clinic, that, in a nutshell...thinks it's a stroke. After that visit,
they started meclazine for imbalance/dizziness, wich has not helped. She is
still able to eat and drink but I don't know how much longer she can do
this. MY QUESTION IS: In other cases will this resolve or should we put her
down?
Jul 20, 2009 1:06 PM
Dawn M. Smith :
While you might still see some improvement in the next week or two, it gets
less likely as each day passes. Depending on how you feel she is handling
this- does she seem stressed or unhappy?-it may be time to discuss her
prognosis further with your vet/the emergency clinic or a specialist.
The fact that she is eating and drinking is a good sign in that she will not deteriorate from lack of nutrition or dehydration. So if she is not too uncomfortable or unhappy it is probably worth giving her a bit more time but do talk to one of the vets who has seen her or a neurologist before you make your decision. Aug 17, 2009 6:44 PM
Guest :
My moms dog seemed to have had a stroke. We were gone part of the day and
when we got back she didn't run to the door as she always does. Her pupils
were dialated all the way and she could not walk at all. Her back legs do
not work. My mom called the vet and they said there was nothing they could
do if she did have a stroke. She has a blank stare and seems confused and
scared. She has no control over her bowl movements. Everyday she seems more
alert and her tail seems to be more stiff but she still cannot walk or use
her back legs. She eats and drinks very well. I am not sure what to do.
Aug 19, 2009 6:31 PM
Guest :
My 10yo toy-poodle Richi, last Thursday started falling on the right side
with his behind. the tail was to the right all the time. on sat we took him
to Vet ER. The doctor said that based on the simptoms he has a vestibular
disorder. they gave us pills from dizziness and antibiotics. They did
mentioned that it might get worse before it gets better. Almost a week
later he siims to keep getting worse. He cant walk as well, almost like his
is on the ice. the front right paw is folded towards his body so he tries
to walk on 3 legs. keeps falling. he is eating and drinking ok, responds to
our voices and is not hurt anywhere, cries a little when I pick him up. He
also did not poop since last thursday so that is another problem now we
dont know how to deal with. Any suggestions? Thank you
Aug 23, 2009 4:49 PM
Dawn M. Smith :
For both the toy poodle and the dog with the blank stare, it is time to
talk to your vets or see another vet. While it is true that nothing can be
done for a stroke, help with supportive care and a discussion of other
possible problems are needed. Sometimes things do get worse before they get
better but it is best to keep in close contact with your vet to be sure you
are doing whatever you can and that what is happening is truly stroke
related.
Sep 1, 2009 3:50 AM
Guest :
Hi Dawn,
I think our 8.5y old chow/collie x (Max) has had a stroke. We were awoken 2 hrs ago by a blood curdling yelping, pain sound, and we found max laying at food of bed eyes open, blank look, not responding, not able to get up. At first I thought it was a seizure, but he can't move his left side. we took to vet (24hr) and he said he wasn't sure, wanted to monitor him, give him fluids and see how he did. His pulse was 136 (he was scared) his right pupil was sluggish when flashlight shone in it, but frankly I was surprised both eyes seemed to stay fairly dilated. His demeanor is different, he's a barker w strangers, he didn't react to vet, doesn't wag his tail when we talk to him. We took him home as we were not totally confident in vet. I'm a nurse, am watching him overnight. no fever, resps easy. To me it's a wait and see, we are a one income family and I can't afford major testing etc, esp if they can't do much for him. This set of sx seems exactly like human stroke sx to me.. the vet was talking metabolic disorders etc, sending off bloodwork, xrays, etc.. when I asked about stroke he said he wasn't sure. I realize without testing no one can be sure. Max is really active, he had hubby run 4-5x a week for 45-1hr, he's really a playful guy but he doesn' seem like our maxie right now. We want to help him abd be supportive, my husband is busted up thinking he has been running max to much, blaming himself. I told him that dogs are meant to run and they both love it and look forward to it, so to not do that to himself. I'm really hoping max will recover from this on his own, but frankly, he looks like stroke patients I've cared for.. I'm counting on him being a dog and recovering better than we frail humans. Do you know of any other diseases or disorders that would cause a left sided paralysis other than a right brain stroke? ...Pam... Sep 1, 2009 4:49 AM
Dawn M. Smith :
Canine stroke syndrome is certainly a strong possibility for Max. And while
extensive testing would rule out problems such as metabolic disorders, a
watch and wait approach is probably fine. If there is any dramatic
worsening of symptoms, then further testing would make sense. Running is
not likely to have caused the stroke, rather it likely has helped keep Max
strong and healthy and may aid in his quick recovery.
Canine vestibular syndrome is another outside possibility but one sided paralysis is unusual with vestibular disease. I wish Max a speedy recovery. Sep 20, 2009 10:22 AM
Guest :
My 6.5 year old Jack Russell Rat Terrier mix was showing signs of stroke.
All of a sudden, she exhibited incoordination, dialated pupils, head
bobbing, and couldn't walk for about 1-2 minutes. While attempting to
walk, her back legs kept coming around to the front of her body, and she
would fall over. AFter coming out of the episode, she had no lasting
effects, but was whining and shaking for a good 5-10 minutes. I took her
to the vet, and all her bloodwork was completely within normal ranges. I
am completely stumped. Any ideas?
Sep 20, 2009 2:55 PM
Dawn M. Smith :
For the Jack Russell, consider idiopathic epilepsy (seizures from unknown
cause) or possibly canine vestibular syndrome rather than stroke. Neither
of those diagnoses would include abnormal bloodwork. Epilepsy would be more
likely based on the quick recovery but in either case, it makes sense to
wait and see if there is another occurrence before doing any more expensive
diagnostic work
Oct 11, 2009 10:38 AM
Guest :
sir plz tell me if dog suffering for paralysis then his tail and legs
haveing some moment or not if neck is broken
Oct 12, 2009 7:08 AM
Dawn M. Smith :
unless you know the dog had a traumatic injury to the neck, it is more
likely a stroke or other neurological problem
Oct 13, 2009 2:44 PM
Guest :
My boxer dog was walking, just normaly and suddenly fell over. He started
urinating as he was laying down. when he got back up, he was fine. What
does this indicate, and what can I do about this?
Oct 21, 2009 9:46 PM
Guest :
I rushed my siberian husky to the vet yesterday when his behavior changed
suddenly after feeding him. The vet found he either had a stroke or a
seizure. My husky had a temporary loss in motor skills, loss of balance
and seemed to lean sideways, trying to walk but falling every so many
steps. It lasted one minute yesterday but today, it lasted 3-5 minutes.
There was no loss of bladder or bowels.
Yesterday, my vet did a full blood panel. My dog has a very low calcium rate which my vet sent me home with Pet Tabs w/ calcium. Do you know what would cause that? My dog usually eats Iams (Mini Chunks) or Euranubas Low Fat Food for Large Dogs. My dog weighs 65 pds. But today, since he wouldn't eat any dry food, I gave him a can of EN that has calcium in it. I'm just not sure what to do now. Oct 22, 2009 4:56 AM
Dawn M. Smith :
It is possible that the seizures are caused by the low calcium but why the
calcium levels are low is something you should discuss with your vet. Talk
to your vet also about other calcium rich foods that might be good to give
your husky, ones that will not add to the weight management isses
Oct 24, 2009 4:59 PM
Guest :
My dog is 14 yrs old, overweight, as hard as I try I cannot get the weight
off of him. In the last two months during the night he has what I think
are seizures, just for a second then looses control of his bladder. In the
last year his hearing & eyesight have been going, but these seizures
have surprised me. He also has a very bad cough, sounds like a fog horn.
He is small, should weight 10 lbs but actually weighs 15 lbs.
I also have a Staffordshire Terrier around 10 yrs old. This morning I let her out because she was going to throw up, she did a little then passed out, I thought she had a heart attack and died! She did get up, wobbled into the house, laid down on the heater vent for a minute, then she was fine....does that sound like a stroke Oct 26, 2009 5:31 AM
Dawn M. Smith :
In both cases you may be seeing epilepsy (seizures)-we often have no way of
knowing the cause. Strokes are also a possibility.
Nov 26, 2009 6:37 PM
Guest :
I have a boxer approximately 7 years old, approximately 2 months ago he hit
his head fairly hard agaianst a door while we were playing with one of his
toys, he got up and was fine. approximately 2 weeks ago he fell over foamed
at the mouth and urinated while laying on his right side , again he got up
and wa fine since then he ha had trouble with his balance, walking, or
jumping up on the bed, he has a good appetite and drinks well.he acts very
lethargic. I took him to the vet and the he was put on antibiotics. he has
lost muscle mass in his face andwalks in circles. he does remind me of a
person who has had a stroke. he also seems to have a growling sound when he
sleeps, he has always snored but his is like a lounder almost deeper sleep
snore. The vet recomended an MRI, but I really can't financial afford
approximately $3000, thats what one of the colleges in my area will charge,
and thats just dignostic testing. The vet we go to has also recommended
trying a steroid. I believe he has had a stroke, are there ant
medicationsor physical therapy that I can do to try to help my dog improve.
Duke is my best friend and i want to do all I can for him
Nov 27, 2009 12:02 PM
Dawn M. Smith :
Your boxer may have had a stroke but he may also have a brain injury from
his accident. A course of steroids (as suggested by your vet) may help
determine what is going.
Nov 28, 2009 5:31 PM
Guest :
I have a 3yr old bichon. lately he has these episodes at night. He becomes
all stiff and he can't stand. He shakes and it seems like he can't breath.I
massage his throat and his stomach and i sit him up. It just happened last
night and i gave him some milk with syrup, that seemed to worked really
good. Can u tell me what this could be. THANKS ALOT.
Nov 29, 2009 3:25 PM
Dawn M. Smith :
For the Bichon, talk to your vet about epilepsy as it is more likely than a
stroke at such a young age
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