"Old Dog" Vestibular Disease (dog condition)

My Dolly will be 12 in April. Twelve is almost “pushing it” for a golden retriever. I am super sensitive to every move she makes, always thinking “This is it! This is the big one!”

Boring shit about how my dog suddenly can’t walk:

Monday morning we had a normal morning. She got up and ate, went outside, came in to jump on the couch and bark at the UPS guy. I went in my office and was sitting here when I heard her flopping around in the living room, squeaking on her ball. But it sounded weird - weirder than her usual jumping around and squeaking. I went out to find her flopped over in her bed, unable to lift herself up with her legs.

She eventually was able to walk after a half hour or so, but wobbly. I assumed she jumped off the couch and either popped her hip out or pulled a muscle in her back. She could not walk well at all - very shaky, falling over. She’s got hip displaysia and I assumed that her back end was just extra weak from us not walking much over the winter (too cold) and not being able to swim anywhere.

I called the vet and they said no need to see her right away, just watch. So I watched and she seemed to get better the next day but still only 60% good at walking. Thinking it was a muscle or tendon issue, I had her rest and every so often we’d go outside and walk a short distance.

Today she seemed worse, which didn’t make me happy. She had been better about getting down the 3 deck stairs but today she fell down the steps. Her head had started tilting sideways on Wednesday but today it was super tilted.

I had made an appointment today with the vet so I took her, hoping for the vet to let me know if she thought it was a sprain or we needed x-rays or what. Because it wasn’t getting better.

I was bracing myself for the bad news of thousands of dollars of surgery and therapy when the vet told me her legs were fine. Like, really fine - just a little muscle inflammation.

What the deal really was is that she is dizzy. She either has an ear infection (which the vet could not see) or “Old Dog” Vestibular Disease.

It’s an idiopathic condition that is quite common in old dogs, and manifests in a head tilt and trouble walking or “drunk walking.” The vet described it as constantly having the feeling like you just stopped spinning in a circle. They don’t know what causes it (it may be a virus) and there’s no treatment aside from doggy Drammamine and time. She she Dolly should be back to normal in about 10 days.

I actually burst into tears in the exam room because it was such a relief to find out that my dog wasn’t permanently handicapped. And really, just to know what was wrong and how I could help her. Whew!

We’ve still got some rough days ahead of us - I guess it gets worse before it gets better (it’s getting worse) but I look forward to next weekend when she is feeling much better!

Anyway I thought it was weird that I’d never heard of this apparently common condition! I told the vet they aught to make a pamphlet about stuff to expect when your dog gets old and give this thing its own page!

Thought I would share my experience with you other dog owners, in case you ever run into it. In a little bit of Googling the topic I am SHOCKED to read that dogs frequently are put down when they show the symptoms of Vestibular Disease rather than given a chance to heal!

Holy smokes!

Miss Dolly

This is a very common old dog problem. Most people assume it’s a stroke and think it means time for them to cross the rainbow bridge but most of the time they can get over it in short period of time.

Treatment can include anti-inflammatories, antibiotics (basically to cover the possibility of inner ear infection) or just some motion sickness medication. By the way, Cerenia is an anti-nausea medication and also for motion sickness and we usually recommend starting with an injection of this and then following with meclizine since it’s a 24 hour shot and it really helps with the nausea. The hardest part is the at home nursing care because some dogs are so dizzy and tilty they will just roll over and over.

In rare cases it may turn out to be something worse, like a brain lesion, but often a distinction can be made by the signs and how the dog responds to treatment.

I was terrified when my 13yo Golden collapsed, unable to walk etc. I was sure it was a stroke and the end.

ODVS, and after a week of having to be helped outdoors and around, she was fine.

Lost her just a few months after that, but I treasure the time that heads-up gave me. It’s important for dog owners to get the diagnosis and know they will get through it.

I don’t wish to downplay the Dr. in the article, or cause you additional duress Zipper, but let me tell you our true story and see if anything might relate to you (and Miss Dolly–what a cutie!):

In November 2011, our almost 12 YO Border Collie had the same symptoms as your MD–right out of the blue. Our vet did some blood work and said the only thing wrong was an elevated liver enzyme; at the time, very minor. He suggested “wait and see.” Things seemed to clear up for a while, then in mid-January '12 the symptoms came back with a vengeance. Back to the vet–enzyme liver was even higher and he was getting concerned. Unfortunately, we were moving half way across the country in a matter of weeks (this had nothing to do with subsequent events). Vet said Fine, when you get to new location, find a vet and I’ll transfer all data to New Vet. Got to new location, found a vet, took both dogs for their yearly exams in late March. They did blood work on the BC and found the liver enzyme even higher than two months prior. We weren’t impressed with New Vet and their treatment schedule, so New New Vet was procured. NNV did further blood work and suspected Cushing’s Disease.

Cushing’s Disease is a tumor either on the Adrenal Glands or on the Pituitary Gland. In either location, the effect is the same: it screws up production of cortisol. Cortisol regulates many bodily functions and can cause about all of the symptoms you (and I) have been describing. If the tumor is in the brain, it’s inoperable; if on the Adrenals, it can be removed. The brain tumor-caused symptoms can be treated with Vetoryl (rather expensive drug the dog will have to take for the rest of its life). It is a delicate balancing act to keep the dosage of Vetoryl consistent with the disease symptoms.

New New Vet set up The Test, and even though I don’t blame NNV (what the hell else could he do?), I think the test was the death knell: eight hours locked in a cage, no water, no food, no “hurry up,” blood drawn every (I think) 2 hours to establish a consistent decline of cortisol, this being done in the “back room” with the other 2 dozen screaming, scared-out-of-their-minds, where-are-my-people canines being kept there for whatever reasons. The additional stress on her 12 YO self was, in my opinion, too much (on top of the cortisol problems). Cushing’s was confirmed, Vetoryl was prescribed (I robbed a liquor store on the way there to pay for it :slight_smile: ), but we never got to really implement the treatment, because I believe (I am not a vet) the tumor caused her to start throwing seizures–two dozen or so–during the next three days. She didn’t wake up once during that whole time, and I was sure she wouldn’t again, or if she did, she would be a basket case. So the euthanasia squad was called out and the deed done. “Burpo” (her nom-de-plume) did us a huge favor, as the Vetoryl is expensive and could have been needed another two years before she would have expired, and no way to know what the progression or benefits would have been. Da End.

So, if I have scared the life out of you, I apologize. Miss Dolly (did I mention what a cutie she is?) may have nothing in common with this little tale. We didn’t “wait too long,” everybody did the right thing, and Fate stepped in and rung down a premature curtain.

Just mention this to your vet, if you wish, and say some stranger mentioned all this on a message board and ask if there’s any truth to it and see a second (and even a third, or fourth) vet if you’re not pleased with the answer. If this has, in the tiniest, tiniest way, helped you in any way, I will sleep better tonight and “Burpo” will have not died in vain.

Thank you for letting me get this off my chest.

We now return you to your regularly scheduled broadcast.

Thanks. Knowledge is power. My vet did mention a brain tumor as a possibility so I’m aware. Sorry you lost your baby that way, and I totally understand wanting to tell others.

I’ll share another pic of her from the other day, to offset the sads.

I just wanted to check in and say that I’m glad your dog is okay! I’m fearful of the day Slater won’t get out of bed.

I’ll actually massage Shadow and Slater’s major muscle groups about once a week - usually before brushing - to make sure everything is in proper working order and there are no lumps, welts, tears, or anything obviously wrong. They really enjoy it!

Z–Thank YOU; super pic; sads are WAY down. Man, how white is that schnozz? Our other dog is a Golden Retriever/Border Collie mix (sharp as a tack one minute, dumb as a large bag of hammers the next) who turned 13 last week and has found a new lease on life (bad right hip) thanks to a new supplement call Phycox; look into it when the time comes–it’s carob based (I think it smells great) and at 8AM and 8PM, she is standing by the counter staring up at it, then at us, then back at it, ad nauseum. Her schnout is not quite as white, but she’s working on it.

Thanx again, and longer life to the Doll (have I mentioned, yet, what a cutie she is?).

Old Dog Vestibular Syndrome has some highly characteristic symptoms that any good vet can distinguish in minutes. My vet came out to my car and spent about 30 seconds staring into my girl’s eyes before he gave me the news (it took another hour and some followup tests to be sure it was nothing else, but the basic diagnosis was quick and correct).

If your dog collapses with stroke-like symptoms, especially if they have trouble with balance and keep tilting, falling/rolling over in one direction and seem unable to direct their motions… look into their eyes. ODVS manifests as a rapid twitching or shake of the eyes - it looks like they are vibrating a sixteenth of an inch or so. Very weird but in general it’s GOOD news compared to the alternatives.

Yeah, it’s scary as hell for one to just abruptly start staggering like that, even for people who have seen and helped treat a lot of ODVD. Our elderly Shepherd threw up one morning. I didn’t think any at all about that. All of our animals puke now and again just to keep life interesting. Then, an hour or two later, she started staggering in the back end like she had intervertebral disc problems and within a minute fell over and couldn’t get back up. Scared the loving fuck out of me, because I was running down the list of possible diagnoses that fit that sort of fast-onset staggering and collapse, and most of them are really, really bad. Like, put them down in a matter of days bad. I went to her to try to calm her down and make her stop trying to get up so she wouldn’t hurt herself, and that’s when I got close enough to see the nystagmus.

Then it all clicked, and I nearly collapsed in a sobbing heap from pure relief. Of course, me taking one good look at the dog and sagging down into the floor only ratcheted up DoctorJ’s alarm factor, until I collected myself enough to explain what was going on. And I’m not sure he entirely trusted that’s all it was at first.

As for the number that are put down for this issue, it sucks, but some of them take some fairly intensive supportive care. Claudia was really bad for the first few days. There was no helping her in and out, I had to pick her up and carry her out, hold her up while she pottied, and then carry her back in. I had to turn her several times a day so she wouldn’t get pressure ulcers because she couldn’t even turn over by herself without falling. She was so nauseated we couldn’t get her to even drink a little water the first three days; I had to syringe water into her mouth with her fighting me every step of the way to keep her from dehydrating, and even after she started taking water I had to make her food into slurry and syringe feed her that. If an animal is that badly off, and the owner isn’t able or willing to provide the necessary nursing care…then euthanasia is unfortunately the best choice for the animal.

A B–Firstly, that’s some GOOD vet you got there; hang on with both fists;

Secondly, you just turned my panic pilot light down by a factor of 50, and for that, I thank you. I was all prepared to see ODVS as Cushing’s precursor if it occurs in our present geriatric. I think that “Burpo” was the victim of an unfortunate coincidence; she had those ODVS symptoms, but probably had Cushing’s taking hold of her brain already. The end result was the same, though.

Rule #1 seems to be–Keep on your toes with your critters.

This community ROCKS! (I shouldn’t be using that–I’m over 50 YO :D)

Only geezers can really rock. If you were a twennysumthin’, you’d say this community was sick.

No, there’s no correlation between ODVD and Cushing’s. The majority of Cushing’s dogs are diagnosed without ever having had ODVD, and the majority of dogs who have had ODVD do not go on to be diagnosed with Cushing’s. Your baby was either one of the miserably unfortunate ones who happened to have both, or else she didn’t actually have ODVD and her symptoms were Cushing’s all along. The problem with sorting out which is which is that ODVD is one of those things that you formally diagnose by testing for and ruling out the other likely possibilities, and I can’t fault your original vet for not including Cushing’s in his rule-outs if Burpo wasn’t showing any other symptoms.

But yeah, AB is right. When an elderly dog presents with that particular cluster of symptoms–gait abnormalities, head tilt, and twitching eyes, +/- circling/veering off in the same direction when it tries to walk and nausea/vomiting–odds are incredibly high that it’s ODVD.

Unrelated diagnosis, but we recently went through similar fear and concern.

Two weeks ago our Sadie (approximately 9.5 years old, estimated because she’s a rescue) greeted me when I got home by walking her front legs toward me while stretching her back legs behind her…then continued to drag herself toward me using only her front legs. Our vet had no immediate openings, but our old vet place (a long drive away) would take her, so off we rushed.

She has a weak hip (surgically repaired years ago) and we thought maybe it had given out at last, or she’d had a stroke. Turned out to be…drumroll please…muscle strain and inflammation from an unusually long walk the day before.

A few days of painkiller and anti-inflammatory and she’s entirely back to normal. But we are watching her diligently. And we are trying to give her as much quality time as we can.

I don’t want to be the downer in the thread, but…

While vestibular disease often does clear up on its own after a week or so, it doesn’t always. My mom’s previous dog (who was about 14, IIRC) had it in the last year of his life, and while it varied in intensity, it never went away completely. In that case, there’s not much you can do, besides making him as comfortable as possible.

When discussing the possibilities of what was wrong with Dolly, the vet asked some questions about Dolly’s recent behavior before the onset of ODVD and she (the vet) didn’t think Dolly had shown any signs of a brain tumor.

And, what’s “good”, I guess, is that now that I know she is “just dizzy” it is very obvious that she is just dizzy. When I thought it was a skeletal or muscular issue I was pretty panicked.

And it’s also “good” that the doctor said that ODVD gets worse before it gets better, and in fact Dolly is worse today, about halfway through, but it’s expected. So I am glad she is following the expected route of ODVD and not veering off in to something worse, you know?

I’m having to carry her a bit, and even though it’s no problem for me (she’s 90 lbs but you know…mommy adrenaline) she absolutely hates being picked up so she is working very very hard to navigate the deck steps. This weekend we might go camp out at my parents’ who live on a slab, though.

Thanks to everyone who’s posted, with good and bad stories. Having an old dog can be really crushing sometimes and it’s hard for me since I don’t really have friends with dogs (just young kids!)

AnthonyElite I send Dolly off to my dad’s for nice massages. He’s a sore old man so he likes to help her get relief :slight_smile: He talks to her about being sore and tired, it’s pretty cute.

Yeah when we got to the office, the vet tech that took her to be weighed said something about her “developing an old doggy head tilt.” I had no idea what she meant, being that I was not aware of ODVD at that point, but afterwards I sort of got the idea that this could hang on for a while.

I think a lot of other old dog owners would agree that you spend a LONG time getting ready for the end. I tear up about it almost daily anymore.

I am not a vet (although I was married to one for too long), so validate this with any animal health care specialist you like… low-dose pain and anti-inflammatory pills can have an AMAZING effect on older dogs. They slow down to ameliorate joint pain, and taking that pain away is caring, responsible and will bring back the dog you may have forgotten. My Golden went on some mild pills in her last year and we called them “Puppy Pills” - they knocked half her years off and she even went back to challenging me to get my butt down to her level and play Rowf.

If you have an older dog, look up aspirin dosages by weight and try it for a few days. Aspirin might not be the ideal pain/AI med for your dog, but it’s cheap and safe and easy to try. Follow up with your vet before you continue it more than a week or so. (And remember that most NSAIDS are highly toxic to dogs! No ibu, naproxen or other drugs… just plain baby aspirin!) (ETA: and aspirin is toxic for cats!)

Yes. It can completely disappear, but many dogs retain a head tilt and tendency to walk a little off course, if not bouts of clumsiness. My understanding is that once the organic problem is cured or finished, it’s up to some neural reprogramming for them to learn to walk and carry themselves normally - or at least functionally - again.

The head-tilt is engaging, at least, if it’s the only symptom. :o

Yeah Dolly does a morning Rimadyl every day, and a nighttime Tramadol. When she’s particularly moan-y, I give her two Rimadyl. Regular walks and swimming all summer keeps pain in check as well, along with keeping her trim.

Rimadyl has really made a difference! Just gotta make sure the vet keeps up with liver function tests.

We had a dog with vestibular syndrome at about 10 years. She got over it in a few days (but for one ear flopping and some head tilt) and lived to 17 years old, active and happy for most of that. She was a 47lb lab mix, so well beyond average life expectancy.