What are Nystagmus?
Nystagmus is a rapid, involuntary movement of the eyes. It may appear as though the dogs’ eyes are bouncing up and down in their sockets or moving rapidly back and forth without focusing. This can be characteristic of either a peripheral vestibular disease involving the trauma or inflammation of the inner and middle ear, or central vestibular disease that affects parts of the system located near the brain stem. Dogs can also develop vestibular issues due to advanced age (idiopathic vestibular syndrome) or be born with a physical defect that results in congenital vestibular disease. The peripheral form of the disease is most common, and once the underlying cause is determined, it can usually be cleared up within a few weeks. Central vestibular disease is rare, but due to the prevalence of brain damage, the prognosis for recovery is poor.An unintentional eye movement, or nystagmus, is most often a symptom of an underlying vestibular disease. The vestibular system includes the inner ear organs, and is responsible for balance and spatial awareness in most animals, including humans. Vestibular diseases occur when nerve messages to the brain are disrupted by irritation of the nerves from the inner ear.
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Symptoms of Nystagmus in Dogs
- Lack of coordination
- Head tilt
- Walking in circles
- Eyes jerking side to side or up and down
- Motion sickness
- Peripheral Vestibular Disease
- Peripheral Vestibular Disease is the most common form of this affliction, affecting the inner and middle ear. Once the cause is determined, it can usually be cleared up in a matter of weeks.
- Central Vestibular Disease
- Central Vestibular Disease is the rarest and most life-threatening of these disorders. The central vestibular organs are located at the base of the brain stem and conditions that cause this form of the disease are much more catastrophic.
- Congenital Vestibular Disease
- Puppies who are born with a congenital vestibular disease usually show signs between birth and three months. Prognosis is positive, however, since the dog will likely adapt to the problem and compensate for it naturally. Several breeds have a predisposition for this kind of congenital issue including Doberman, German Shepherd, Beagle, Smooth Fox Terrier, Tibetan Terrier, English Cocker Spaniel, and Akita.
- Idiopathic Vestibular Syndrome, also called Geriatric Vestibular Syndrome
- Idiopathic Vestibular Syndrome occurs in older dogs, and usually come on rapidly with no discernable cause then resolves itself just as mysteriously. Because of the alarming symptoms, it can sometimes be mistaken for a stroke.
Causes of Nystagmus in Dogs
Peripheral vestibular disease can be caused by many factors: middle or inner ear infections, perforated eardrum, head trauma, hypothyroidism, stroke, polyps, tumors or as a side affect from medication. Central vestibular disease can be caused by a chronic inflammatory disease, infection, bleeding on the brain, trauma, impaired blood flow, or cancer.
Diagnosis of Nystagmus in Dogs
Your veterinarian will conduct a physical and neurological exam and need the animal’s complete medical history including any medications the dog may be taking. They will use and otoscope to exam the dog’s eardrum for signs of irritation or perforation. They will take blood and urine samples for culture and microscopic examination to determine if an infection is present and what kind. They may need to x-ray your dogs’ head to look at the structure of the vestibular system. If tumors or polyps are found, the veterinarian may need to perform a surgical biopsy. An MRI or CT scan could be necessary to rule out tumors, bleeding or other brain-stem abnormalities.
Treatment of Nystagmus in Dogs
Determining a course of treatment will really depend on identifying the underlying cause. If your veterinarian suspects a medication side effect is causing the issue, they may take the animal off that drug and see if symptoms clear up in a few days. If it’s caused by an infection, the doctor will prescribe antibiotics. If it’s a case of hypothyroidism, management of the metabolic condition should resolve the vestibular issue. Surgery will be needed if polyps or tumors are present. Cancerous tumors of the central vestibular organs can cause devastating brain stem damage, and are often fatal.
Recovery of Nystagmus in Dogs
During recovery, your veterinarian may also prescribe medications to alleviate symptoms of the vestibular disease. Your dog may need motion sickness medications for vomiting and nausea, and even sedatives for a dog that is severely disoriented. If your dog is dehydrated due to vomiting, it may be necessary for them to stay a night or two in the hospital receiving fluids until the symptoms start to dissipate, and they can eat and drink normally again. If the dog is overwhelmed by dizziness, they may be reluctant to walk and will need to be carried indoors and outside for bathroom breaks. As long as the underlying cause of the vestibular disease is identified and treatable, your dog should recover fully within a couple of weeks.
Nystagmus Questions and Advice from Veterinary Professionals
Hi there! My dog had an episode today where his front limbs went rigid and his eyes darted back and forth for less than two minutes (this occurred while he was resting/asleep). He appeared a bit disoriented afterwards, but was acting otherwise normally- no loss of consciousness, foaming at the mouth, vomiting etc. Less than an hour prior, he had eaten too fast and was choking and then regurgitated his food. I rushed him to our vet after the episode and she did a neurological exam, said that it was most likely not a seizure but recommended taking him to the emergency room. At the emergency room, the vet also agreed it was not a seizure, but rather nystagmus or a vasovagal event that caused a decrease in blood supply to his brain. He did not recommend keeping him overnight or any other tests/course of treatment. Should I be concerned that there is a more serious underlying cause? He has had blood work as recently as 2 months ago and all was normal, and his work-up today (heart rate/ temp) was normal.
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I am a breeder of Siberian Huskies. Our current litter we have noticed three of our seven huskies have nystagmus. The puppies act perfectly fine besides their eye movement.
Can this be caused by a cleaner we use to clean their cabin ?
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My dog is about 14 years old and is a half collie half lab. all of the sudden, she has been falling a lot not able to get up on coaches and stumbling, she has also been peeing considerably inside our house when usually she goes outside. We thought it was old age and that it was time for poppy but my daughter found an eye movement just as you've said, the flicking sideways. Could this be to do with why she's peeing, falling and collapsing or just old age?
The nystagmus may also be due to old age, stroke, head trauma, tumours, poisoning etc… the other symptoms may also indicate old age or stroke. It would be best to have Poppy examined by her Veterinarian to determine the actual cause of the symptoms and if there is any treatment or management available, your Veterinarian will perform a physical and neurological examination along with blood tests. Regards Dr Callum Turner DVM
I am not a vet or have any medical background. The only reason I'm commenting is because I'm a dog mom of a young lady (6 y.o. mixed breed rescue pup), named Pippa, who was diagnosed with SARDS (sudden acquired retinal degeneration syndrome) at the age of three (2014) and all of the symptoms that Poppy's mom describes (minus the eye flicking) are what we witnessed when, Pippa was in the beginning stages of SARDS (pre-diagnosis). I'd be curious to hear if Poppy's vet was able to determine the cause of her symptoms.
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my dogs eyes are bouncing back an fourth was fine when she went to bed last night she did split her toenail open yesterday morning could this have anything to do with it.
I cannot think of a direct link between the toenail injury and the nystagmus. Nystagmus is usually caused by head trauma, stroke, tumours, ear infections or poisoning. If the nystagmus continues, visit your Veterinarian for a neurological examination. Regards Dr Callum Turner DVM
My dog has all these symptoms he's on .amoxicillion will this cure it he's. A 4 year old boxermix
My Maltese dog had blood drawn and chest x-rays on Feb 10 th and today he is falling, won't eat and turns in circle and falls when he tries to urinate. What is wrong?
Is there any home remedies for this?
My dog has the same symptom under nystagmus. My dog's 17 years old already and her ears used to be in a standing position (like siberian husky ears) it's now collapsed, I mean we thought of it like because of her age.
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