Peripheral Vestibular Syndrome in a Cat with Foreign Body Otitis Media/Interna

  • Gu, Su-Hyun (College of Veterinary Medicine, Konkuk University) ;
  • Jung, Dong-In (College of Veterinary Medicine, Konkuk University) ;
  • Kang, Byeong-Teck (College of Veterinary Medicine, Konkuk University) ;
  • Kim, Ju-Won (College of Veterinary Medicine, Konkuk University) ;
  • Yoo, Jong-Hyun (BK21 Program of Integrative Network Systems for Veterinarians in Basic Science, Industrial Animals and Preventive Medicines, Konkuk University) ;
  • Park, Chul (Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California) ;
  • Park, Hee-Myung (College of Veterinary Medicine, Konkuk University)
  • Published : 2008.06.30

Abstract

A 15-month-old, intact male, domestic short hair cat was presented with ataxia, protrusion of the right third eyelid, and anorexia. Clinical signs were firstly noted after ear cleaning at home. Symptoms of the Homer's syndrome were evident. However, postural and proprioceptive reaction deficits were not detected on neurologic examination. Otoscopic examination revealed foreign body in right ear canal. A diagnosis of peripheral vestibular syndrome was made based on results of physical examination including neurologic and otic examination, blood work, and magnetic resonance imaging (MRI). Based on these examinations, the present patient was definitely diagnosed as otitis medial interna induced by foreign body. The vestibular signs were resolved 10 days after removal of cotton tips in right ear canal. This case report indicates that home-care cotton swab can iatrogenically induce otitis media/interna in cats.

Keywords

References

  1. Cook LB. Neurologic evaluation of the ear. Vet Clin Small Anim 2003; 34: 425-435 https://doi.org/10.1016/j.cvsm.2003.12.001
  2. de Lahunta A. Vestibular system-special proprioception. In: Veterinary Neuroanatomy and Clinical Neurology, 2nd ed. Philadelphia: Saunders, 1983; 238-254
  3. Garosi LS, Dennis R, Schwarz T. Review of diagnosis of ear diseases in the dog and cat. Vet Radiol Ultrasound 2003; 44: 137-146 https://doi.org/10.1111/j.1740-8261.2003.tb01262.x
  4. LeCouteur RA. Feline vestibular disorders. Part I: anatomy and clinical signs. J Feline Med Surg 1999; 1: 71-80 https://doi.org/10.1016/S1098-612X(99)90063-3
  5. LeCouteur RA. Feline vestibular disease-new developments. J Feline Med Surg 2003; 5: 101-108 https://doi.org/10.1016/S1098-612X(02)00124-9
  6. Sturges BK, Dickinson PJ, Kortz GD, Berry WL, Vernau KM, Wisner ER, LeCouteur RA. Clinical signs, magnetic resonance imaging features, and outcome after surgical and medical treatment of otogenic intracranial infection in 11 cats and 4 dogs. J Vet Intern Med 2006; 20: 648-656 https://doi.org/10.1111/j.1939-1676.2006.tb02910.x
  7. Troxel MT, Drobatz KJ, Vite CH. Signs of neurologic dysfunction in dogs with central versus peripheral vestibular disease. J Am Vet Med Assoc 2005; 277: 570-574