Neuro/pain/twitching

Clodagh

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This is very long. I haven’t mentioned it before as I’m just devastated about it. But we are all stuck.

14 July. T fine all day, normal, got up to go to bed and she was trembling. Came upstairs and still trembling, staggered, then got in her bed fine and slept through.
15 July. Started twitching. Not always but if she stands still there’s a noticeable tic to the left with her head/ neck. Slightly quiet, perhaps, negligible.
16th. Vets. Not ear infection, no reaction to palpitation anywhere. Run general bloods and urine, all fine.
16th again, struggled to get up stairs at one point but generally fine.
18th. Fell down stairs. Lay flat on side, growled repeatedly when I approached. Her eyes were fine, she looked like she was resting. After a few minutes, I just sat near her, she got up and went and got on the sofa.
Since then I have seen the vet again, and a second vet. They have no idea. One wondered about epilepsy, senior vet doubts it.
Bloods ran for neospora and toxoplasmosis. Positive for historical toxoplasmosis infection. Doing new test tomorrow to see if her igg have increased, if so she will be treated for that.
In between all this she’s been ok, eating, drinking, weeing, pooing normally and going for short walks. She’s bright and cheery.
I treated her with nexguard spectra 1st July, the first time I’ve used the new one. Vet thinks if that had caused an issue it would have been sooner.
Thistle has suggested testing for Lymes so will get that done tomorrow with the other.
She is obviously uncomfortable/in pain come the evening. For the last four days she’s been on anti inflammatories and is more settled, although not normal. Still twitching.
I wonder if neck arthritis could be something? And it’s hitting a nerve? Obviously concerned about a tumour.
She is to get referred to a neuro man, we will start that process tomorrow. I may ask if it’s worth doing x rays first, although from horses I think the specialists have better equipment and may as well do it there the first time. They are talking about mri and spinal tap.

Sorry this is so long but my lovely vet is very open to suggestions so I thought I’d throw it out there.
 

quizzie

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Only additional possibility I can immediately think of is lungworm….can get encysted or migrating larvae in spinal cord…..had she been having regular lungworm treatment?
 

fankino04

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Noodle used to have strange twitches, well more of a shudder, never lasted long and didn't really bother her but when I got a musculoskeletal expert to look at her they found a pinched nerve on her back which 3 vets and a vet physio had missed, I know it wasn't a made up find (believe me I'm sceptical of chiros etc anyway) as the difference in her after treatment was phenomenal. Unfortunately the nerves had been so damaged by the length of time it wasn't treated and her old age that although the pain went, the "nerve misfires" didn't which we think may have caused the old age muscle wastage to spead up. Anyway I would definitely go for the mri as my experience was that vets can miss a lot of pain related things, then get a specialist to deal with anything that they find. Good luck xx
 

Clodagh

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Only additional possibility I can immediately think of is lungworm….can get encysted or migrating larvae in spinal cord…..had she been having regular lungworm treatment?
She has been wormed with Milbemax sometimes. I think that does?
Worth checking with vet though, thank you.
 

Clodagh

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Noodle used to have strange twitches, well more of a shudder, never lasted long and didn't really bother her but when I got a musculoskeletal expert to look at her they found a pinched nerve on her back which 3 vets and a vet physio had missed, I know it wasn't a made up find (believe me I'm sceptical of chiros etc anyway) as the difference in her after treatment was phenomenal. Unfortunately the nerves had been so damaged by the length of time it wasn't treated and her old age that although the pain went, the "nerve misfires" didn't which we think may have caused the old age muscle wastage to spead up. Anyway I would definitely go for the mri as my experience was that vets can miss a lot of pain related things, then get a specialist to deal with anything that they find. Good luck xx
Would an mri pick up something like that? I do think it may be a neck thing, she’s not drinking as easily from the main bowl.
 

fankino04

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Would an mri pick up something like that? I do think it may be a neck thing, she’s not drinking as easily from the main bowl.
Not sure if they show the nerves but think they show enough of everything else to be able to suggest if there is compression there??? It's what people get for spinal diagnosis so I'd definitely say it's worth it more than the limited results on an xray.
 

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Any proprioceptive deficits, problems with withdrawal reflexes in the leg, change of gait esp if going wide behind, short and choppy in front, scuffed nails, loss of continence even if temporary, loss of sensation anywhere (pinching rear legs and tail), ability to look up/left/right from a sit (i.e only head and neck moving, without the body following)?

My boy with neck pain and spinal cord compression (cervical spondylomyelopathy) lost his ability to do stairs, and had two falls and some trembling as his condition progressed. It took an experienced orthopaedic vet to spot it when he was diagnosed a couple of years previously, one had missed the neck involvement entirely.
 

Clodagh

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None of the those symptoms at all. She does go a bit short in front after a long walk, has done for a while (marginal) but arthritis was diagnosed and she has antiflams when needed for that.
 

SusieT

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I would organise the neurologist involvement ASAP and likely MRI and spinal tap. The sooner you have those the sooner you can move forwards with a plan .
 

Cinnamontoast

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Wobblers? Is she insured? I know you will do anything for her, just when we had Jake MRI’d, it was over £2K, over a decade ago.

Have you raised her bowls? Sorry if that’s really patronising.
 

Cinnamontoast

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Someone on the ManyTears group mentioned that the 3rd lot of Bravecto almost killed her dog and the company is compensating her/paying all vet bills. I frightened myself reading reviews recently. Given food poisoning symptoms in humans can appear some time after ingestion, it could be an effect of something she’s consumed.
 

Clodagh

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Wobblers? Is she insured? I know you will do anything for her, just when we had Jake MRI’d, it was over £2K, over a decade ago.

Have you raised her bowls? Sorry if that’s really patronising.
Brandy has raised bowls, so she drinks from there and eating is balanced on a cushion.
She’s not insured but it doesn’t matter.
 

Clodagh

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Someone on the ManyTears group mentioned that the 3rd lot of Bravecto almost killed her dog and the company is compensating her/paying all vet bills. I frightened myself reading reviews recently. Given food poisoning symptoms in humans can appear some time after ingestion, it could be an effect of something she’s consumed.
I don’t see how they can prove/disprove it. But I will never use it again. I’m just going to tick pick, which you have to anyway whether they are dead or not.
 

druid

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I'd be very suprised if Nexgard had anything to do with it from the symptoms and time to onset. Do bear in mind that removing ticks does nothing to prevent the spread of tick borne diseases either, not much comfort in your case.

I'd definitely look at getting a consult with a neuro specialist if you can - symtpoms with neuro issues can be so subtle and are easily missed. even better if they work with an internal med specialist as there is a lot of case crossover. I've seen some odd presentations of Toxo before so that's defintely worth follow up.
 

Clodagh

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I’m hoping for toxoplasmosis as I gather that’s treatable. More bloods today to recheck that, and Lymes.
Vet admits she’s stumped and that T is one of the healthiest looking dogs she ever sees. T was on top form this morning, jumping up and down on the spot, really exuberant and bright. Now she’s hiding under the coffee table (new behaviour) all trembly and sad.
Showed vet the video I took the other night and she has forwarded that to the neuro person asking what best to do next. Hopefully the igg results will be back and we can get go to referral with a clear plate.
She can carry on with full dose of painkillers for as long as it takes.
Poor Dobsworth.
 

Clodagh

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The vet. I love my vet. Sent T’s video off to the neuro team. They phoned back and went through her clinical history and tests. Neurologist is fairly confident that it is idiopathic head tremor syndrome. It’s a fairly benign condition found in Labradors, Doberman and bulldogs. No treatment. They don’t even think they need to see her they are so sure of the diagnosis. So for now it’s monitor and see how she goes.
The painkillers help with the discomfort so to keep her on those and vet is going to ask if acupuncture, massage, physio or anything might be recommended.
On the whole I’m pleased, it sounds liveable with.

Anyone saying vets are only in it for the money, I have paid for 3 x vet consults, urine sample test and 3 lots of bloods. I have had several long phone calls with the vet, she has spoken at length to the neuro team and I haven’t paid a penny for all of that.
I’m taking in wine and chocolates later to her and the team.
 

Cinnamontoast

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The vet. I love my vet. Sent T’s video off to the neuro team. They phoned back and went through her clinical history and tests. Neurologist is fairly confident that it is idiopathic head tremor syndrome. It’s a fairly benign condition found in Labradors, Doberman and bulldogs. No treatment. They don’t even think they need to see her they are so sure of the diagnosis. So for now it’s monitor and see how she goes.
The painkillers help with the discomfort so to keep her on those and vet is going to ask if acupuncture, massage, physio or anything might be recommended.
On the whole I’m pleased, it sounds liveable with.

Anyone saying vets are only in it for the money, I have paid for 3 x vet consults, urine sample test and 3 lots of bloods. I have had several long phone calls with the vet, she has spoken at length to the neuro team and I haven’t paid a penny for all of that.
I’m taking in wine and chocolates later to her and the team.

I looked that up yesterday, nearly sent you a screenshot! I googled what causes tremors, that was the top result. There’s no specific treatment, I think? And it’s not damaging her? Your vets sound amazing! I’m cautiously happy for her.
 

Cinnamontoast

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The first post that came up was American, I guess they’ve got more dogs over there so more incidence of it. I’m just thrilled that’s what they’ve said cos it doesn’t appear to seriously impact the dog, although it looks distressing.
 

Clodagh

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The first post that came up was American, I guess they’ve got more dogs over there so more incidence of it. I’m just thrilled that’s what they’ve said cos it doesn’t appear to seriously impact the dog, although it looks distressing.
I never Google medical stuff. It always says you’re dying!
 
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