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I am sorry that you have been waiting for a response. I recently just logged onto the site and noted that your question hasn't yet been answered. I am a licensed veterinarian with over 25 years’ experience and would be happy work with you if you are still needing assistance.
Hopefully by now Boo Boo kitty is better or you have had him evaluated. If you give me a progress report on what has happened since your initial post, I can comment further.
Thank you for the followup.
Strokes are not very common in cats, but there is a condition known as vestibular disease which can come on very suddenly and can present with symptoms very similar to a stroke. In some cases, this condition can be caused by a middle ear infection. For that reason, I would recommend that you have BooBoo examined by your veterinarian. If that is what is occurring, getting his ear treated will help with his loss of balance.
Here is a link with more information about vestibular disease in pets. The webpage refers to dogs, but it is virtually the same disease in cats. LINK HERE
I hope this is helpful. Please let me know if you have ANY other questions. My goal is to give you 100%satisfaction and if you are not yet satisfied, please reply so I can clarify for you.
Not all cats with ear infections act painful, especially if in the middle ear. You'll not also in article that it states in some cases, vestibular disease will occur spontaneously with no underlying cause. This form is referred to as idiopathic. The good news is the in these cases, the symptoms will resolve on their own in about a week or so.
I think if he seems to be improving since last night, it would be OK to monitor, but you need to make sure he can maneuver around to get to food, water and litter. Signs to have him evaluated would be if he starts to get worse or stops eating.
Sounds good. Keep me posted.