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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 27391
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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My dog (sheltie) has been unstable on his feet and fairly lethargic

Customer Question

My dog (sheltie) has been unstable on his feet and fairly lethargic for a few months now. He suffered from what was believed to have been a vistibular disease episode, but has never recovered. He is still very unstable/wobbly. He also suffers from high blood pressure and is on Almodipine and Benazeprine to help keep it under control. He is 14 years old. Any idea on what could be the continued cause of his instability and lethargy?
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 1 year ago.
Aloha! You're speaking to Dr. Michael Salkin
The older my patient is when suffering a vestibular episode, the greater the risk of an incomplete recovery. This is usually evidenced by a persistent head tilt and ataxia ("drunken sailor"). If the vestibular episode were due to a central lesion (brain tumor, usually, at Jake's age) an incomplete recovery is the norm as opposed to his prognosis after either a peripheral (inner/middle ear) or idiopathic vestibular episode.
His lethargy may be related to a central or peripheral disorder but I'm more suspicious of the underlying problem causing his high blood pressure. Can you tell me, please, what has been discovered that's predisposing Jake to be hypertensive?
Expert:  Dr. Michael Salkin replied 1 year ago.
Hi Tom,

I'm just following up on our conversation about Jake. How is everything going?

Dr. Michael Salkin